TECHNICAL NOTE Year : 2018  Volume : 43  Issue : 3  Page : 185194 Optimization of variance reduction techniques used in EGSnrc Monte Carlo Codes Sangeetha Shanmugasundaram^{1}, Sureka Chandrasekaran^{2}, ^{1} Department of Physics, Bharathiar University, Coimbatore, Tamil Nadu, India ^{2} Department of Medical Physics, Bharathiar University, Coimbatore, Tamil Nadu, India Correspondence Address: Monte Carlo (MC) simulations are often used in calculations of radiation transport to enable accurate prediction of radiationdose, even though the computation is relatively timeconsuming. In a typical MC simulation, significant computation time is allocated to following nonimportant events. To address this issue, variance reduction techniques (VRTs) have been suggested for reducing the statistical variance for the same computation time. Among the available MC simulation codes, electron gamma shower (National Research Council of Canada) (EGSnrc) is a generalpurpose coupled electronphoton transport code that also features an evenhanded, rich set of VRTs. The most wellknown VRTs are the photon splitting, Russian roulette (RR), and photon crosssection enhancement (XCSE) techniques. The objective of this work was to determine the optimal combination of VRTs that increases the simulation speed and the efficiency of simulation, without compromising its accuracy. Selection of VRTs was performed using EGSnrc MC User codes, such as cavity and egs_chamber, for simulating various ion chamber geometries using 6 MV photon beams and 1.25 MeV^{60}Co photon beams. The results show that the combination of XCSE and RR yields the highest efficiency for ionchamber dose calculations inside a 30 cm × 30 cm × 30 cm water phantom. Hence, properly selecting a different VRT without altering the underlying physics increases the efficiency of MC simulations for ionchamber dose calculation.
Introduction Significant technological progress and increased understanding of radiation phenomena and their consequences on living cells secured radiation therapy as a critical tool for cancer treatment. In light of this, modern radiotherapy practitioners seek to increase precision in dose calculation. Among many algorithms formulated recently for evaluating dose distributions, Monte Carlo (MC)based methods have proven to be extremely promising regarding accuracy, by furnishing outcomes that are more realistic without biasing the results.[1],[2] In the field of teletherapy, MC simulations are often used in the calculations of radiation transport to enable accurate prediction of radiationdose. However, by definition, a typical MC simulation is relatively a timeconsuming method in which significant time is allocated to following nonimportant events that prevent their usage in teletherapy. Although MC methods yield more accurate results compared with other methods, using these methods in practice remains challenging, mainly owing to a significant computing time required to achieve an acceptable level of statistical uncertainty.[3] To address this issue, variance reduction techniques (VRTs) have been suggested, to reduce the simulation time and uncertainties and to improve the statistical results for the same computation time.[4] However, for obtaining good statistical outcomes and consistent responses in short time, VRTs should be used properly. Hence, almost all MC codes offer several VRTs. Wulff et al.[5] implemented several VRTs using a couple of EGSnrc MC User codes (cavity and egs_chamber). These techniques dramatically improve the simulation efficiency of NE2571 Farmertype ionchamber dose and perturbation factor calculations. These authors concluded that combining different VRTs could be useful for situations that involve the computation of dose in a relatively small volume and not just for ionchamberrelated calculations. In this work, we examined several combinations of VRTs to determine which set of VRTs is preferable for ionchamberrelated dose calculations. The objective of this chapter was to determine the optimal combination of VRTs that increases the simulation speed and the efficiency of simulation, without compromising its accuracy. Selection of VRTs was performed for EGSnrc MC User codes, such as cavity and egs_chamber, for simulating various ion chamber geometries using 6 MV photon beams. The dose calculations have been performed for various combinations of VRTs only within the userdefined treatment field, employing the EGSnrc MC codes, which offers a library of VRTs. Detailed descriptions of all the VRTs implemented in this work, have been benchmarked by comparing the BEAMnrc MC simulations with and without VRTs. After the evaluation of VRTs, the appropriate optimized technique has been utilized to validate the modeled linear accelerator using BEAMnrc MC code. From this study, it is concluded that an appropriate selection of VRTs without altering the underlying physics increases the efficiency of MC simulations for ionchamber dose calculations. Materials and Methods Monte Carlo simulation MC simulations are often referred to as stochastic simulations, which allow everyone to access all the credible consequences of facts and to appraise the impact of ventures, yielding preferable options for decisionmaking under precarious conditions. From the computational perspective, stochastic MC simulations are sturdy and sublimely efficient. Thus, MC methods have been used extensively in complex problems because they provide reasonable approximations with higher accuracy compared with other techniques. In radiation therapy, MC methods are used for simulating the radiation transport, to deliver a precise and accurate dose to a target.