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At least 1,369 records · Page 76

Planning Roadmap for DER Integration in India: Industry Best Practices and Resource Guide

Ensuring safe, reliable, cost-effective DER integration at scale requires holistic planning, broad stakeholder engagement, and should address key development areas such as standards adoption, equipment testing and certification, interoperability and cybersecurity, interconnection procedures, and advanced forecasting and DER management. Each of these areas currently represent significant challenges for utilities, regulators, OEMs, developers, and even consumers worldwide. India has already seen significant growth of DERs and has announced targets for substantial growth yet to come, with the potential for DERs to make up a non-negligible portion of the country's overall generation capacity. As such, it is of critical importance that Indian stakeholders consider the potential impacts of wide-spread adoption of DERs and take preemptive action related to the five development areas listed here, among others. India should consider strategies including the adoption of key DER standards related to interconnection, testing, and cybersecurity; enabling effective and secure communication channels for DER interoperability; testing and certifying DER equipment in accredited testing laboratories; building robust, streamlined interconnection procedures; and revamping legacy system planning structures to incorporate DERs in a holistic planning framework.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Optimal electric-distribution-grid planning considering the demand-side flexibility of thermal building systems for a test case in Singapore

The planning of district-scale electric grids, i.e., distribution grids, has traditionally relied on finding the most cost-effective design such that they are able to supply the peak loads in a district. With the advent of electric demand side flexibility (DSF), there is the opportunity to reshape peak loads such that the investment cost of the electric grid decreases in exchange for a minor increase in the operation cost. This paper formulates an optimal planning approach for the electric grid at the district scale, which incorporates the DSF from thermal building systems, e.g., heating ventilation and air-conditioning (HVAC) systems. The problem is formulated as a mixed-integer linear program (MILP) and aims at minimizing the investment cost for the grid along with the operation cost of the flexible loads. This is subjected to the fixed electricity demand and thermal comfort constraints of building occupants. To this end, linear models for the thermal comfort in the buildings and the power flow in electric grid are considered. The approach is tested on a district planning test case based in Singapore, where the results show up to 30.9 % reductions in investment cost and up to 3.7 % reduction in total annualized cost. Urban planning authorities, developers and utility companies can all benefit from the presented approach to make optimized investment decisions. For building operators, the results point to the need of adopting their control systems for DSF.

Troitzsch, Sebastian↗

Resilience framework and metrics for energy master planning of communities

Changes in the nature, intensity, and frequency of climate-related extreme events have imposed a higher risk of failure on energy systems, especially those at the community level. Furthermore, the evolving energy demand patterns and transition towards renewable and localised energy supply can affect energy system resilience. How can an energy system be planned and reconfigured to address these challenges without compromising the system's resilience against chronic stresses and extreme events? Unlike energy system reliability, resilience is neither a common nor an explicit consideration in energy master planning at the community level. In addition, there is no universally agreed-upon method or metrics for measuring or estimating resilience and defining mitigation strategies. This paper introduces a multi-layered energy resilience framework and set of metrics for energy master planning of communities, including the new generation of district energy systems. The potential system disturbances and their short and long-term impacts on various components of the energy system are discussed for commonly expected and extreme events. Three layers of energy resilience are discussed: engineering-designed resilience, operational resilience, and community-societal resilience. A starting set of energy resilience metrics to support engineering design and energy master planning for communities is identified. Implications for future research and practice are noted.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Does Peer Review of Radiation Plans Affect Clinical Care? A Systematic Review of the Literature

Purpose: Peer review is a recommended component of quality assurance in radiation oncology; however, it is resource-intensive and its effect on patient care is not well understood. We conducted a systematic review of the published data to assess the reported clinical impact of peer review on radiation treatment plans. Methods and Materials: A systematic review of published English studies was performed in accordance with the PRISMA guidelines using the MEDLINE and EMBASE databases and abstracts published from major radiation oncology scientific meeting proceedings. For inclusion, the studies were required to report the effect of peer review on ≥1 element of treatment planning (eg, target volume or organ-at-risk delineation, dose prescription or dosimetry). Results: The initial search strategy identified 882 potentially eligible studies, with 11 meeting the inclusion criteria for full-text review and final analysis. Across a total of 11,491 patient cases, peer review programs led to modifications in a weighted mean of 10.8% of radiation treatment plans. Five studies differentiated between major and minor changes and reported weighted mean rates of change of 1.8% and 7.3%, respectively. The most common changes were related to target volume delineation (45.2% of changed plans), dose prescription or written directives (24.4%), and non-target volume delineation or normal tissue sparing (7.5%). Conclusions: Our findings suggest that peer review leads to changes in clinical care in approximately 1 of every 9 cases overall. This is similar to the reported rates of change in peer review studies from other oncology-related specialties, such as radiology and pathology.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

