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Title:Evaluation of two-dimensional dose distributions for pre-treatment patient-specific IMRT dosimetry
Authors:ID Smilović Radojčić, Đeni (Author)
ID Rajlić, David (Author)
ID Casar, Božidar (Author)
ID Švabić Kolacio, Manda (Author)
ID Obajdin, Nevena (Author)
ID Faj, Dario (Author)
ID Jurković, Slaven (Author)
Files:URL URL - Source URL, visit https://content.sciendo.com/view/journals/raon/ahead-of-print/article-10.2478-raon-2018-0019.xml
 
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Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo OI - Institute of Oncology
Abstract:The accuracy of dose calculation is crucial for success of the radiotherapy treatment. One of the methods that represent the current standard for patient-specific dosimetry is the evaluation of dose distributions measured with an ionization chamber array inside a homogeneous phantom using gamma method. Nevertheless, this method does not replicate the realistic conditions present when a patient is undergoing therapy. Therefore, to more accurately evaluate the treatment planning system (TPS) capabilities, gamma passing rates were examined for beams of different complexity passing through inhomogeneous phantoms. Materials and methods The research was performed using Siemens Oncor Expression linear accelerator, Siemens Somatom Open CT simulator and Elekta Monaco TPS. A 2D detector array was used to evaluate dose distribution accuracy in homogeneous, semi-anthropomorphic and anthropomorphic phantoms. Validation was based on gamma analysis with 3%/3mm and 2%/2mm criteria, respectively. Results Passing rates of the complex dose distributions degrade depending on the thickness of non-water equivalent material. They also depend on dose reporting mode used. It is observed that the passing rate decreases with plan complexity. Comparison of the data for all set-ups of semi-anthropomorphic and anthropomorphic phantoms shows that passing rates are higher in the anthropomorphic phantom. Conclusions Presented results raise a question of possible limits of dose distribution verification in assessment of plan delivery quality. Consequently, good results obtained using standard patient specific dosimetry methodology do not guarantee the accuracy of delivered dose distribution in real clinical cases
Keywords:IMRT, 2D dose verification, gamma method, antropomorphic phantom
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2018
Publisher:Association of Radiology and Oncology
Year of publishing:2018
Number of pages:str. 346-352, VIII
Numbering:Vol. 52, no. 3
Source:Ljubljana
PID:20.500.12556/DiRROS-19079 New window
UDC:615.82/.84
ISSN on article:1318-2099
DOI:10.2478/raon-2018-0019 New window
COBISS.SI-ID:2986875 New window
Copyright:by Authors
Publication date in DiRROS:10.06.2024
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Downloads:191
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Keywords:intenzitetna modulirana terapija, dvodimenzionalna dozna verifikacija, metoda gama, antropomorfni fantom


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