[1] In MC simulations, the transport of photons and electrons is modeled by recording the history of each particle's interactions, until that particle reaches predetermined threshold energy, electron and photon cutoff energies and condensed history step sizes.[2] MC simulations have been widely used in various branches of radiation medicine, particularly in the areas of radiation dosimetry, radiation shielding, teletherapy treatment planning, and radiological imaging.[6],[7],[8] In the last few decades, the use of MC methods in medical radiation physics has increased dramatically, owing both to the availability of generalpurpose MC codes (EGSnrc, GEANT4, MCNP, PENELOPE, ETRAN, ITS) and to the everincreasing computation speed and reduction in the cost of data processing.[9] In this present work, we have chosen the EGSnrc MC code (EGS4 Version) developed at the Los Alamos National Laboratory [10],[11] because it is a generalpurpose package for MC simulations of the coupled electronphoton transport in an arbitrary geometry involving a dynamic range of particle energies, from 1 keV to several hundreds of Gigaelectronvolt.[12] Our ultimate motivation for using the EGSnrc MC code is the fact that most of the MC systems in teletherapy either entirely or partially utilize this code. All of the simulations in the present study were one of the following: using EGSnrc MC User codes such as cavity and egs_chamber and further validated with BEAMnrc MC Simulation code. Simulations with VRTsSimulations without VRTs and using EGSnrc MC user code such as cavity and egs_chamber. In the second set of simulations, several combinations of VRTs, namely PS, RR, and photon crosssection enhancement (XCSE) were considered, to investigate which VRT is preferable for calculating the ionchamber dose and for enhancing the efficiency of the calculation. The results, described below, were obtained by averaging over 106 particle histories traces. In these simulations, we used 6 MV photon beams for Farmertype (NE2571 and N30013) ionization chambers and 1.25 MeV 60 Co photon beams for cylindrical type (National research council (NRC), and pancake) ionization chambers within a 30 cm × 30 cm × 30 cm homogeneous water phantom. In all simulations, the default MC transport parameters were AE = electron transport cutoff (ECUT) = 0.521 MeV and AP = photon transport cutoff (PCUT) = 0.01 MeV. In a final simulation setup, we investigated the beam characteristics for a Varian linac machine “Varian Clinac 600 C/D” with a VRToptimized ion chamber. The calculations were performed on a Kernel Linux 2.6.35.645.fc14.1686 workstation with a 100 GB memory, with an Intel Xenon E5606 computation (CPU) running at 2.13 GHz. Construction of ionization chambers In general, an ionization chamber is the most practical and broadly used type of dosimeter for accurately measuring machine output in radiotherapy.[13] Hence, in the present work, we have considered different types of ionization chambers to examine the consequences of cavity dose calculations using various combinations of VRTs, for a broad range of geometric shapes. We modeled various types of ionization chamber geometries such as cylindrical, parallelplate, and Farmertype chambers, using the egspp C++ class library from the EGSnrc MC Code system.[14] The geometry specifications of the parallelplate (pancake chamber) and Farmertype chambers (NE2571 and N30013 models) were obtained from the manufacturers, whereas a detailed description of cylindrical ion chamber geometry (NRC's 3C model) was obtained from Canada's primary standard for air kerma in a 60 Co beam.[15] The physical characteristics of the EGSnrcmodeled various types of ionization chamber geometries are elaborately listed in [Table 1].{Table 1} Efficiency of Monte Carlo simulations The efficiency ɛ of an MC simulation can be computed using the figure of merit defined by the MCNPX code developers according to Equation (1).[16],[17],[18],[19],[20] [INLINE:1] where T is the CPU time needed for the overall simulation and σ is the statistical uncertainty of the quantity of interest (i.e., the cavity dose in the present simulation). In general, the efficiency of MC simulations can be increased in one of the two ways: Reducing the varianceReducing the CPU time per simulated particle. Variance reduction techniques In any MC code, VRTs play an important role in reducing uncertainties and increasing the precision of the statistical results. The implementation of different VRTs in EGSnrc MC User codes, such as cavity and egs_chamber codes, is described briefly in what follows. The cavity user code allows calculating cavity doses for any ion chamber geometry.