Optimal capacity planning of MG with multi-energy coordinated scheduling under uncertainties considered

Multi-objective optimisation of capacity planning for a grid-connected Microgrid (MG) with multi-energy demands is developed in this study. The optimal multi-energy coordinated scheduling, in which uncertainties of renewable energy generation and electricity demand are described by uncertainty intervals, is considered within the capacity planning model. To solve the capacity planning problem while considering the optimal scheduling with uncertainties, a two-level optimisation approach is proposed by integrating interval mixed integer linear programming for scheduling into the multi-objective particle swarm optimisation for capacity planning. The multi-objective addresses the economic issue by minimising the worst-case optimal annual costs of device investments, operation and maintenance, and pollutant emission treatment, as well as the reliability concern by minimising the worst-case optimal annual costs of energy outage. Several MG cases studies are shown to demonstrate the proposed method.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Multi-scale planning model for robust urban drought response

Increasingly severe droughts are straining municipal water resources and jeopardizing urban water security, but uncertainty in their duration, frequency, and intensity challenges drought planning and response. We develop the Drought Resilient Interscale Portfolio Planning model (DRIPP) to generate optimal planning responses to urban drought. DRIPP is a generalizable multi-scale framework for optimizing dynamic planning strategies of long-term infrastructure deployment and short-term drought response. It integrates climate and hydrological variability with high-fidelity representations of urban water distribution, available technology options, and demand reduction measures to yield robust and cost-effective water supply portfolios that are location-specific. We apply DRIPP in Santa Barbara, California to assess how least cost water supply portfolios vary under different drought scenarios and identify portfolios that are robust across drought scenarios. In Santa Barbara, we find that drought intensity, not duration or frequency, drives cost increases, reliability risk, and regret of overbuilding infrastructure. Under uncertain drought conditions, a diversified technology portfolio that includes both rapidly deployable, decentralized technologies alongside larger centralized technologies minimizes water supply cost while maintaining high robustness to climate uncertainty.

54 ENVIRONMENTAL SCIENCES↗

City Climate Action Plans Through the Lens of The Food-Energy-Water Nexus

Interdependent resource management concepts originated in the mid-20th century, and the recent use of the term “nexus” highlights interconnected relationships among resources like food, energy, and water. United States and European science foundations have shown a growing interest in the food-energy-water (FEW) nexus, leading to increased research on their joint management. However, one major criticism of the FEW nexus is the limited translation of the research into practical policies and implementation, such as climate action plans. To assess the incorporation of FEW nexus principles into climate planning, we systematically evaluate 100 climate action plans from large U.S. cities. Our findings show that the most discussed FEW links involve energy, particularly the water-for-energy and food-for-energy connections, found in over half of the documents (56%). Our analysis promotes the integration of the FEW nexus into climate action plans while addressing the barriers to its effective implementation.

Mounir, Adil [Air Force Institute of Technology]↗

Smart Planning for Radioactive Source Transport Advanced Tools for Increased Safety and Efficiency

End-of-life (EOL) management of high-activity radioactive sources is made uniquely challenging by the inherent risks associated with storage and transportation of these sources, the complex logistics involved, and the strict requirements for regulatory compliance. Traditional methods lack comprehensive tools for accurate site assessments and precision planning for the transportation of radioactive sources. They also frequently fail to provide the adaptability required to consider diverse operational environments, resulting in inefficiencies and potential safety concerns. This paper introduces a novel software solution developed to address these issues by integrating advanced technologies such as light detection and ranging (LiDAR)-based 3D environment modeling, smart dynamic route planning, and customizable measurement functionalities. This software enables detailed terrain visualizations, facilitating thorough environmental assessments and enabling users to virtually navigate, analyze, and plan site-specific operations. Among the key features are a user-centric interface for virtual navigation, precise site measurement tools for site evaluations, interactive visualizations that highlight potential operational hazards, dynamic route planning capabilities, and real-time collision detection to promote safe workflows. By demonstrating the effectiveness of this tool through real-world application, the present work underscores the tool’s potential to revolutionize radioactive source EOL management by improving operational efficiencies, minimizing risk, and advancing the state of practice to achieve suitable and secure radioactive material handling.

