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34

Why Monte Carlo Treatment Planning?

Accuracy

Dose calculation should be

accurate within 2% to 3%

MC dose calculation engines can

be even more exact than 3%

Regardless of the treatment setup

Uncertainties and Causes

Imperfect matching of the MC

beam to the Linac

within 1%

Uncertainties in the cross section

libraries

negligible

Limited number of simulated

‘events’

~number of histories

Uncertainties in the conversion of

CT data to the material

composition and density

difficult

to quantify

0

20

40

60

80

100

120

0

100

200

Depth (mm)

Dose (%)

Measurement

Monte Carlo

EPL

Hol (2008)