[21] This code includes two powerful VRTs, namely photon splitting (PS) and Russian roulette (RR). The egs_chamber user code is an advanced EGSnrc application derived from the cavity user code. It allows calculating doses to the cavity of an ion chamber and dose ratios of two correlated geometries, as well as the perturbation factors which is defined as a correction factor accounting for perturbations caused by the chamber inserted into the medium. XCSE is a powerful VRT available in the egs_chamber code. In what follows, we briefly discuss the basic concepts of the abovementioned VRTs and their impact on the simulation efficiency. A more technical description of these VRTs can be found elsewhere [5],[12],[14],[20] Along with the abovementioned VRTs, additional EGSnrc transport parameters, namely ECUT, PCUT, and ESAVE have also been used for reducing the simulation time. The values of ECUT and ESAVE were 0.521 MeV, and the value of PCUT was 0.01 MeV, within the encompassed treatment field, as has been documented recently.[17],[21],[22] The detailed explanation of all the above mentioned VRT's [23],[24],[25] are distinctly portrayed in the previous section of Materials and Methods. Results and Discussion Optimization of particle histories To optimize the particle histories, several test calculations were performed for particles, ranging from 1 × 104 histories to 1 × 109 histories. [Table 2] lists the optimization parameters of particle histories for ionchamber cavity dose calculations for various ion chambers. The simulation type, the relative statistical uncertainty σ, the efficiency ε, and the number of histories N are presented in [Table 2]. From [Table 2], the cavity doses obtained in the simulations without VRTs are stable and range from 1 × 106 to 1 × 109 histories, for all cases. It is also observed that no improvement in the efficiency of the simulation has been achieved by further increasing the number of particle histories. However, increasing the number of particle histories effectively decreases the statistical uncertainty of the cavity dose, from ±31.035% to ±0.176% for the NRC 3C cylindrical ion chamber, from ±18.505% to ±0.192% for the parallelplate pancake ion chamber, and from ±3.962% to ±0.11% and from ±1.684% to ±0.553% for the NE2571 and N30013 modeled Farmertype ion chambers, respectively, without degrading the accuracy of the calculations.{Table 2} As in [Table 2], similar levels of efficiency are obtained for histories in the 1 × 106 to 1 × 109 range, for all cases. Based on these results, the optimal number of particle histories is determined to be 1 × 106, and this particular number has been taken into account in the remaining simulations. Efficiency gain by the implementation of photon splitting The PS technique in EGSnrc MC Code is found to be very useful for ionchamber doserelated calculations.[12] In this part of the work, the PS technique has been implemented to determine how efficiency is affected by enhancing the N_Split factor. [Table 3] depicts the implementation of PS and the effects on computation, where the type of simulation, cavity dose, relative statistical uncertainty σ, and their respective efficiency ɛ are given. It summarizes the effect of PS techniques carried out in this work.{Table 3} It is clearly observed that the relative uncertainty obtained in calculations is decreased up to 0.428% for NRC 3C cylindrical ion chamber, ±0.19% for parallelplate pancake ion chamber, ±0.33% and ± 0.160% for NE2571 and N30013 modeled Farmertype ion chambers whereas the computation time is increased when the PS factor has been enhanced by 256. This is due to the fact that the primary aim of the PS technique is to increase the density of interactions throughout the entire simulation geometry. Hence, it implicates a wide fraction of the overall geometry; the computation time will be reduced by default. It is also noted that the improvement in efficiency is not achieved by further enhancing the PS factor beyond 16 for all cases. This implies that the splitting number should not be set too high in the geometry since it introduces correlations, which may not be desirable. It reveals that an appropriate selection of the PS number defined by the user plays a vital role in achieving the best efficiency. Thus, we have determined that 16 is the optimal PS factor to be used for further simulation work. Consequently, we concluded that the simulation involving the proper usage of PS technique improves the efficiency by a factor of 23 for NRC 3C cylindrical ion chamber, 17.5 for parallelplate pancake ion chamber, 234 and 684 for NE2571 and N30013modeled Farmertype ion chambers when compared to the simulation without using the VRT. Efficiency gain by rangerejectionbased Russian roulette In this part of the work, the rangerejectionbased RR technique has been implemented to carry out the objective. The advantage of implementing the effect of RR is evident in [Table 4] where the type of simulation, quantity of interest (the cavity dose in the present simulation), relative statistical uncertainty σ, and the simulation efficiency ɛ are depicted.