99 - GENERAL AND MISCELLANEOUS↗

Generation Expansion Planning With Large Amounts of Wind Power via Decision-Dependent Stochastic Programming

Power generation expansion planning needs to deal with future uncertainties carefully, given that the invested generation assets will be in operation for a long time. Many stochastic programming models have been proposed to tackle this challenge. However, most previous works assume predetermined future uncertainties (i.e., fixed random outcomes with given probabilities). In several recent studies of generation assets' planning (e.g., thermal versus renewable), new findings show that the investment decisions could affect the future uncertainties as well. To this end, this paper proposes a multistage decision-dependent stochastic optimization model for long-term large-scale generation expansion planning, where large amounts of wind power are involved. In the decision-dependent model, the future uncertainties are not only affecting but also affected by the current decisions. In particular, the probability distribution function is determined by not only input parameters but also decision variables. To deal with the nonlinear constraints in our model, a quasi-exact solution approach is then introduced to reformulate the multistage stochastic investment model to a mixed-integer linear programming model. The wind penetration, investment decisions, and the optimality of the decision-dependent model are evaluated in a series of multistage case studies. The results show that the proposed decision-dependent model provides effective optimization solutions for long-term generation expansion planning.

Zhan, Yiduo↗

Optimal Planning and Operation of Multi-Frequency HVac Transmission Systems

Low-frequency high-voltage alternating-current (LF-HVac) transmission scheme has been recently proposed as an alternative solution to conventional 50/60-Hz HVac and high-voltage direct-current (HVdc) schemes for bulk power transfer. This paper proposes an optimal planning and operation for loss minimization in a multi-frequency HVac transmission system. In such a system, conventional HVac and LF-HVac grids are interconnected using back-to-back (BTB) converters. The dependence of system MW losses on converter dispatch as well as the operating voltage and frequency in the LF-HVac is discussed and compared with that of HVdc transmission. Based on the results of the loss analysis, multi-objective optimization formulations for both planning and operation stages are proposed. The planning phase decides a suitable voltage level for the LF-HVac grid, while the operation phase determines the optimal operating frequency and power dispatch of BTB converters, generators, and shunt capacitors. A solution approach that effectively handles the variations of transmission line parameters with the rated voltage and operating frequency in the LF-HVac grid is proposed. The proposed solutions of the planning and operation stages are evaluated using a multi-frequency HVac system. The results show a significant loss reduction and improved voltage regulation during a 24-hour simulation.

Nguyen, Quan H.↗

Towards integration of PET/MR hybrid imaging into radiation therapy treatment planning

Purpose: Multimodality imaging has become an important adjunct of state-of-the-art radiation therapy (RT) treatment planning. Recently, simultaneous PET/MR hybrid imaging has become clinically available and may also contribute to target volume delineation and biological individualization in RT planning. For integration of PET/MR hybrid imaging into RT treatment planning, compatible dedicated RT devices are required for accurate patient positioning. In this study, prototype RT positioning devices intended for PET/MR hybrid imaging are introduced and tested toward PET/MR compatibility and image quality. Methods: A prototype flat RT table overlay and two radiofrequency (RF) coil holders that each fix one flexible body matrix RF coil for RT head/neck imaging have been evaluated within this study. MR image quality with the RT head setup was compared to the actual PET/MR setup with a dedicated head RF coil. PET photon attenuation and CT-based attenuation correction (AC) of the hardware components has been quantitatively evaluated by phantom scans. Clinical application of the new RT setup in PET/MR imaging was evaluated in anin vivo study. Results: The RT table overlay and RF coil holders are fully PET/MR compatible. MR phantom and volunteer imaging with the RT head setup revealed high image quality, comparable to images acquired with the dedicated PET/MR head RF coil, albeit with 25% reduced SNR. Repositioning accuracy of the RF coil holders was below 1 mm. PET photon attenuation of the RT table overlay was calculated to be 3.8% and 13.8% for the RF coil holders. With CT-based AC of the devices, the underestimation error was reduced to 0.6% and 0.8%, respectively. Comparable results were found within the patient study. Conclusions: The newly designed RT devices for hybrid PET/MR imaging are PET and MR compatible. The mechanically rigid design and the reproducible positioning allow for straightforward CT-based AC. The systematic evaluation within this study provides the technical basis for the clinical integration of PET/MR hybrid imaging into RT treatment planning.

