Treatment Planning Methods in High Dose Rate Interstitial Brachytherapy of Carcinoma Cervix: A Dosimetric and Radiobiological Analysis.

Treatment planning is a trial and error process that determines optimal dwell times, dose distribution, and loading pattern for high dose rate brachytherapy Planning systems offer a number of dose calculation methods to either normalize or optimize the radiation dose. Each method has its own charact...

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Publicado en:ISRN Oncology pp. 1 - 6
Autores principales: Anbumani, Surega, Anchineyan, Pichandi, Narayanasamy, ArunaiNambiraj, Palled, Siddanna R., Sathisan, Sajitha, Jayaraman, Punitha, Selvi, Muthu, Bilimagga, Ramesh S.
Formato: diagnostic images equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell 2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2014
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Treatment Planning Methods in High Dose Rate Interstitial Brachytherapy of Carcinoma Cervix: A Dosimetric and Radiobiological Analysis.
      aug:
        au:
          Anbumani, Surega
          Anchineyan, Pichandi
          Narayanasamy, ArunaiNambiraj
          Palled, Siddanna R.
          Sathisan, Sajitha
          Jayaraman, Punitha
          Selvi, Muthu
          Bilimagga, Ramesh S.
        affil: Department of Radiation Oncology, HCG Bangalore Institute of Oncology, RRMR Extension KH Road, Bangalore 560027, India
      sug:
        subj:
          Cervix Neoplasms Radiotherapy
          Brachytherapy Utilization
          Dose-Response Relationship
          Human
          Academic Medical Centers
          India
          Strategic Planning
          Pearson's Correlation Coefficient
          Radiotherapy, Conformal
          Cervix Neoplasms Epidemiology
          Tomography
          T-Tests
          Data Analysis Software
          Confidence Intervals
          Analysis of Variance
          Regression
      ab: Treatment planning is a trial and error process that determines optimal dwell times, dose distribution, and loading pattern for high dose rate brachytherapy Planning systems offer a number of dose calculation methods to either normalize or optimize the radiation dose. Each method has its own characteristics for achieving therapeutic dose to mitigate cancer growth without harming contiguous normal tissues. Our aim is to propose the best suited method for planning interstitial brachytherapy. 40 cervical cancer patients were randomly selected and 5 planning methods were iterated. Graphical optimization was compared with implant geometry and dose point normalization/optimization techniques using dosimetrical and radiobiological plan quality indices retrospectively. Mean tumor control probability was similar in all the methods with no statistical significance. Mean normal tissue complication probability for bladder and rectum is 0.3252 and 0.3126 (P = 0.0001), respectively, in graphical optimized plans compared to other methods. There was no significant correlation found between Conformity Index and tumor control probability when the plans were ranked according to Pearson product moment method (r = -0.120). Graphical optimization can result in maximum sparing of normal tissues.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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