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Advances in Radiotherapy &

                                                                             Nuclear Medicine



                                        ORIGINAL RESEARCH ARTICLE
                                        Mathematic modeling of the dose in water for

                                        calculating collimator scatter factor of flattening
                                        filter and flattening filter free megavoltage

                                        photon beams



                                                                    1
                                                    1†
                                        Yan-Cheng Ye , Zhang-Yan Shan , and Jia-Ming Wu 1,2,3† *
                                        1 Heavy Ion Center of Wuwei Cancer Hospital, Gansu Wuwei Academy of Medical Sciences, Gansu
                                        Wuwei Tumor Hospital, Wuwei City, Gansu Province, China
                                        2 Department of Medical Physics, Chengde Medical University, Chengde City, Hebei Province, China
                                        3 Department of Radiation Oncology, Yee Zen General Hospital, Taoyuan City, Taiwan



                                        Abstract

                                        This study presents an empirical method to model the percent depth dose (PDD)
                                        curves of flattening filter (FF) and FF-free (FFF) high-energy photon beams using a
                                        home-generated buildup function and tail function (buildup-tail function) in
                                        radiation therapy. The modeling parameters n and μ of the buildup-tail function
            † These authors contributed equally   were used to characterize the collimator scatter factor (S ). The buildup function
                                                                                         c
            to the work.                was a quadratic function in the form of   d   with main parameters of d (depth
                                                                            2
            *Corresponding author:                                         d + n
            Jia-Ming Wu                 in water) and n, while the tail function was in the form of  e −µ d   and was composed
            (jiaming.wu@chmsc.com)      of  an exponential  function  with d  and  μ.  PDD was  the product of  buildup-tail
            Citation: Ye Y, Shan Z, and Wu J,   function and characterized by the buildup-tail function by adjusting the parameters
            2023, Mathematic modeling of   n and μ. The S  of 6 and 10 MV in FF and FFF beams can be expressed simply by the
                                                   c
            the dose in water for calculating   modeling  parameters n  and  μ.  The  main parameter  n increases  when  photon
            collimator scatter factor of flattening
            filter and flattening filter free   energy increases. Its physical meaning expresses the beam hardening of photon
            megavoltage photon beams. Adv   energy in PDD. The parameter μ can be treated as an attenuation coefficient in the
            Radiother Nucl Med.         tail function,  decreasing when photon energy  increases. The  values of n and  μ
            https://doi.org/10.36922/arnm.0314   obtained from the fitted buildup-tail function were applied into an analytical
                                                              , S
            Received: March 6, 2023     formula of S  = n (S) 0.63 μ E  c,FFF  = n (S) 4.45 μ E  c
                                                                              to get the S of 6 and 10 MV in FF and
                                                                      E
                                                       E
                                                  c,FF
                                                               μ
            Accepted: June 6, 2023      FFF photon beams, with n , , S denoting n andμ at photon energy E of field size S.

                                                              E   E
                                        The calculated S  was compared with the measured data and showed agreement,
                                                      c
            Published Online: June 21, 2023  finding that the field difference was size within ±1%. This model can be used to
            Copyright: © 2023 Author(s).   parameterize the S  for some clinical requirements. The modeling parameters n
                                                        c
            This is an Open-Access article   and μ can be used to predict the S  in either FF or FFF beams for the treatment
            distributed under the terms of the                        c
            Creative Commons Attribution   monitor unit in double-check dose calculation. The technique developed in this
            License, permitting distribution,   study can also be used for systematic or random errors in the quality assurance
            and reproduction in any medium,   program, thus improving the clinical dose computation accuracy for patient
            provided the original work is
            properly cited.             treatment.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Keywords: Photon; Percent depth dose; Buildup-tail function; S ; Flattening filter;
            regard to jurisdictional claims in                                           c
            published maps and institutional   Flattening filter free
            affiliations.
            Volume 1 Issue 1 (2023)                         1                       https://doi.org/10.36922/arnm.0314
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