Comparative analysis for renal stereotactic body radiotherapy using Cyberknife, VMAT and proton therapy based treatment planning
Autor: | Donald Dobbins, Musaddiq J. Awan, Atallah Baydoun, Bryan Traughber, Rodney J. Ellis, David Sutton, Y. Zhang, A Kassaee, Tarun Podder, Neha Vapiwala, Raymond F. Muzic, Mitchell Machtay, Lee Ponsky |
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Rok vydání: | 2017 |
Předmět: |
Organs at Risk
renal cell carcinoma Pacemaker Artificial Stereotactic body radiation therapy Planning target volume VMAT Electrons 87.55.n radiation therapy 030218 nuclear medicine & medical imaging 03 medical and health sciences defibrillator 0302 clinical medicine Cyberknife Renal cell carcinoma proton therapy Medicine Radiation Oncology Physics Humans Radiology Nuclear Medicine and imaging Radiation treatment planning Pencil-beam scanning Instrumentation Proton therapy 87.50.cm Radiation SBRT business.industry Phantoms Imaging Radiotherapy Planning Computer-Assisted Radiotherapy Dosage out‐of‐field dose Thoracic Neoplasms medicine.disease pacemaker Defibrillators Implantable bolus 030220 oncology & carcinogenesis Radiotherapy Intensity-Modulated treatment planning system business Nuclear medicine Stereotactic body radiotherapy 87.53.Bn cardiac implantable electronic device (CIED) |
Zdroj: | Journal of Applied Clinical Medical Physics |
ISSN: | 1526-9914 |
Popis: | Special attention is required in planning and administering radiation therapy to patients with cardiac implantable electronic devices (CIEDs), such as pacemaker and defibrillator. The range of dose to CIEDs that can induce malfunction is large among CIEDs. Clinically significant defects have been reported at dose as low as 0.15 Gy. Therefore, accurate estimation of dose to CIED and dose reduction are both important even if the dose is expected to be less than the often‐used 2‐Gy limit. We investigated the use of bolus in in vivo dosimetry for CIEDs. Solid water phantom measurements of out‐of‐field dose for a 6‐MV beam were performed using parallel plate chamber with and without 1‐ to 2‐cm bolus covering the chamber. In vivo dosimetry at skin surface above the CIED was performed with and without bolus covering the CIED for three patients with the CIED |
Databáze: | OpenAIRE |
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