Hybrid volumetric modulated arc therapy for whole breast irradiation: a dosimetric comparison of different arc designs

Autor: Chandrasekaran Anu Radha, V. Ramasubramanian, Karunakaran Balaji, Krishnamoorthi Sathiya, Sitaraman Balaji Subramanian, Moorthi Thirunavukarasu
Rok vydání: 2019
Předmět:
Zdroj: La radiologia medica. 124:546-554
ISSN: 1826-6983
0033-8362
DOI: 10.1007/s11547-019-00994-1
Popis: To find an optimal arc design for hybrid volumetric modulated arc therapy (H-VMAT), a combination of conventional 3DCRT and VMAT plans for left-sided whole breast radiation therapy. A total of 26 left-sided early-stage breast cancer patients were selected for this study. To find the superior plan, H-VMAT with three different arc designs including, two partial arcs (2A), four partial arcs (4A) and four tangential arcs (TA) were created for each study case by combining 3DCRT and VMAT with 75% 3DCRT/25% VMAT dose proportion of prescription dose. All H-VMAT plans achieved the expected target coverage. A higher conformity index and homogeneity index were achieved for 2A and 4A H-VMAT plans and significantly differ from TA H-VMAT (p
Databáze: OpenAIRE