Advantages of mesh tallying in MCNPX for 3D dose calculations in radiotherapy

The energy deposition mesh tally option of MCNPX Monte Carlo code is very useful for 3-Dimentional (3D) dose calculations. In this study, the 3D dose calculation was done for CT-based Monte Carlo treatment planning in which the energy deposition mesh tally were superimposed on merged voxel model. The results were compared with those of obtained from the common energy deposition (*F8) tally method for all cells of non-merged voxel model. The results of these two tallies and their respective computational times are compared, and the advantages of the proposed method are discussed. For this purpose, a graphical user interface (GUI) application was developed for reading CT slice data of patient, creating voxelized model of patient, optionally merging adjacent cells with the same material to reduce the total number of cells, reading beam configuration from commercial treatment planning system transferred in DICOM-RT format, and showing the isodose distribution on the CT images. To compare the results of Monte Carlo calculated and TiGRT planning system (LinaTech LLC, USA), treatment head of the Siemens ONCOR Impression accelerator was also simulated and the phase-space data on the scoring plane just above the Y-jaws was created and used. The results for a real prostate intensity-modulated radiation therapy (IMRT) plan showed that the proposed method was fivefold faster while the precision was almost the same.