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F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Geant4 Simulation of an Accelerator Head for Intensity Accelerator Head for Intensity Modulated RadioTherapy Modulated RadioTherapy Monte Carlo 2005 Topical Meeting Chattanooga, April 2005

F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

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Page 1: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili

Geant4 Simulation of an Geant4 Simulation of an Accelerator Head for Intensity Accelerator Head for Intensity

Modulated RadioTherapyModulated RadioTherapy

Monte Carlo 2005Topical Meeting

Chattanooga, April 2005

Page 2: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Radiotherapy with external beamsRadiotherapy with external beams

A cancer or a tissue near a surgically removed tumour may be irradiated with

photons in order to reduce the tumour size or to sterilize the zone

Cancer cells are more sensitive to radiation damage compared to

healthy cells

The goal of radiotherapy is delivering the required therapeutic dose to the tumor area with high precision, while preserving the surrounding healthy tissue

Accurate dosimetry is at the basis of radiotherapy treatment planning

GANTRY

COUCH

Page 3: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Intensity Modulated Radiation TherapyIntensity Modulated Radiation Therapy

step and shoot • Dose distribution more homogeneous within the Planned Target Volume (PTV)

• Sharper fall-off of dose at PTV boundary

• Non-homogeneous dose distribution to treat concave surface

Progress in 3D medical imaging

The exposure of healthy tissue to high doses can be reduced

Beam aperture is shaped to the irregular shape of the target

Photon fluence is modulated

head and neckbreast

prostate IMRT

Conformationaltechnique

dynamic technique

Page 4: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

• Target

• Primary collimators

• Vacuum windows

• Flattening filter

• Mirror

• Monitor chamber

• Secondary collimators

• Multileaf collimator

The LINACThe LINAC

EEee=6 MV=6 MV

GANTRY

COUCH

Page 5: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Dosimetric system

Commercial systems

Analytic algorithmsAnalytic algorithmsEs.: Eclipse, Plato

fast, but based on approximations

precise

Accurate modeling of the experimental

set-up

Dose distribution

in a phantom

easy to configure

quick

Problem StatementProblem Statement

determine the dose distribution in a phantom resulting from the head of a linear accelerator

Page 6: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

General planGeneral plan

Geant4

AIDA/Anaphe

OO technology

Specific software process

Functionality Design Advanced

software

Microscopic validation of Geant4 processes

(established references - NIST) Dosimetric validation of the

system(experimental measurements -

IST)

validation of the

dosimetric system

planning and developing the

dosimetric system

simulation analysis+

DIANE

Goodness-of-FitStatistical Toolkit

Page 7: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Validation of the dosimetric systemValidation of the dosimetric system

EXPERIMENTAL MEASUREMENTSEXPERIMENTAL MEASUREMENTS

• Ion chamber PTW 31002 flexibleIon chamber PTW 31002 flexible• Water Phantom PTW MP3Water Phantom PTW MP3• no MLC (squared fields)no MLC (squared fields)

Lateral dose profileLateral dose profile

• Radiographic film Radiographic film Kodak X-Omat V• Plexiglass phantomPlexiglass phantom• with MLCwith MLC

Dose distribution in a planeDose distribution in a plane

Percent depth dosePercent depth dose Isodoses Isodoses

SIMULATION RESULTSSIMULATION RESULTS

Page 8: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

The simulationThe simulation

Page 9: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Geant4Geant4simulation of the passage of particles through matter

flexibility openness to extension and evolution trasparency

rigorous software engineering methodologies and OO technology

Low Energy

Electromagnetic

Package

Low Energy

Accurate dose calculation

• the geometry of the system and the materials involved (Geometry, Materials),• physics interactions of particles through matter (Processes),• detector response (Hit, Digits, Read-out geometry),• track of the particles (Tracking),• to manage the events (Event, Run),• visualisation of the detector and of the particles trajectories (Visualization),• user interface (Interfaces).