60 APPLIED LIFE SCIENCES↗

SU-D-BRE-06: Modeling the Dosimetric Effects of Volumetric and Layer-Based Repainting Strategies in Spot Scanning Proton Treatment Plans

Purpose: To compare multiple repainting techniques as strategies for mitigating the interplay effect in free-breathing, spot scanning proton plans. Methods: An analytic routine modeled three-dimensional dose distributions of pencil-beam proton plans delivered to a moving target. The interplay effect was studied in subsequent calculations by modeling proton delivery from a clinical synchrotron based spot scanning system and respiratory target motion, patterned from surrogate breathing traces from clinical 4DCT scans and normalized to nominal 0.5 and 1 cm amplitudes. Two distinct repainting strategies were modeled. In idealized volumetric repainting, the plan is divided up and delivered multiple times successively, with each instance only delivering a fraction of the total MU. Maximum-MU repainting involves delivering a fixed number of MU per spot and repeating a given energy layer until the prescribed MU are reached. For each of 13 patient breathing traces, the dose was computed for up to four volumetric repaints and an array of maximum-MU values. Delivery strategies were inter-compared based on target coverage, dose homogeneity, and delivery time. Results: Increasing levels of repainting generally improved plan quality and reduced dosimetric variability at the expense of longer delivery time. Motion orthogonal to the scan direction yielded substantially greater dose deviations than motion parallel to the scan direction. For a fixed delivery time, maximum-MU repainting was most effective relative to idealized volumetric repainting at small maximum-MU values. For 1 cm amplitude motion orthogonal to the scan direction, the average homogeneity metric (D5 – D95)[%] of 23.4% was reduced to 7.6% with a 168 s delivery using volumetric repainting compared with 8.7% in 157.2 s for maximum-MU repainting. The associated static target homogeneity metric was 2.5%. Conclusion: Maximum-MU repainting can provide a reasonably effective alternative to volumetric repainting for systems without the capability to switch energies rapidly.

60 APPLIED LIFE SCIENCES↗

SU-D-BRD-02: A Web-Based Image Processing and Plan Evaluation Platform (WIPPEP) for Future Cloud-Based Radiotherapy

Purpose: Visualization and processing of medical images and radiation treatment plan evaluation have traditionally been constrained to local workstations with limited computation power and ability of data sharing and software update. We present a web-based image processing and planning evaluation platform (WIPPEP) for radiotherapy applications with high efficiency, ubiquitous web access, and real-time data sharing. Methods: This software platform consists of three parts: web server, image server and computation server. Each independent server communicates with each other through HTTP requests. The web server is the key component that provides visualizations and user interface through front-end web browsers and relay information to the backend to process user requests. The image server serves as a PACS system. The computation server performs the actual image processing and dose calculation. The web server backend is developed using Java Servlets and the frontend is developed using HTML5, Javascript, and jQuery. The image server is based on open source DCME4CHEE PACS system. The computation server can be written in any programming language as long as it can send/receive HTTP requests. Our computation server was implemented in Delphi, Python and PHP, which can process data directly or via a C++ program DLL. Results: This software platform is running on a 32-core CPU server virtually hosting the web server, image server, and computation servers separately. Users can visit our internal website with Chrome browser, select a specific patient, visualize image and RT structures belonging to this patient and perform image segmentation running Delphi computation server and Monte Carlo dose calculation on Python or PHP computation server. Conclusion: We have developed a webbased image processing and plan evaluation platform prototype for radiotherapy. This system has clearly demonstrated the feasibility of performing image processing and plan evaluation platform through a web browser and exhibited potential for future cloud based radiotherapy.

60 APPLIED LIFE SCIENCES↗

SU-E-J-04: A Data-Driven, Response-Based, Multi-Criteria Decision Support System for Personalized Lung Radiation Treatment Planning

Purpose: To develop a decision support tool to predict a patient's potential overall survival (OS) and radiation induced toxicity (RIT) based on clinical factors and responses during the course of radiotherapy, and suggest appropriate radiation dose adjustments to improve therapeutic effect. Methods: Important relationships between a patient's basic information and their clinical features before and during the radiation treatment are identified from historical clinical data by using statistical learning and data mining approaches. During each treatment period, a data analysis (DA) module predicts radiotherapy features such as time to local progression (TTLP), time to distant metastases (TTDM), radiation toxicity to different organs, etc., under possible future treatment plans based on patient specifics or responses. An information fusion (IF) module estimates intervals for a patient's OS and the probabilities of RIT from a treatment plan by integrating the outcomes of module DA. A decision making (DM) module calculates “satisfaction” with the predicted radiation outcome based on trade-offs between OS and RIT, and finds the best treatment plan for the next time period via multi-criteria optimization. Results: Using physical and biological data from 130 lung cancer patients as our test bed, we were able to train and implement the 3 modules of our decision support tool. Examples demonstrate how it can help predict a new patient's potential OS and RIT with different radiation dose plans along with how these combinations change with dose, thus presenting a range of satisfaction/utility for use in individualized decision support. Conclusion: Although the decision support tool is currently developed from a small patient sample size, it shows the potential for the improvement of each patient's satisfaction in personalized radiation therapy. The radiation treatment outcome prediction and decision making model needs to be evaluated with more patients and demonstrated for use in radiation treatments for other cancers. P01-CA59827;R01CA142840.

