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  1. 原著論文

Prediction of the location and size of the stomach using patient characteristics for retrospective radiation dose estimation following radiotherapy.

https://repo.qst.go.jp/records/46954
https://repo.qst.go.jp/records/46954
b564070b-2bfa-4572-a160-f14cb5782fa0
Item type 学術雑誌論文 / Journal Article(1)
公開日 2014-11-18
タイトル
タイトル Prediction of the location and size of the stomach using patient characteristics for retrospective radiation dose estimation following 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 Lamart, Stephanie

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Lamart, Stephanie

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Imran, Rebecca

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Imran, Rebecca

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L, Simon Steven

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L, Simon Steven

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Doi, Kazutaka

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Doi, Kazutaka

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M, Morton Lindsay

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M, Morton Lindsay

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E, Curtis Rochelle

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E, Curtis Rochelle

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Lee, Choonik

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Lee, Choonik

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Drozdovitch, Vladimir

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Drozdovitch, Vladimir

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Maass-Moreno, Roberto

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Maass-Moreno, Roberto

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C, Chen Clara

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C, Chen Clara

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Whatley, Millie

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Whatley, Millie

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L, Miller Donald

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L, Miller Donald

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Pacak, Karel

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Pacak, Karel

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Lee, Choonsik

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Lee, Choonsik

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土居 主尚

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抄録
内容記述タイプ Abstract
内容記述 Following cancer radiotherapy, reconstruction of doses to organs, other than the target organ, is of interest for retrospective health risk studies. Reliable estimation of doses to organs that may be partially within or fully outside the treatment field requires reliable knowledge of the location and size of the organs, e.g., the stomach, which is at risk from abdominal irradiation. The stomach location and size are known to be highly variable between individuals, but have been little studied. Moreover, for treatments conducted years ago, medical images of patients are usually not available in medical records to locate the stomach. In light of the poor information available to locate the stomach in historical dose reconstructions, the purpose of this work was to investigate the variability of stomach location and size among adult male patients and to develop prediction models for the stomach location and size using predictor variables generally available in medical records of radiotherapy patients treated in the past. To collect data on stomach size and position, we segmented the contours of the stomach and of the skeleton on contemporary computed tomography (CT) images for 30 male patients in supine position. The location and size of the stomach was found to depend on body mass index (BMI), ponderal index (PI), and age. For example, the anteroposterior dimension of the stomach was found to increase with increasing BMI (≈0.25 cm kg(-1) m(2)) whereas its craniocaudal dimension decreased with increasing PI (≈-3.3 cm kg(-1) m(3)) and its transverse dimension increased with increasing PI (≈2.5 cm kg(-1) m(3)). Using the prediction models, we generated three-dimensional computational stomach models from a deformable hybrid phantom for three patients of different BMI. Based on a typical radiotherapy treatment, we simulated radiotherapy treatments on the predicted stomach models and on the CT images of the corresponding patients. Those dose calculations demonstrated good agreement between predicted and actual stomachs compared with doses derived from a reference model of the body that might be used in the absence of individual CT scan data.
書誌情報 Physics in medicine and biology

巻 58, 号 24, p. 8739-8753, 発行日 2013-12
出版者
出版者 IOP PUBLISHING
ISSN
収録物識別子タイプ ISSN
収録物識別子 0031-9155
PubMed番号
識別子タイプ PMID
関連識別子 24301086
DOI
識別子タイプ DOI
関連識別子 10.1088/0031-9155/58/24/8739
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