Tungsten carbide and LMPA electron cutouts: comparison and validation using Monte Carlo modelling and measurement of dose

Electron applicator cutouts for radiation therapy electron beam shaping are typically cast from Low Melting Point Alloys (LMPA), such as cerrobend. In this work, we describe the Monte Carlo modelling of novel 3D printed cutouts based on tungsten carbide powder and the resulting dose profiles subject to Elekta Agility electron beams. Cerrobend cutouts were also modelled using the Monte Carlo code EGSnrc. Cerrobend and tungsten carbide cutouts were found to have the same dose profiles within model variance. Computed profiles and percentage depth dose (PDDs) curves of the Elekta Agility accelerator model using standard cutouts in water were found to agree with water tank measurements using gamma criteria of 2%/2mm. The Monte Carlo computed dose profiles of the tungsten carbide cutouts in a polystyrene phantom were also found to agree with liquid-filled ionization chamber array measurements using gamma criteria of 2% / 2mm. We conclude that the tungsten carbide cutouts are clinically equivalent to LMPA cutouts.