Clinical considerations of Monte Carlo for electron radiotherapy treatment planning |
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| Affiliation: | 1. Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY;2. Robotic Urologic Surgery, OhioHealth Dublin Methodist Hospital, Columbus, OH;3. Department of Urology, Temple University School of Medicine, Philadelphia, PA;4. Division of Urology, Columbia University at Mount Sinai, Miami Beach, FL;5. Department of Urology, Wake Forest School of Medicine, Winston-Salem, NC;6. Swedish Urology Group, Swedish Medical Center, Seattle, WA |
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| Abstract: | Technical requirements for Monte Carlo based electron radiotherapy treatment planning are outlined. The targeted overall accuracy for estimate of the delivered dose is the least restrictive of 5% in dose, 5 mm in isodose position. A system based on EGS4 and capable of achieving this accuracy is described. Experience gained in system design and commissioning is summarized. The key obstacle to widespread clinical use of Monte Carlo is lack of clinically acceptable measurement based methodology for accurate commissioning. |
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