< 1 keV

Page 10: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Dosimetric systemDosimetric system

The analysis produces some histograms from which the user can calculate the Percent Depth Dose (PDD), the lateral profiles at the following depths in the phantom: 15 mm, 50 mm, 100 mm and 200 mm, and the isodoses curves in a plane

Gaussian distribution for energy and momentum of primary particles

Each pair of jaws can be rotated through an axis perpendicular to the beam axis

The user can choose the position of every single leaf

phantom

jaws

flatteningfilter

primarycollimator

Page 11: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Dosimetric systemDosimetric system Flattening filter

MLC

Primary collimators and target

Multi-leaf collimator

phantom

MLC

jaws

primarycollimator

target

Page 12: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

DesignDesign

FlexibilityExtensibilityDistributed responsibility

Design Pattern

Decorator

Design Pattern

Decorator

Page 13: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Software technologiesSoftware technologies

Mapped on ISO 15504

Dinamic dimension

Based on use cases

Rational Unified Process

Specific software process for this

dosimetric system

Software process artifacts

based on the Unified Process

Sta

tic

dim

ensi

on

The process was tailored tothe specific needs of the project

Page 14: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Specific software process for the dosimetric systemSpecific software process for the dosimetric system

Time

Inception Elaboration Construction Transition

Vision

Use cases

User requirements

Risk list

Requirements analysis

Architecture elaboration

Implementation

Design analysis

Test

Public deployment of the code

Documentation

DISCIPLINES:Business Modeling, Requirements, Analysis & Design, Implementation, Test,

Deployment, Configuration & Change Management, Project Management, Enviroment.

S. Guatelli, B. Mascialino, L. Moneta, I. Papadopouls, A. Pfeiffer, M. G. Pia, M. PiergentiliExperience with software process in physics experiments

Page 15: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Microscopic validation of Microscopic validation of Geant4 processesGeant4 processes

Page 16: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

• Validation of Geant4 electromagnetic models against established references (ICRU - NIST)

• Simulation of physics quantities in the same experimental set-up as reference data

• Rigorous quantitative statistical comparison

PHYSICAL TESTGOODNESS-OF-FIT

TESTINGQuantitative statistical analysis

- Evaluation of Geant4 physics goodness- How the various Geant4 models behave in the same experimental condition - Systematic data analysis allows to improve the physics models and guarantees the reliability

Scope

Microscopic validation of Geant4 Microscopic validation of Geant4 processesprocesses

Page 17: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

• PhotonPhoton Attenuation Coefficient

• PhotonPhoton Cross Sections (attenuation coefficients with only one process activated)

• ElectronElectron CSDA range and Stopping Power

(no multiple scattering, no energy fluctuations)Elements: Be, Al, Si, Fe, Ge, Ag, Cs, Au, Pb, U

+ waterEnergy range: 1 keV – 10 GeV

Geant4 processes pertinent to this Geant4 processes pertinent to this applicationapplication

Page 18: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Microscopic validation of Geant4 Microscopic validation of Geant4 processesprocesses

Physics models under test:• Geant4 Standard• Geant4 Low Energy - Livermore• Geant4 Low Energy – Penelope

Reference data:• NIST

K. Amako, S. Guatelli, V. Ivanchenko, M. Maire, B. Mascialino, K. Murakami, P. Nieminen, L. Pandola, S.

Parlati, A. Pfeiffer, M. G. Pia, M. Piergentili, T. Sasaki, L. Urban

Precision validation of Geant4 electromagnetic physics

G4 LowE G4 LowE PackagePackage

QUANTITATIVEQUANTITATIVECOMPARISONSCOMPARISONS

Page 19: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Validation of the dosimetric Validation of the dosimetric system:system:

- lateral dose profiles - lateral dose profiles - depth dose profiles- depth dose profiles

Page 20: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Experimental measurements with ion Experimental measurements with ion chamberchamber

IAEA 398

Percent Depth Dose

Squared fields 5x5 cm, 10x10 cm, 40x40 cm

Ion chamber:PTW 31002 Flexible.

