SU-F-T-161: The Effect of Pencil Beam Scanning Gantry Angle Dependent Spot Size Variations On Plan Quality.

PURPOSE: To investigate the effect of spot size variation as function of gantry angle on the quality of treatment plans for pencil beam scanning proton plans.

METHOD: Three homogeneous 26×26×7cm dose volumes with different ranges and SOBPs were delivered on the matrixxPT 2D array at gantry angles of 0 and 270 degrees. The spot size sigma varies by 1.8, 7.8, and 1.4%, for nominal energies of 215, 183, and 103 MeV (Range 29, 22, and 8cm, respectively). The resulting dose planes are compared and evaluated with the gamma index for 2%/2mm and 1%/1mm criteria.

RESULTS: Patient specific QA is performed at a gantry angle of 0 degrees. However, beam sigmas vary as function of gantry angle because of the beam optics for each gantry. This will cause differences between the delivered and planned treatment plans. Delivered plans were compared and a gamma pass rate of 96.5% for criteria of 2%/2mm and 91.4% for 1%/1mm were seen for plans with a nominal energy of 183 MeV. For plans with a nominal energy of 103 MeV, gamma pass rates of 97.3% for 2%/2mm and 91.5% for 1%/1mm were seen. For plans with a nominal energy of 215 MeV the pass rate was 99.8% for 1%/1mm between the two gantry angles.

CONCLUSION: Differences in beam sigma of up to 7.8% do not cause significant differences in the dose distribution of different spot size gammas.