Dose impact of rectal gas on prostatic IMRT and VMAT.

Purpose: In this study, we compared the dose impact of the heterogeneity caused by rectal gas using two methods of treatment planning for intensity-modulated radiotherapy (IMRT) and volumetric-modulated arc therapy (VMAT).Materials and Methods: In addition to the structure set used for the standard...

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Publicado en:Japanese Journal of Radiology Vol. 33; no. 12; pp. 723 - 734
Autores principales: Sasaki, Motoharu, Ikushima, Hitoshi, Tominaga, Masahide, Kamomae, Takeshi, Kishi, Taro, Oita, Masataka, Harada, Masafumi
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Dec2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2015
      vid: 33
      iid: 12
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      pub: Springer Nature
      place: New York, New York
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        112064917
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        10.1007/s11604-015-0481-7
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        atl: Dose impact of rectal gas on prostatic IMRT and VMAT.
      aug:
        au:
          Sasaki, Motoharu
          Ikushima, Hitoshi
          Tominaga, Masahide
          Kamomae, Takeshi
          Kishi, Taro
          Oita, Masataka
          Harada, Masafumi
        affil: Department of Therapeutic Radiology, Institute of Biomedical Sciences, Tokushima University Graduate School, 3-18-15 Kuramoto-cho Tokushima 770-8503 Japan
      sug:
        subj:
          Rectum Physiopathology
          Flatulence Physiopathology
          Radiotherapy, Conformal Methods
          Radiotherapy, Computer-Assisted Methods
          Prostatic Neoplasms Radiotherapy
          Tomography, X-Ray Computed
          Male
          Rectum Radiography
          Prostatic Neoplasms Physiopathology
          Imaging, Three-Dimensional
          Prostate Radiography
          Radiation Dosage
          Human
          Male
      ab: Purpose: In this study, we compared the dose impact of the heterogeneity caused by rectal gas using two methods of treatment planning for intensity-modulated radiotherapy (IMRT) and volumetric-modulated arc therapy (VMAT).Materials and Methods: In addition to the structure set used for the standard treatment plan, we created a structure set for evaluation for each patient. These sets were transferred to the same isocenter as the respective treatment plans for IMRT and VMAT that were to become the standard. Values were then recalculated.Results: During the standard prostatic IMRT and VMAT treatment planning, all study participants met dose restrictions in place at our hospital. Dose restrictions were fulfilled in treatment plans for evaluation, excluding those with a clinical target volume (CTV) of V(100%) and planning target volume (PTV) of D95 when the rectum was excluded. However, in treatment plans for evaluation, IMRT was shown to have a higher concordance rate with standard treatment plans than VMAT.Conclusion: If rectal gas is present during either IMRT or VMAT, a dose decrease will occur in relation to CTV and PTV, suggesting that a plan does not eliminate adverse effects on organs at risk.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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