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  1. 原著論文

Impact of treatment planning with deformable image registration on dose distribution for carbon-ion beam lung treatment using a fixed irradiation port and rotating couch

https://repo.qst.go.jp/records/47494
https://repo.qst.go.jp/records/47494
735b4cb0-332d-4b0c-83cf-7027af95f737
Item type 学術雑誌論文 / Journal Article(1)
公開日 2016-08-24
タイトル
タイトル Impact of treatment planning with deformable image registration on dose distribution for carbon-ion beam lung treatment using a fixed irradiation port and rotating couch
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 熊谷, 始紀

× 熊谷, 始紀

WEKO 475879

熊谷, 始紀

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森, 慎一郎

× 森, 慎一郎

WEKO 475880

森, 慎一郎

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山本, 直敬

× 山本, 直敬

WEKO 475881

山本, 直敬

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熊谷 始紀

× 熊谷 始紀

WEKO 475882

en 熊谷 始紀

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森 慎一郎

× 森 慎一郎

WEKO 475883

en 森 慎一郎

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山本 直敬

× 山本 直敬

WEKO 475884

en 山本 直敬

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抄録
内容記述タイプ Abstract
内容記述 Objectives: When using a fixed irradiation port, treatment couch rotation is necessary to increase beam angle selection. We evaluated dose variations associated with positional morphologic changes to organs.
Methods: We retrospectively chose the datasets of ten lung cancer patients who underwent respiratory-gated CT at three different couch rotation angles (0°, 20°, and -20°). The respective CT datasets are referred to as CT0, CT20 and CT-20. Three treatment plans were generated as follows: in Plan 1, all compensating bolus designs and dose distributions were calculated using CT0. To evaluate the rotation effect without considering morphology changes, in Plan 2, the compensating boli designed using CT0 were applied to the CT±20 images. Plan 3 involved compensating boli designed using the CT±20 images. The accumulated dose distributions were calculated using deformable image registration (DIR).
Results: A sufficient prescribed dose was calculated for the planning target volume (PTV) in Plan 1 (D95 > 95.8%). In contrast, Plan 2 showed degraded dose conformation to the PTV (D95 > 90%) due to mismatch of the bolus design to the morphologic positional changes in the respective CT. The dose assessment results of Plan 3 were very close to those of Plan 1.
Conclusions: Dose distribution is significantly affected by whether or not positional organ morphology changes are factored into dose planning.
Advances in knowledge: In treatment planning using multiple CT scans with different couch positions, it is mandatory to calculate the accumulated dose using DIR.
書誌情報 The British journal of radiology

巻 88, 号 1050, p. 20140734-1-20140734-6, 発行日 2015-04
出版者
出版者 British Institute of Radiology.
ISSN
収録物識別子タイプ ISSN
収録物識別子 1748-880X
DOI
識別子タイプ DOI
関連識別子 http://dx.doi.org/10.1259/bjr.20140734
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