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Submitted on 14 Feb 2017
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Accelerated Prompt Gamma estimation for clinical Proton Therapy simulations
B. Huisman, Jean Michel Létang, E. Testa, D. Sarrut
To cite this version:
Accelerated Prompt Gamma estimation for
clinical Proton Therapy simulations
B.F.B. Huisman
1,2, J.M. Létang
1, É. Testa
2, D. Sarrut
11 CREATIS, Université de Lyon; CNRS UMR5220; INSERM U1044; INSA-Lyon; Université Lyon 1; Centre Léon Bérard, Lyon, France
2 IPNL, Université de Lyon; CNRS/IN2P3 UMR5822; Université Lyon 1 Lyon, France
brent.huisman@creatis.insa-lyon.fr
1. P
URPOSE
There is interest in the particle therapy
community to use prompt gammas (PG), a natural byproduct of particle treatment, for range verification and eventually dose
control (Knopf et al. 2015). However, PG
production is a rare process and therefore estimating PGs exiting a patient during a proton treatment plan executed by a Monte
Carlo simulation (MC) converges slowly.
Primaries PGs Exiting patient Solid angle detector Post-collimator Detector Efficiency ? Reconstruction Eff. ? 103 104 105 106 107 108 109 Coun ts Protons Prompt Gammas
We present a generic PG yield estimator, drop-in usable with any geometry and beam configuration. We show a gain of three orders of magnitude compared to analog MC. We analyze the depth profile and the PG energy spectrum of a simple phantom and a clinical head and neck CT image.
2. C
ONCEPT
1 2 3
1. Regular Monte Carlo tracking
A regular MC simulation propagates particles throughout geometry. The propagation is broken up into steps, at which point the engine compiles a list of all possible futures, weights them, and using a random number selects the actual future.
2. At each step: Prompt Gamma production probability
Parallel to executing this conventional tracking, we may request and store the PG production probabilities. At each step, as function of PG energy, a production probability spectrum is stored at the current voxel.
3. Limited MC to touch all relevant voxels
By propagating a number of primary protons in this way, we obtain probabilities in all the voxels that a beam may touch. We need a minimum number of primaries, since we can only request PG probabilities in the voxels the primary passes
through. However, we require fewer primary
propagations with respect to a fully analog MC.
A
CKNOWLEDGMENTS
This work was partly supported by Labex PRIMES ANR-11-LABX-0063, t-Gate ANR-14-CE23-0008, France Hadron ANR-11-INBS-0007 and LYric INCa-DGOS-4664.
3. M
ETHOD
Stage 0: Generate PGdb Stage 1: Compute PGyd Stage 2: Propagate PG through geometryA voxelized Prompt-Gamma Track Length
Estimator (Kanawati et al. 2015) simulation is broken up into two stages. A PGdb (Stage 0) is
presupposed, computed once and reused. It
contains an estimate of the effective linear PG
production coefficient ΓΓΓZ modulo the density
ρZ , per element (k). At the start of Stage 1,
the coefficients are computed for the materials found in the phantom (eq. 1).
ΓΓΓm(E ) = ρmv kmv X k=1 ωk ΓΓΓZk (E ) ρZk (1) b SbSSbi (v) = ΓΓΓmv (Eg )Lg (Eg , v) (2) Per step, per voxel v in the PGyd, alongside executing the analog MC processes, we compute
and add the product of the step length Lg
and ΓΓΓmv , with mv the material at voxel v and
g the proton energy bin (eq. 2). Put into
words, we compute the PG yield probability energy spectrum at every step, and add it to any pre-existing spectrum in the current voxel
v. The PGyd computed in stage 1 is used as
a PG production source in Stage 2. If the user
is interested in the PG signal of 1011 protons,
the PGyd can be requested to give the expected output for that number of protons. Each PG is then propagated through the geometry and into the detector with regular analog MC processes.
4. R
ESULT
S
IMPLE PHANTOM
0 50 100 150 200 0.0 0.5 1.0 1.5 2.0 2.5 In tegrated Yield [PG/proton/v oxel] ×10−3 1 2 3 4 5 6 7 8 0.0 0.5 1.0 1.5 2.0 2.5 ×10−3 103 primaries 104 primaries 105 primaries 106 primaries Reference 0 50 100 150 200 −3 −2 −1 0 1 2 3 In tegrated Rel. Diff.[%] 1 2 3 4 5 6 7 8 −3 −2 −1 0 1 2 3 0 50 100 150 200 Depth [mm] −6 −4 −2 0 2 4 6 V oxels b eam path Rel. Diff.[%] 1 2 3 4 5 6 7 8 PG energy [MeV] −6 −4 −2 0 2 4 6 102 103 104
Gain factor w.r.t. Reference
0.0 0.2 0.4 0.6 0.8 1.0 Num b er of vo xels (scaled)
vpgTLE gain distribution Median gain: 1.40 × 103 103 primaries Min: 6.30× 101 Max: 4.64× 104 104 primaries Min: 6.19× 101 Max: 3.73× 104 105 primaries Min: 9.03× 101 Max: 5.21× 104 106 primaries Min: 8.63× 101 Max: 3.21× 104 101 102 103 104 105 106 Runtime t [s] 0 2 4 6 8 10 12 Relativ e Uncertain ty [%]
Median relative uncertainty Gain: 1.55 × 103 vpgTLE, Fit: 2.3×10−1√ t Analog, Fit: 8.9×100√ t
5. R
ESULT
C
LINICAL PHANTOM
0 20 40 60 80 100 120 140 160 0.0 0.5 1.0 1.5 2.0 In tegrated Yield [PG/proton/bin] ×10−3 1 2 3 4 5 6 7 8 0.0 0.5 1.0 1.5 2.0 ×10−3 103 primaries 104 primaries 105 primaries 106 primaries Reference 0 20 40 60 80 100 120 140 160 Depth [mm] −3 −2 −1 0 1 2 3 In tegrated Rel. Diff.[%] 1 2 3 4 5 6 7 8 PG energy [MeV] −3 −2 −1 0 1 2 3 102 103 104
Gain factor w.r.t. Reference
0.0 0.2 0.4 0.6 0.8 1.0 Num b er of vo xels (scaled)
vpgTLE gain distribution Median gain: 9.98 × 102 103 primaries Min: 0 Max: 2.76× 105 104 primaries Min: 3.85× 101 Max: 3.29× 104 105 primaries Min: 4.70× 101 Max: 4.88× 104 106 primaries Min: 2.70× 101 Max: 8.96× 104 102 103 104 105 106 107 Runtime t [s] 0 10 20 30 40 50 60 70 Relativ e Uncertain ty [%]
Median relative uncertainty Gain: 1.03 × 103 vpgTLE, Fit: 2.5√×100 t Analog, Fit: 7.9√×101 t
6. C
ONCLUSION
vpgTLE is a generic drop-in alternative for computing the expected PG output in voxelized
geometries. The method reaches a global
gain factor of 101010333 for a clinical CT image and treatment plan with respect to analog MC. A median convergence of 2% for the most distal energy layer is reached in approximately four
hours on a single core, with the output stabilized
to within 10−4 of an analog reference simulation,
when the PG yield along proton range and PG
spectrum are considered. Those interested in
developing and simulating PG detection devices, as well as clinicians studying complex clinical cases, may benefit from the precision and accuracy of vpgTLE simulations not offered by analytic algorithms.
The vpgTLE method is open source, fully integrated and available in the next Gate release. This study has been submitted to Physics in
Medicine and Biology.
R
EFERENCES
Knopf et al. (2015) Phys. Med. Biol.