The Investigation of Tissue Composition Effects on Dose Distributions Using Monte Carlo Method in Permanent Prostate Brachytherapy

Authors : Serhat ARAS

Pages : 769-774

Doi:10.33808/clinexphealthsci.884245

View : 17 | Download : 10

Publication Date : 2021-10-26

Article Type : Research Paper

Abstract :Objective: Radiation dose calculations in the prostate brachytherapy practices have very high importance in terms of the success of treatment. The purpose of the present study is to determine whether there is a significant dose difference between the radiation dose calculations performed in water medium and prostate cancer-diagnosed patients by using the Monte Carlo method. Methods: The radiation dose calculations were performed on 20 prostate patients by using the BrachyDose Monte Carlo code. Phantom geometry derived from real patients computed tomography insert ignore into journalissuearticles values(CT); data was created to use in dose calculations. Water material was assigned to all voxels within the prostate volume for dose comparison with CT derived phantom. 125I insert ignore into journalissuearticles values(Amersham, OncoSeed, 6711);, 103Pd insert ignore into journalissuearticles values(Theragenics Co., TheraSeed, 200); and 131Cs insert ignore into journalissuearticles values(IsoRay Medical); commercial brachytherapy seed models were used in dose calculations. Results: It was observed that there are significant dose differences between the water medium and the prostate tissue. The differences between D90 dose values in prostate tissue and water medium were calculated as 7.2-10.5%, 9.1-13.4% and 5.4-8.3% for 125I, 103Pd and 131Cs brachytherapy seed sources, respectively. Conclusions: It was concluded that material compositions of different organs and tissues in the human body should be considered for more accurate brachytherapy dose calculations.
Keywords : Brachytherapy, prostate cancer, tissue composition, Monte Carlo, brachydose