Evidence map›Paper›PMID 38493501›Full record

ArticleMedical physics2024

First Monte Carlo beam model for ultra-high dose rate radiotherapy with a compact electron LINAC.

Tianyuan Dai, Austin M Sloop, Mahbubur R Rahman, Jacob P Sunnerberg, Megan A Clark, Ralph Young, Sebastian Adamczyk, Philip Von Voigts-Rhetz, Chris Patane, Michael Turk and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Medical physics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 2 countries.

Tianyuan DaiThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Austin M SloopThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Mahbubur R RahmanUT Southwestern Medical Center, Dallas, Texas, USA.
Jacob P SunnerbergThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Megan A ClarkThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Ralph YoungIntraOp Medical Corporation, Sunnyvale, California, USA.
Sebastian AdamczykIntraOp Medical Corporation, Sunnyvale, California, USA.
Philip Von Voigts-RhetzIntraOp Medical Corporation, Sunnyvale, California, USA.
Chris PataneIntraOp Medical Corporation, Sunnyvale, California, USA.
Michael TurkIntraOp Medical Corporation, Sunnyvale, California, USA.
Lesley JarvisDepartment of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
Brian W PogueThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
David J GladstoneThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Petr BruzaThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Rongxiao ZhangThayer School of Engineering, Dartmouth College, Hanover, New Hampshire, USA.
Dartmouth College · USInfinera (United States) · USSouthwestern Medical Center · US

Funding

Optimization of MeV FLASH radiotherapy for normal tissue preservationU01CA260446 · NCI · DARTMOUTH COLLEGE · PI David J. Gladstone, Jack Hoopes · 2022 to 2026
$3.1M
Ultra-fast imaging for the safe delivery of electron FLASH radiation therapyR44CA268466 · NCI · DOSEOPTICS, LLC · PI BRUZA, PETR · 2022 to 2023
$2.0M
Simultaneous dose and dose rate optimization for clinical FLASH proton radiotherapyR01CA261964 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GAO, HAO · 2022 to 2025
$2.0M
Training in Surgical InnovationT32EB021966 · NIBIB · DARTMOUTH COLLEGE · PI Eric R Fossum, Sohail K Mirza · 2017 to 2026
$1.7M
Treatment Planning System for Electron FLASH radiation therapyR21CA277420 · NCI · UNIVERSITY OF MISSOURI-COLUMBIA · PI ZHANG, RONGXIAO · 2024 to 2025
$438k
National Natural Science Foundation of China 12105160NCI NIH HHS 12105160NCI NIH HHS R01 CA261964NCI NIH HHS R21 CA277420NCI NIH HHS R44 CA268466NCI NIH HHS U01 CA260446NIBIB NIH HHS T32 EB021966Shandong Provincial Natural Science Foundation ZR2021QA099
6 · The paper itself

Abstract

backgroundFLASH radiotherapy based on ultra-high dose rate (UHDR) is actively being studied by the radiotherapy community. Dedicated UHDR electron devices are currently a mainstay for FLASH studies. PURPOSE: To present the first Monte Carlo (MC) electron beam model for the UHDR capable Mobetron (FLASH-IQ) as a dose calculation and treatment planning platform for preclinical research and FLASH-radiotherapy (RT) clinical trials.

methodsThe initial beamline geometry of the Mobetron was provided by the manufacturer, with the first-principal implementation realized in the Geant4-based GAMOS MC toolkit. The geometry and electron source characteristics, such as energy spectrum and beamline parameters, were tuned to match the central-axis percentage depth dose (PDD) and lateral profiles for the pristine beam measured during machine commissioning. The thickness of the small foil in secondary scatter affected the beam model dominantly and was fine tuned to achieve the best agreement with commissioning data. Validation of the MC beam modeling was performed by comparing the calculated PDDs and profiles with EBT-XD radiochromic film measurements for various combinations of applicators and inserts.

resultsThe nominal 9 MeV electron FLASH beams were best represented by a Gaussian energy spectrum with mean energy of 9.9 MeV and variance (σ) of 0.2 MeV. Good agreement between the MC beam model and commissioning data were demonstrated with maximal discrepancy < 3% for PDDs and profiles. Hundred percent gamma pass rate was achieved for all PDDs and profiles with the criteria of 2 mm/3%. With the criteria of 2 mm/2%, maximum, minimum and mean gamma pass rates were (100.0%, 93.8%, 98.7%) for PDDs and (100.0%, 96.7%, 99.4%) for profiles, respectively.

conclusionsA validated MC beam model for the UHDR capable Mobetron is presented for the first time. The MC model can be utilized for direct dose calculation or to generate beam modeling input required for treatment planning systems for FLASH-RT planning. The beam model presented in this work should facilitate translational and clinical FLASH-RT for trials conducted on the Mobetron FLASH-IQ platform.

Indexed as

ElectronsMonte Carlo MethodParticle AcceleratorsRadiotherapy DosageRadiation DosageRadiotherapy Planning, Computer-AssistedelectronFLASHMonte Carloradiotherapyultra‐high dose rate

Identifiers

PMID38493501
PMCPMC11316970
OpenAlexW4392891220

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.