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End-to-end dosimetry audit for three-dimensional image-guided brachytherapy for cervical cancer

https://repo.qst.go.jp/records/2001069
https://repo.qst.go.jp/records/2001069
13e57e45-e6de-4b0e-a57c-60175fa28a8b
アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2024-02-28
タイトル
タイトル End-to-end dosimetry audit for three-dimensional image-guided brachytherapy for cervical cancer
言語 en
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
著者 Mizuno Hideyuki

× Mizuno Hideyuki

Mizuno Hideyuki

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Nakaji Taku

× Nakaji Taku

Nakaji Taku

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Fukuda Shigekazu

× Fukuda Shigekazu

Fukuda Shigekazu

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Shingo Kato

× Shingo Kato

Shingo Kato

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抄録
内容記述タイプ Abstract
内容記述 Background: End-to-end dosimetry audit for brachytherapy is challenging due to the steep dose gradient. However,
it is an efficient method to detect unintended errors in actual clinical practice.
Purpose: We aimed to develop an on-site end-to-end test phantom for three-dimensional image-guided brachytherapy
(IGBT) for cervical cancer.
Methods: The test phantom we developed consisted of a water tank with an applicator/detector holder. The
holder was designed to accommodate the applicator and insert an ionization chamber (PinPoint; PTW, Freiburg,
Germany) to measure the dose at point A. Imaging and reconstruction were performed in the same way as
performed for a patient. The feasibility of our test phantom was assessed in two different hospitals using tandem
and ovoid (made of either metal or carbon) applicators that the hospitals provided.
Results: The measured and calculated doses at point A were compared for each applicator. We observed that the
values obtained using metal applicators were consistently lower, on an average by ?? 2.3%, than the calculated
values, while those obtained using carbon applicators were comparable to the calculated values. This difference
can be attributed to the attenuation of the dose by the metal applicators, resulting in a lower dose at point A. The
majority of treatment planning system, including the one used in this study, do not account for the material of
applicator.
Conclusions: An end-to-end test phantom for IGBT was developed, tested, and applied in a dosimetry audit in
hospitals and showed favorable results for evaluating the point A dose.
書誌情報 Physica Medica

巻 199, p. 2-8, 発行日 2024-02
出版者
出版者 Elsevier
ISSN
収録物識別子タイプ ISSN
収録物識別子 1724-191X
DOI
識別子タイプ DOI
関連識別子 10.1016/j.ejmp.2024.103321
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