This study investigated the influence of tissue electron density on proton beam dose distribution using TOPAS Monte Carlo simulation. Heterogeneous tissue models composed of 14 materials were constructed to simulate the dose deposition process of a 169.23 MeV proton beam. The study analyzed the relationships between electron density and key parameters such as maximum dose, total dose, and dose distribution. Results showed that increasing electron density led to higher local maximum dose, lower total dose, and decreased Bragg peak depth, range, penumbra width, and full width at half maximum (FWHM). High-density tissues caused a sharp, concentrated Bragg peak at shallower depths, while low-density tissues caused a backward shift and widening of the Bragg peak. Differences in proton energy deposition in various tissues were the fundamental reasons for dose distribution variations. This study quantified the relationship between electron density and proton beam dose distribution, providing a reference for accurate dose calculation and optimization in proton therapy.
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