Water phantom: PTW MP3

Distance (mm)

Per

cent

dos

e

PDD6MV – 10x10 field

Distance (mm)

Per

cent

dos

e

Lateral profile6MV – 10x10 field

International AtomicEnergy Agency

Page 21: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Comparison with experimental dataComparison with experimental data

range D p-value

-84 -60 mm 0.39 0.23

-59 -48 mm 0.27 0.90

-47 47 mm 0.43 0.19

48 59 mm 0.30 0.82

60 84 mm 0.40 0.10

range D p-value

-56 -35 mm 0.26 0.89

-34 -22 mm 0.43 0.42

-21 21 mm 0.38 0.08

22 32 mm 0.26 0.98

33 36 mm 0.57 0.13

1010 events

100 CPU dayson Pentium IV 3 GHz

Lateral profiles

B. Mascialino, A. Pfeiffer, M. G. Pia, A. Ribon, P. ViarengoA Toolkit for statistical comparison of data distributions

Distance (mm)

Per

cent

dos

e

Lateral profile6MV – 5x5 field – 15mm depth

Dosimetric system

Experimental data

Distance (mm)

Per

cent

dos

e

Lateral profile6MV – 10x10 field – 50mm depth

Dosimetric system

Experimental data

Kolmogorov-Smirnov test

Kolmogorov-Smirnov test

Page 22: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Comparison with experimental dataComparison with experimental data

D = 0.005; p-value = 1

range D p-value

0 14 mm 0.55 0.09

15 300 mm

0.14 0.12 Kolmogorov-Smirnov test

percent depth dose

Per

cent

dos

e

PDD6MV – 40x40 field

Dosimetric system

Experimental data

Voxels 5mmVoxels 5mm

Depth (mm)

Depth (mm)

Per

cent

dos

e

PDD6MV – 10x10 field

Voxels 5mmVoxels 5mm

Dosimetric system

Experimental data

Page 23: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Application of the Application of the dosimetric system:dosimetric system:

- dose distribution in a - dose distribution in a plane plane

- isodose lines- isodose lines

Page 24: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Experimental measurements with radiographic Experimental measurements with radiographic filmsfilms

Kodak X-Omat V filmsScanner VXR16 Dosimetry ProSoftware Rit 113

Grey tone Optical density Dose

Spatial resolution = 89 m

Field used to treat prostate cancer

using the MLC

Page 25: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Experimental data and simulation resultsExperimental data and simulation results

radiographicradiographicfilmfilm

Dose distribution in a Dose distribution in a planeplane

dosimetricdosimetricsystemsystem

dosimetricdosimetricsystemsystem

radiographicradiographicfilmfilm

Isodose linesIsodose lines

dosimetricdosimetricsystemsystem

RIT 113RIT 113

dosimetricdosimetricsystemsystemRIT 113RIT 113

intra-leaf transmission

Page 26: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

ConclusionsConclusions

• Dosimetric system for IMRT based on Geant4 – reproduces with high accuracy experimental data – can be used to verify treatment plans in a reliable way

• Open source dosimetric system

• Geant4 Low Energy electromagnetic package

- Validation of physical processes in Geant4

• Quantitative comparison with experimental measurements

precision

This is an Advanced Example of

Page 27: F. Foppiano, B. Mascialino, M. G. Pia, M. Piergentili Geant4 Simulation of an Accelerator Head for Intensity Modulated RadioTherapy Monte Carlo 2005 Topical

Activities in progressActivities in progress

• Phase space

• Dynamic tecnique

• Parallelisation

For furher informations:

[email protected]@ge.infn.it

J. T. Moscicki, S. Guatelli, M. G. Pia, M. PiergentiliMonte Carlo simulation for radiotherapy in a distributed

computing environment