Evidence map›Paper›PMID 42818460›Full record

ArticleArXiv2026

Characterization and Mitigation of Boundary Sampling Artifacts in Electron Phase Space Generation for Clinical FLASH-RT Deployment.

Rafael Carballeira, Rongxiao Zhang, Kevin J Willy, Hayley Cash, David J Gladstone

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In one paragraph

Article in ArXiv, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Rafael CarballeiraThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Rongxiao ZhangThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Kevin J WillyThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.
Hayley CashMedical University of South Carolina, Charleston, South Carolina.
David J GladstoneThayer School of Engineering, Dartmouth College, Hanover, New Hampshire.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Optimization of MeV FLASH radiotherapy for normal tissue preservationU01CA260446 · NCI · DARTMOUTH COLLEGE · PI David J. Gladstone, Jack Hoopes · 2022 to 2026
$3.1M
Regulation of c-Myc Transcriptional Activity and FunctionR01CA125760 · NCI · VANDERBILT UNIVERSITY · PI HANN, STEPHEN R. · 2007 to 2011
$1.7M
NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA125760NCI NIH HHS U01 CA260446
6 · The paper itself

Abstract

Background: Clinical implementation of Monte Carlo (MC)-based treatment planning for electron FLASH radiotherapy requires computationally efficient phase space (PHSP) generation strategies to meet the planning timelines of ultra-high-dose-rate (UHDR) delivery. Applicator-specific PHSP files, recorded at the aperture exit, reduce dose calculation time by 30-50% relative to traditional placement at the linac-exit window, enabling clinically practical planning cycles for FLASH treatment planning system (TPS) deployment. However, positioning PHSP scoring planes coincident with the applicator-air interface introduces boundary sampling artifacts that have not been previously characterized in the electron PHSP literature. Purpose: To identify and characterize a boundary sampling artifact arising in Geant4-based Monte Carlo simulations when PHSP scoring planes are positioned coincident with material-air interfaces, and to demonstrate its mitigation through systematic scoring plane offset, enabling clinical deployment of applicator-specific electron beam PHSP libraries for FLASH-RT treatment planning. Methods: Applicator-specific PHSP files were generated using GAMOS 6.2.0 for a commissioned 9 MeV Mobetron UHDR Monte Carlo model across twelve clinical aperture configurations (2.5-10 cm diameter) intended for deployment in the GMV Radiance treatment planning system. The scoring plane sensitivity analysis was performed on the A6 short cone (aperture exit at 397 mm) across three positions: coincident with the material-air interface (397 mm), 0.1 mm downstream (397.1 mm), and 1 mm downstream (398 mm). The corresponding 1 mm offset was subsequently applied to the A10 long cone (aperture exit at 406 mm, scoring plane at 407 mm) for global validation. Dose calculations were benchmarked against linac-exit PHSP references and experimental water phantom measurements via distance-to-agreement (DTA) analysis against the 3 mm clinical acceptance criterion established by AAPM TG-105. Results: Scoring at the exact interface produced systematic proximal R50 shifts of up to 2.2 mm and DTA values of 4-6 mm for small-aperture configurations, exceeding the clinical acceptance criterion and rendering the PHSP library unsuitable for clinical deployment. A 0.1 mm offset partially corrected the angular distribution at the boundary but failed to resolve the energy-loss artifact affecting the distal falloff region. A 1 mm offset fully resolved all artifacts, achieving mean DTA values of 1.45 ± 0.63 mm (A6 series PDDs) and 2.00 ± 0.61 mm (A10 series PDDs), equivalent to or better than the linac-exit reference across all twelve configurations. Conclusions: Boundary sampling artifacts in Geant4-based PHSP generation arise from the degenerate behavior of the fUseSafety step-limitation algorithm when safety = 0 at exact material boundaries, producing incomplete secondary electron equilibration and a systematic energy-loss artifact in the scored particle population that manifests as a proximal shift of the distal dose falloff. A 1 mm downstream offset fully mitigates these artifacts while introducing negligible perturbation to primary beam characteristics, enabling clinical deployment of the resulting applicator-specific PHSP library in the GMV Radiance TPS for FLASH-RT treatment planning. This offset requirement warrants investigation in other Geant4-based frameworks (including TOPAS and GATE) scoring PHSP files at applicator or collimator exit surfaces.

Identifiers

PMID42818460
PMCPMC13622438

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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.