Testing Monte Carlo absolute dosimetry formalisms for a small field `D'-shaped collimator used in retinoblastoma external beam radiotherapy

TL;DR

This study evaluates Monte Carlo simulation methods for accurate absolute dosimetry in small, off-axis `D'-shaped fields used in retinoblastoma radiotherapy, highlighting the importance of detailed particle transport modeling.

Contribution

It compares two Monte Carlo approaches and an analytical algorithm for small field dosimetry, emphasizing the need for detailed transport parameters for accuracy.

Findings

Monte Carlo doses differ from experimental by less than 3%.

Simpler Monte Carlo approach aligns with Popescu's method.

Analytical algorithm underestimates doses compared to experiments.

Abstract

Purpose: To investigate the validity of two Monte Carlo simulation absolute dosimetry approaches in the case of a small field dedicated `D'-shaped collimator used for the retinoblastoma treatment with external photon beam radiotherapy. Methods: The Monte Carlo code {\sc penelope} is used to simulate the linac, the dedicated collimator and a water phantom. The absolute doses (in Gy per monitor unit) for the field sizes considered are obtained within the approach of Popescu {\it et al.} in which the tallied backscattered dose in the monitor chamber is accounted for. The results are compared to experimental data, to those found with a simpler Monte Carlo approximation for the calculation of absolute doses and to those provided by the analytical anisotropic algorithm. Our analysis allows for the study of the simulation tracking parameters. Two sets of parameters have been considered for the simulation of the particle transport in the linac target. Results: The change in the tracking parameters produced non-negligible differences, of about 10\% or larger, in the doses estimated in reference conditions. The Monte Carlo results for the absolute doses differ from the experimental ones by 2.6\% and 1.7\% for the two parameter sets for the collimator geometries analyzed. For the studied fields, the simpler approach produces absolute doses that are statistically compatible with those obtained with the approach of Popescu {\it et al.} The analytical anisotropic algorithm underestimates the experimental absolute doses with discrepancies larger than those found for Monte Carlo results. Conclusions: The approach studied can be considered for absolute dosimetry in the case of small, `D'-shaped and off-axis radiation fields. However, a detailed description of the radiation transport in the linac target is mandatory for an accurate absolute dosimetry.