Dosimetric effect of jaw tracking in volumetric-modulated arc therapy

Autor: Sangutid Thongsawad, Chirasak Khamfongkhruea, Chirapha Tannanonta
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Journal of Medical Physics, Vol 43, Iss 1, Pp 52-57 (2018)
Druh dokumentu: article
ISSN: 0971-6203
1998-3913
DOI: 10.4103/jmp.JMP_75_17
Popis: The aim of this study was to investigate the potential of jaw tracking with the volumetric-modulated arc therapy (VMAT) to reduce the normal tissue dose. Plans of nasopharynx, lung, and prostate cancers (10 plans for each) were used to perform VMAT with and without jaw tracking. The dose reduction was evaluated in terms of organ doses and integral doses. Organ-dose reduction with jaw tracking was statistically significant in the volume receiving a dose of 5 Gy (V5) of bladder, rectum, and lung, the volume receiving a dose of 10 Gy (V10) of bladder, rectum, and lung, and the mean dose of lung (P < 0.05). Integral-dose reduction with jaw tracking was statistically significant in almost all the treatment plans (P < 0.05). For organ-dose reduction, jaw tracking in VMAT plan was effective in reducing V5and V10. For integral-dose reduction, jaw tracking in VMAT plan is an efficient method for decreasing V5.
Databáze: Directory of Open Access Journals