Dosimetric Comparative Study between Single and Dual Isocenter Stereotactic Body Radiotherapy Plans in Treatment of Multiple Lesions Non-Small Cell Lung Cancer Patients
محل انتشار: مجله فیزیک پزشکی ایران، دوره: 20، شماره: 3
سال انتشار: 1402
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 98
فایل این مقاله در 7 صفحه با فرمت PDF قابل دریافت می باشد
- صدور گواهی نمایه سازی
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_IJMP-20-3_004
تاریخ نمایه سازی: 30 خرداد 1402
چکیده مقاله:
Introduction: stereotactic body radiotherapy (SBRT) is the most proper treatment for multi lesions non-small cell lung cancer (NSCLC) for enhanced good coverage and minimizing dose to organs at risk (OARs). This study aims to compare single and dual isocenter SBRT plans and discuss which technique we can use in multi lesions NSCLC. Material and Methods: Ten patients with multi targets NSCLC underwent two different SBRT treatment planning techniques including single isocenter and dual isocenter. We quantitatively assessed plans qualities by dose-volume metrics. Conformity index (CI), Confirmation Number (CN), heterogeneity index (HI), gradient distance (GD), Gradient index (GI), and maximum percentage dose at ۲cm all around PTV ( ) were gathered, tallied, and statistically examined. OARs were evaluated and the dose to the normal lung was evaluated using V۵, V۱۰, V۲۰, and mean lung dose (MLD). Results: There is an insignificant difference between single and dual isocenter plans in CI, CN, HI, GD, GI, and dose spillage where the mean distance between two lesions was ۵.۵۰ ± ۱.۵۰ cm, and the mean total volume of the planning target volume (PTV) was ۴۲.۶۰±۲۱.۳۳cc. For single and dual isocenter plans, the median MLD was ۴.۵(۲-۱۶)Gy and ۴ (۲-۱۶)Gy respectively (p=۰.۲۵). Conclusion: Plan quality of single isocenter was equal to dual isocenter for SBRT treatment of multi lung lesions with maximum distances between them was ۱۰ cm. Dual isocenter took time during setup and matching for cone beam computed tomography (CBCT).
کلیدواژه ها:
نویسندگان
Mona Ibraheim
Physics Department, Faculty of Science, Zagazig University, Zagazig, Egypt.
Magda Hanafy
Physics Department, Faculty of Science, Zagazig University, Zagazig, Egypt.
Khaled El-Shahat
Clinical Oncology and Nuclear Medicine Department, Faculty of Medicine, El-Azhar University, Cairo, Egypt
Mohammed Bayomy
Clinical Oncology and Nuclear Medicine Department, Faculty of Medicine, ZagazigUniversity, Zagazig, Egypt.
Hany Attallah
Radiation Oncology Department, International Medical Center (IMC), Egypt.
Nesma khalil
Clinical Oncology and Nuclear Medicine department, Zagazig University Hospitals, Egypt.
مراجع و منابع این مقاله:
لیست زیر مراجع و منابع استفاده شده در این مقاله را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود مقاله لینک شده اند :