Evaluation of the Varian TrueBeam™ 6 MV phase-space files for the Monte Carlo simulation in small field dosimetry

Background: The Monte Carlo (MC) simulation is an effective tool for determining the absorbed dose in small field sizes. To calculate accurate results, the MC simulation requires precise geometric and material descriptions of the linear accelerator head. Due to proprietary information issues, the description of the Varian TrueBeam™ linear accelerator (Varian Medical Systems, Palo Alto, CA) head geometry and material information are not available. Instead, the manufacturer provided a phase-space file just above the jaw for each photon energy level. Although several studies have validated the accuracy of this phase-space file, to the best of our knowledge, there are no reported data for a small field size (<2x2 cm2) of 6 MV photon beams. Objectives: The purpose of this study was to evaluate the Varian TrueBeam™ phase-space file of the 6 MV photon beam provided by the manufacturer for the Monte Carlo (MC) simulation in small field dosimetry. Materials and methods: The TrueBeam™ linear accelerator was simulated using an EGSnrc MC code with a Varian phase-space file as the input. The simulation was compared with the measurement using percent depth dose (PDD) and beam profile, and the field output factor (FOF) for the 0.6x0.6, 1x1, 2x2, 3x3, 4x4, 6x6, and 10x10 cm2 field sizes. Results: The agreement between the measurements and simulated PDD data was under 2.2% beyond the buildup region. The distance to agreement (DTA) in the buildup region was within 1.0 mm. The simulation data presented identical profiles with the measurement within 1.0% of the dose difference or 1.2 mm of the DTA. The mean dose difference in the radiation field was ≤1.5% for the ≥1x1 cm2 field size. The largest deviation was observed in the 0.6x0.6 cm2 inline beam profile. The deviation of the penumbra and full width at half maximum (FWHM) between simulation and measurement was <2 mm. The agreement of the simulated and measured FOF was within 1.0%, except for the 0.6x0.6 cm2 field size. Conclusion: Overall, the MC simulation demonstrates data that is consistent with the measurement for the ≥1x1 cm2 field sizes. These data assure that the 6 MV Varian phase-space file can be used as a radiation source for accurate MC dose calculation in a small field. However, a large discrepancy in beam profiles was observed at the 0.6x0.6 cm2 field size due to the different primary source sizes among TruebeamTM machines.