{Table 4} In [Table 4], it is observed that the statistical uncertainty σ obtained in the present simulation of implementing the rangerejectionbased RR is slightly lower than that obtained in the present simulation without using the VRT. As seen in the agreement between both types of simulations in [Table 4], a similar level of cavity dose is achieved effectively for all cases. At the same time, the simulation efficiency has been increased further, while enhancing the RR factor. The progressive technique of rangerejectionbased RR terminates the lowenergy electrons from reaching the ionchamber cavity, which counteracts the electron to the chamber dose directly. This, in turn, leads to an increase in the statistical weight of the electrons often referred to as “fat electrons.” These fat electrons may generate highweight photons, which result in large statistical fluctuations due to other types of nuclear interactions. Since the rangerejectionbased RR is applied only to nonfat electrons, it avoids the approximation that arises by neglecting the feasible photons set in motion by the rejected electrons. Thus, computation time is not increased by following the nonrelevant events of fat electrons. From [Table 4], one may observe that further increasing the RR factor above 64 clearly reveals that when the rangerejection value is below the minimum level, the efficiency of the simulation decreases significantly. However, it is also noted that the use of rangerejectionbased RR significantly reduces the statistical error from ±5.651% to ±4.99% for NRC 3C cylindrical ion chamber, ±3.01% to ±2.91% for parallelplate pancake ion chamber, ±0.36% to ±0.31% and ±0.17% to ±0.16% for NE2571 and N30013modeled Farmertype ion chambers, respectively without degrading the accuracy of the calculations along with the increase in the efficiency by as much as a factor of 56 for NRC 3C cylindrical ion chamber, 26 for parallelplate pancake ion chamber, 397 and 791 for NE2571 and N30013modeled Farmertype ion chambers when compared to the simulation without using the VRT. Efficiency gain by the combination of photon splitting and Russian roulette To evaluate the efficiency of the simulation effectively, we adopted the method of PS and investigated the effect of rangerejectionbased RR to study our objective. The feasible results of the standardized methodology of the VRT described above are depicted in [Table 5], where the type of simulation, quantity of interest (i.e., the cavity dose), relative statistical uncertainty σ, and simulation efficiency ε are sketched. [Table 5] summarizes the effect of implementing the combination of PS and rangerejectionbased RR using EGSnrc MC cavity user code. It shows that the similar levels of cavity doses are obtained even when enhancing the values of ESAVE (a parameter available in BEAMnrc which allows the user to select the threshold energy of the electron). The level of statistical error has been reduced to ±0.43% from the error of ±5.651% for NRC 3C cylindrical ion chamber, ±3.01% to ±0.70% for parallelplate pancake ion chamber, and it remains same for NE2571 and N30013modeled Farmertype ion chambers.{Table 5} Consequently, the simulation efficiency has improved significantly by a factor >94 for NRC 3C cylindrical ion chamber, 56 for parallelplate pancake ion chamber, 318 and 852 for NE2571 and N30013modeled Farmertype ion chambers when compared to the simulation without using the VRT. The PS technique generally increases the particle's weight whereas the implementation of RR decreases the particle's weight. Sections of “efficiency gain by the implementation of PS,” and “efficiency gain by range rejectionbased RR,” reveal the fact that the dispersion in particle weight will considerably degrade the efficiency of the simulation. Hence, we implemented a proper combination of these two methods to yield relatively small dispersion of particles by focusing mainly on reducing the variance. This is achieved by subjecting all of the electrons with polar angles above a selected ESAVE to RR so that their descendant photons are split. This results in the immediate termination of most electrons through RR after they are set in motion in a split photon interaction. This termination improves the computation time by excluding the simulation of electrons that are not contributory to the cavity. [Table 5] also reveals that while enhancing the ESAVE values, the efficiency of the simulation also is enhanced without affecting the physical results. However, while increasing the ESAVE values above 16, the efficiency is reduced since the value of range rejection below the minimum level decreases the efficiency of the simulation. Efficiency gain by the implementation of photon crosssection enhancement In the preceding four sections of this work, all of the calculations have been performed using EGSnrc MC cavity user code. In this section, however, the entire simulation has been carried out using EGSnrc MC egs_chamber user code. [Table 6] depicts the effect of the implementation of XCSE where the type of simulation, quantity of interest (i.e., the cavity dose), relative statistical uncertainty σ, and simulation efficiency ε are given. In [Table 6], it is found that the cavity doses remain almost constant when one compares the cavity dose levels obtained using the simulation without the VRT. It is also noted that the relative statistical error is reduced from ±5.65% to ±0.27% for NRC 3C cylindrical ion chamber, ±3.01% to ±0.1% for parallelplate pancake ion chamber, and ±0.10% to ±0.02% and ±0.169% to ±0.03% for NE2571 and N30013modeled Farmer type ion chambers without affecting the accuracy of simulation.