A monitor unit Calculator Program Using Digital Simulator Images


Kiattisak Anusornthanawat Somsak Wanwilairat Ekkasit Tharavichitkul Thanit Chaiwiang Sumbhat Wanwilairat


     Calculation of the monitor unit is the first important step in radiation therapy. If the calculation of the monitor unit has deviations, it will adversely affect the treatment. The irradiation area, the main factor affecting the calculation of the monitor unit, and if there is any deviation from that area, the monitor unit calculation will have an error too. The objective of this study was to develop a program to calculate the monitor unit from the digital simulator images. Test cases of the radiation area were selected from the IAEA TECDOC 1540 guidelines, and the length of the equivalent radiation areas were calculated in two ways: “Eqs and SQRT”, using the JAVA language to determine the radiation field parameters, and “TMR and Sc,p”, calculated from beam data to and calculated the monitor unit by using the approximation method, which was programmed with the Visual Fox Pro language. The results were verified against the IAEA TECDOC 1540 guidelines.
     The results, the test case area that calculating on central axis (square and rectangular), the mean difference percent in radiation dose of the equivalent radiation areas with Eqs length passes +2% tolerance. The mean difference percent in radiation dose of the equivalence areas with  SQRT length were not pass +2% tolerance.The results of the covered test area and off axis, the lengths of Eqs and SQRT radiation areas were not pass +3% tolerance.
     To conclude, the monitor unit calculator program could be used the digital simulator images for calculation the length equivalent radiation area (Eqs). In addition, this program could calculate monitor unit in the central axis accurately.

Keywords: monitor unit calculator program, approximation method, irradiation area image


Chan, S. L., Karam, R., Streeter, O. J., & Ryoo, M. C. (1993). Complications from validation therapy treatment. Clinic and Oncology, 16(1), 81-85.
Gesheva, N. A. (2008). program for monitor unit calculation for high energy photon beams in isocentric condition based on measured data. Retrieved from https://inis.iaea.org/collection/NCLCollection Store/_Public/44/028/44028945.pdf
Hunt, M. A., Pastrana, G., Amols, H. I., Killen, A., & Alektiar, K. (2012). The impact of new technologies on radiation oncology events and trends in the past decade: an institutional experience. International Journal of Radiation Oncology* Biology* Physics, 84(4), 925-931.
Khan, F. M. (2010). The physics of radiation therapy. Philadelphia: Lippincott Williams & Wilkins.
Linthout, N., Verellen, D., Van Acker, S., & Storme, G. (2004). A simple theoretical verification of monitor unit calculation for intensity modulated beams using dynamic mini-multileaf collimation. Radiotherapy and oncology, 71(2), 235-241.
Shafiq, J., Barton, M., Noble, D., Lemer, C., & Donaldson, L. J. (2009). An international review of patient safety measures in radiotherapy practice. Radiotherapy and Oncology, 92(1), 15-21.
Sterling, T. D., Perry, H., Katz, I. (1964). Derivation of a mathematical expression for the percent depth dose of cobalt 60 beams and visualization of multiple fields dose distributions. Br J Radiol, 37, 544-550.
TECDOC, I. (2007). 1540: Specification and acceptance testing of radiotherapy treatment planning systems. Vienna: International Atomic Energy Agency.
The National Cancer Institute (2013). National Cancer Prevention and Control Plan 2013-2017. Bangkok: Community Publishing House of Agricultural Cooperatives of Thailand Ltd.

Monitor Unit Calculation Program, approximation method, irradiation area image
Research Articles


How to Cite
ANUSORNTHANAWAT, Kiattisak et al. A monitor unit Calculator Program Using Digital Simulator Images. Naresuan University Journal: Science and Technology (NUJST), [S.l.], v. 26, n. 3, p. 15-23, sep. 2018. ISSN 2539-553X. Available at: <https://www.journal.nu.ac.th/NUJST/article/view/Vol-26-No-3-2018-15-23>. Date accessed: 09 feb. 2023. doi: https://doi.org/10.14456/nujst.2018.1.