8Purpose: In recent times, longitudinal field MRI-linac systems have been proposed for 6 MV MRI-guided 9 radiotherapy (MRIgRT). The magnetic field is parallel with the beam axis and so will alter the transport properties 10 of any electron contamination particles. The purpose of this work is to provide a first investigation into the potential 11 effects of the MR and fringe magnetic fields on the electron contamination as it is transported towards a phantom, 12 in turn, providing an estimate of the expected patient skin dose changes in such a modality.
13Methods: Geant4 Monte Carlo simulations of a water phantom exposed to a 6 MV X-ray beam were performed.14 Longitudinal magnetic fields of strengths between 0 and 3 T were applied to a 30x30x20 cm 3 phantom. Surrounding
15the phantom there is a region where the magnetic field is at full MRI strength, consistent with clinical MRI systems.
16Beyond this the fringe magnetic field entering the collimation system is also modeled. The MRI-coil thickness, fringe 17 field properties, and isocentric distance are varied and investigated. Beam field sizes of 5x5, 10x10, 15x15 and 20x2018 cm 2 were simulated. Central axis dose, 2D virtual entry skin dose films, and 70 µm skin depth doses were calculated 19 using high resolution scoring voxels. for certain configurations and increases above Dmax were common. In non-magnetically shielded cases, electron 25 contamination generated from the jaw faces and air column is trapped and propagated almost directly to the 26 phantom entry region, giving rise to intense dose hot spots inside the x-ray treatment field. These range up to 27 1000% or more of Dmax at the CAX, depending on field size, isocentre and coil thickness. In the case of a fully 28 magnetically shielded collimation system and the lowest MRI field of 0.25 T, the entry skin dose is expected to 29 increase to at least 40%, 50%, 65%, and 80% of Dmax for 5x5, 10x10, 15x15, and 20x20 cm 2 respectively. MRIgRT. This depends heavily on the properties of the magnetic fringe field entering the linac beam collimation 33 system. The skin dose increase is also related to the MRI-coil thickness, the fringe field, and the isocentre distance