{Table 6} [Table 6] highlights the level of efficiency increases up to a factor of 52 for NRC 3C cylindrical ion chamber, 30 for parallelplate pancake ion chamber, 371 and 699 for NE2571 and N30013modeled Farmertype ion chambers when compared to the simulation without using the VRT. This is due to the fact that the basic focus of XCSE is to increase the photon crosssection enhancement by a parameter b >1 for the purpose of reducing the mean free path of the photons. This is the case because the mean free path of the photons in water will be significantly larger than the typical dimensions of the phantom, creating more fluctuations in the statistical weight of the particles. By decreasing the mean free path of the photons, it is possible to generate greater numbers of electrons along the path of a photon. However, these generated electrons may have different statistical weights, which lead to statistical fluctuations. To avoid these fluctuations, the electrons whose statistical weights have the ratio of the original weight to the XCSE factor of b alone are taken into account, which degrades the computation time. When further enhancing the XCSE factor to a value >128, however, a consistent decrease in the efficiency level. Thus, in this part of the work, the optimized value of XCSE is found to be the factor of 128. Efficiency gain by the implementation of photon crosssection enhancement and rangerejectionbased Russian roulette In this part of the work, the method of XCSE technique has been adopted. The investigation focuses on the effect of rangerejectionbased RR techniques using EGSnrc MC egs_chamber user code to carry out the objective of the present work. In [Table 7], the type of simulation, quantity of interest (i.e., the cavity dose), relative statistical uncertainty σ, and simulation efficiency ε are depicted. [Table 7] summarizes the effects of the combination of XCSE and rangerejectionbased RR technique. The results clearly depict that when the XCSE factor is enhanced, similar levels of cavity doses occur, along with significant decreases in the relative statistical uncertainty from ±5.65% to ±0.27% for NRC 3C cylindrical ion chamber, ±3.01% to ±0.076% for parallelplate pancake ion chamber, and ±0.36% to ±0.3% for NE2571 whereas it gets increased by 0.1% for N30013modeled Farmertype ion chambers without compromising accuracy. [Table 7] shows the efficiency gained by the simulation using the combination of XCSE and rangerejectionbased RR technique. The efficiency of the simulation is increased significantly up to a factor >260 for NRC 3C cylindrical ion chamber, 374 for parallelplate pancake ion chamber, 430 and 978 for NE2571 and N30013modeled Farmertype ion chambers when compared to the simulation without using the VRT. When combining the effect of XCSE and rangerejectionbased RR, it is quite possible to improve significantly the simulation efficiency.{Table 7} It is clearly shown from sections of “Efficiency gain by rangerejectionbased RR” and “efficiency gain by implementing XCSE” that the rangerejectionbased RR focuses only on nonfat electrons and that fat electrons are being excluded from the XCSE technique. Hence, when ultimately implementing the effect of the combination of these two methods in an appropriate way, the simulation efficiency will be improved. The efficiency is reduced, however, when enhancing the XCSE factor >128. As it is clearly shown from the agreement between the previous section and this section, the optimized value of XCSE factor is found to be the factor of 128. Comparison of computation time and efficiency of the simulation using all combinations of variance reduction techniques In this section, the gain of computation time and simulation efficiency is compared for various combinations of VRTs that have been dealt in the preceding five sections. [Figure 1]a, [Figure 1]b, [Figure 1]c, [Figure 1]d shows the computation times for the simulation of various ionchamber dose calculations, using EGSnrc user codes such as cavity and egs_chamber, as a function of several combinations of VRTs obtained for 6 MV photon beams for Farmertype (NE2571 and N30013) ionization chambers and 1.25 MeV60 Co photon beams for cylindrical type (NRC and pancake) ionization chamber. [Figure 1]a, [Figure 1]b, [Figure 1]c, [Figure 1]d shows that the computation time for RR technique is small, when compared to other individual and combinations of VRTs, since the computation time is not wasted on following the nonrelevant events involved in the interaction. Based on the explanations of results, it is