60 APPLIED LIFE SCIENCES↗

SU-E-T-56: Brain Metastasis Treatment Plans for Contrast-Enhanced Synchrotron Radiation Therapy

Purpose: Iodine-enhanced radiotherapy is an innovative treatment combining the selective accumulation of an iodinated contrast agent in brain tumors with irradiations using monochromatic medium energy x-rays. The aim of this study is to compare dynamic stereotactic arc-therapy and iodineenhanced SSRT. Methods: Five patients bearing brain metastasis received a standard helical 3D-scan without iodine. A second scan was acquired 13 min after an 80 g iodine infusion. Two SSRT treatment plans (with/without iodine) were performed for each patient using a dedicated Monte Carlo (MC) treatment planning system (TPS) based on the ISOgray TPS. Ten coplanar beams (6×6 cm2, shaped with collimator) were simulated. MC statistical error objective was less than 5% in the 50% isodose. The dynamic arc-therapy plan was achieved on the Iplan Brainlab TPS. The treatment plan validation criteria were fixed such that 100% of the prescribed dose is delivered at the beam isocentre and the 70% isodose contains the whole target volume. The comparison elements were the 70% isodose volume, the average and maximum doses delivered to organs at risk (OAR): brainstem, optical nerves, chiasma, eyes, skull bone and healthy brain parenchyma. Results: The stereotactic dynamic arc-therapy remains the best technique in terms of dose conformation. Iodine-enhanced SSRT presents similar performances to dynamic arc-therapy with increased brainstem and brain parenchyma sparing. One disadvantage of SSRT is the high dose to the skull bone. Iodine accumulation in metastasis may increase the dose by 20–30%, allowing a normal tissue sparing effect at constant prescribed dose. Treatment without any iodine enhancement (medium-energy stereotactic radiotherapy) is not relevant with degraded HDVs (brain, parenchyma and skull bone) comparing to stereotactic dynamic arc-therapy. Conclusion: Iodine-enhanced SSRT exhibits a good potential for brain metastasis treatment regarding the dose distribution and OAR criteria.

60 APPLIED LIFE SCIENCES↗

SU-E-T-77: Comparison of 2D and 3D Gamma Analysis in Patient-Specific QA for Prostate VMAT Plans

Purpose: Patient-specific QA procedures for IMRT and VMAT are traditionally performed by comparing TPS calculations with measured single point values and plane dose distributions by means of gamma analysis. New QA devices permit us to calculate 3D dose distributions on patient anatomy as redundant secondary check and reconstruct it from measurements taken with 2D and 3D detector arrays. 3D dose calculations allow us to perform DVH-based comparisons with clinical relevance, as well as 3D gamma analysis. One of these systems (Compass, IBA Dosimetry) combines traditional 2D with new anatomical-based 3D gamma analysis. This work shows the ability of this system by comparing 2D and 3D gamma analysis in pre-treatment QA for several VMAT prostate plans. Methods: Compass is capable of calculating dose as secondary check from DICOM TPS data and reconstructing it from measurements taken by a 2D ion chamber array (MatriXX Evolution, IBA Dosimetry). Both 2D and 3D gamma tests are available to compare calculated and reconstructed dose in Compass with TPS RT Dose. Results: 15 VMAT prostate plans have been measured with Compass. Dose is reconstructed with Compass for these plans. 2D gamma comparisons can be done for any plane from dose matrix. Mean gamma passing rates for isocenter planes (axial, coronal, sagittal) are (99.7±0.2)%, (99.9±0.1)%, (99.9±0.1)% for reconstructed dose planes. 3D mean gamma passing rates are (98.5±1.7)% for PTVs, (99.1±1.5)% for rectum, (100.0±0.0)% for bladder, (99.6±0.7)% for femoral heads and (98.1±4.1)% for penile bulb. Conclusion: Compass is a powerful tool to perform a complete pre-treatment QA analysis, from 2D techniques to 3D DVH-based techniques with clinical relevance. All reported values for VMAT prostate plans are in good agreement with TPS values. This system permits us to ensure the accuracy in the delivery of VMAT treatments completing a full patient-specific QA program.

