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Methods: We enrolled 20 patients with lung and liver cancer treated with respiratory-gated carbon-ion beam scanning therapy. PTVs were generated by adding a 2 mm range-adapted set-up margin on the raITVs. Set-up errors were simulated by shifting the beam isocenter in three translational directions of±2 mm,±4 mm, and ± 6 mm. 4DDDs were calculated for both nominal and isocenter-shifted situations. Dose metrics of CTV dose coverage (D95) and normal tissue sparing were evaluated. Statistical significance with p \u003c 0.01 was considered by Wilcoxon signed rank test.\nResults: The CTV dose coverage was more sensitive to set-up errors for lung cases than for liver cases, and more serious in superior-inferior direction. The sufficient CTV-D95 \u003e 98% could be achieved with set-up errors less than ± 2 mm in all shift directions both for lung and liver cases. With the increase of set-up error, the CTV dose coverage decreased gradually. The clinical criterial of CTV-D95 \u003e 95% could not be fulfilled with set-up error reached to ± 4 mm for lung cases, and ± 6 mm for liver cases. 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Perturbation analysis of 4D dose distribution for scanned carbon-ion beam radiotherapy
https://repo.qst.go.jp/records/79967
https://repo.qst.go.jp/records/799676bb79b58-991b-4d6d-8653-8cfc900cbb82
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-05-20 | |||||
タイトル | ||||||
タイトル | Perturbation analysis of 4D dose distribution for scanned carbon-ion beam radiotherapy | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
アクセス権 | ||||||
アクセス権 | metadata only access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
著者 |
He, Pengbo
× He, Pengbo× Mori, Shinichiro× He, Pengbo× Mori, Shinichiro |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose: To evaluate the patients’ set-up error-induced perturbation effects on 4D dose distributions (4DDD) of range-adapted internal target volume-based (raITV) treatment plan using lung and liver 4DCT data sets. Methods: We enrolled 20 patients with lung and liver cancer treated with respiratory-gated carbon-ion beam scanning therapy. PTVs were generated by adding a 2 mm range-adapted set-up margin on the raITVs. Set-up errors were simulated by shifting the beam isocenter in three translational directions of±2 mm,±4 mm, and ± 6 mm. 4DDDs were calculated for both nominal and isocenter-shifted situations. Dose metrics of CTV dose coverage (D95) and normal tissue sparing were evaluated. Statistical significance with p < 0.01 was considered by Wilcoxon signed rank test. Results: The CTV dose coverage was more sensitive to set-up errors for lung cases than for liver cases, and more serious in superior-inferior direction. The sufficient CTV-D95 > 98% could be achieved with set-up errors less than ± 2 mm in all shift directions both for lung and liver cases. With the increase of set-up error, the CTV dose coverage decreased gradually. The clinical criterial of CTV-D95 > 95% could not be fulfilled with set-up error reached to ± 4 mm for lung cases, and ± 6 mm for liver cases. OAR doses did not have a significant difference with each set-up error for both lung and liver cases. Conclusions: The range-adapted set-up margin successfully prevented dose degradation of 4DDDs in the presence of the same magnitude of set-up error for raITV-based carbon-ion beam scanning therapy. |
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書誌情報 |
Physica Medica 巻 74, p. 74-82, 発行日 2020-05 |
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出版者 | ||||||
出版者 | Elsevier | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1120-1797 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.ejmp.2020.05.003 | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.sciencedirect.com/science/article/pii/S1120179720301149 |