concluded that the following order offers the best gain of computation time for simulations:{Figure 1} (RR) < (PS + RR) < (XCSE + RR) < (PS) < (XCSE) [Figure 2]a, [Figure 2]b, [Figure 2]c, [Figure 2]d depicts the comparisons of efficiency of simulations between various combinations of VRTs obtained for 6 MV photon beams for Farmertype (NE2571 and N30013) ionization chambers and 1.25 MeV60 Co photon beams for cylindrical type (NRC and pancake) ionization chamber. The graph shows that a very significant gain of efficiency has been achieved when implementing the combination of XCSE and RR for all cases. In this case, the efficiency is increased by a factor >260 for NRC 3C cylindrical ion chamber, 374 for parallelplate pancake ion chamber, 430 and 978 for NE2571 and N30013 modeled Farmertype ion chambers without affecting the accuracy of the simulation. This is due to the fact that these two combinations focus mainly on fat electrons so that the statistical weight of the particle is increased, which enhances the computation speed, thereby yielding the best efficiency.{Figure 2} From the above explanation, the result emerges that the following order offers the best gain of efficiency: (XCSE + RR) > (PS + RR) > (XCSE) > (RR) > (PS) Hence, it is concluded that a proper combination of VRTs will significantly improve the efficiency of calculations and will substantially increase the computation speed. BEAMnrc validation After evaluating the VRTs, the validation of BEAMnrc MC simulation code has been carried out by employing the appropriate combination of VRTs. In general, BEAMnrc user code of EGSnrc MC Code [12],[15] is used to model the treatment head of the linear accelerator. It creates a phase space file which will then be used as a source for DOSXYZnrc user code to calculate the dose distributions in threedimensional images. In this validation part, we have reconciled the component module of N30013 ion chamber to be a water phantom with a cylindrical geometry of 25 cm radius. The central axis of this phantom was divided into voxels with equal dimensions of 0.5 cm in all directions. The dose has been calculated in these voxels using DOSXYZnrc MC User code. To validate our model, the relative percentage depth dose calculations for reference field size (10 cm × 10 cm) by normalizing the dose at 10 cm depth and were compared with the experimental values which are shown in [Figure 3]a. Further, we used the local dose differences concept for an effective comparison of simulated values with the experimental values which are illustrated in [Figure 3]b. [Table 8] depicts the comparison between our results obtained by BEAMnrc (with appropriate VRT's combination) and BEAMnrc (without VRT). From the table, it has been clearly pointed out that the BEAMnrc with VRTs explicit a speed and accurate calculation with an acceptable uncertainty limit of 0.176% when compared to BEAMnrc without VRTs. Further, the efficiency of the simulation also has been increased by a factor of 195 for BEAMnrc MC Simulation of linac with VRTs when compared to the simulation without using the VRTs.{Figure 3}{Table 8} Based on the above results, it has been concluded that, for accurate dose calculations with minimal uncertainty and computation time, BEAMnrc MC Simulation employed with VRTs are found to be the most appropriate treatment planning method in the field of teletherapy. Conclusion MC simulation is an important tool in the field of modern radiotherapy. The EGSnrc MC code that simulates the radiation transport of coupled electrongamma transport over a wide energy range has a library of VRTs. In this work, a few combinations of promising VRTs have been tested with the intention of improving the simulation efficiency. The proper combination of these VRTs can yield significant improvement in the efficiency of the simulation of ionchamber dose calculations. Our work demonstrated that the efficiency of the simulation is increased by a factor >260 for NRC 3C cylindrical ion chamber, 374 for parallelplate pancake ion chamber, 430 and 978 for NE2571 and N30013modeled Farmertype ion chambers, along with a substantial stepdown in the computation time when implementing the combination of XCSE and RR when compared to other VRTs. Further, the evaluated VRTs were applied to validate BEAMnrc MC Simulation code through relative beam characteristics. A good agreement has been achieved between the simulated and experimental values for percentage depth dose curves with a local difference of <3%. It has been observed that the BEAMnrc simulation with VRT yields higher efficiency and fast computation time with minimal uncertainty when comparing simulation without VRT. Hence, from this chapter, it is concluded that the BEAMnrc Mc simulation with VRTs possess accurate dose calculations in the field of teletherapy apart from linac modeling. Acknowledgment One of the authors (Dr. C. S. Sureka) would like to acknowledge the “International Centre for Theoretical Physics (ICTP), Trieste, Italy,” for provided training to understand the basics of the EGSnrc MC code. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. References