60 APPLIED LIFE SCIENCES↗

SU-E-T-278: Realization of Dose Verification Tool for IMRT Plan Based On DPM

Purpose: To build a Monte Carlo dose verification tool for IMRT Plan by implementing a irradiation source model into DPM code. Extend the ability of DPM to calculate any incident angles and irregular-inhomogeneous fields. Methods: With the virtual source and the energy spectrum which unfolded from the accelerator measurement data,combined with optimized intensity maps to calculate the dose distribution of the irradiation irregular-inhomogeneous field. The irradiation source model of accelerator was substituted by a grid-based surface source. The contour and the intensity distribution of the surface source were optimized by ARTS (Accurate/Advanced Radiotherapy System) optimization module based on the tumor configuration. The weight of the emitter was decided by the grid intensity. The direction of the emitter was decided by the combination of the virtual source and the emitter emitting position. The photon energy spectrum unfolded from the accelerator measurement data was adjusted by compensating the contaminated electron source. For verification, measured data and realistic clinical IMRT plan were compared with DPM dose calculation. Results: The regular field was verified by comparing with the measured data. It was illustrated that the differences were acceptable (<2% inside the field, 2–3mm in the penumbra). The dose calculation of irregular field by DPM simulation was also compared with that of FSPB (Finite Size Pencil Beam) and the passing rate of gamma analysis was 95.1% for peripheral lung cancer. The regular field and the irregular rotational field were all within the range of permitting error. The computing time of regular fields were less than 2h, and the test of peripheral lung cancer was 160min. Through parallel processing, the adapted DPM could complete the calculation of IMRT plan within half an hour. Conclusion: The adapted parallelized DPM code with irradiation source model is faster than classic Monte Carlo codes. Its computational accuracy and speed satisfy the clinical requirement, and it is expectable to be a Monte Carlo dose verification tool for IMRT Plan. Strategic Priority Research Program of the China Academy of Science(XDA03040000); National Natural Science Foundation of China (81101132)

60 APPLIED LIFE SCIENCES↗

SU-E-T-351: Verification of Monitor Unit Calculation for Lung Stereotactic Body Radiation Therapy Using a Secondary Independent Planning System

Purpose: To compare isocenter (IC) dose between X-ray Voxel Monte Carlo (XVMC) and Acuros XB (AXB) as part of an independent verification of monitor unit (MU) calculation for lung stereotactic body radiation therapy (SBRT) using a secondary independent treatment planning system (TPS). Methods: Treatment plans of 110 lesions from 101 patients who underwent lung SBRT with Vero4DRT (Mitsubishi Heavy Industries, Ltd., Japan, and BrainLAB, Feldkirchen, Germany) were evaluated retrospectively. Dose distribution was calculated with X-ray Voxel Monte Carlo (XVMC) in iPlan 4.5.1 (BrainLAB, Feldkirchen, Germany) on averaged intensity projection images. A spatial resolution and mean variance were 2 mm and 2%, respectively. The clinical treatment plans were transferred from iPlan to Eclipse (Varian Medical Systems, Palo Alto, CA, USA), and doses were recalculated with well commissioned AXB ver. 11.0.31 while maintaining the XVMC-calculated MUs and beam arrangement. Dose calculations were made in the dose-to-medium dose reporting mode with the calculation grid size of 2.5 mm. The mean and standard deviation (SD) of the IC dose difference between XVMC and AXB were calculated. The tolerance level was defined as |mean|+2SD. Additionally, the relationship between IC dose difference and the size of planning target volume (PTV) or computed tomography (CT) value of internal target volume (ITV) was evaluated. Results: The mean±SD of the IC dose difference between XVMC and AXB was −0.32±0.73%. The tolerance level was 1.8%. Absolute IC dose differences exceeding the tolerance level were observed in 3 patients (2.8%). There were no strong correlations between IC dose difference and PTV size (R=−0.14) or CT value of ITV (R=−0.33). Conclusion: The present study suggested that independent verification of MU calculation for lung SBRT using a secondary TPS is useful.

60 APPLIED LIFE SCIENCES↗