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Dosimetric impact of 4DCT artifact in carbon-ion scanning beam treatment: worst case analysis in lung and liver treatments
https://repo.qst.go.jp/records/48090
https://repo.qst.go.jp/records/480908adfb77b-9a8a-4902-be91-4f9b3650db40
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-07-13 | |||||
タイトル | ||||||
タイトル | Dosimetric impact of 4DCT artifact in carbon-ion scanning beam treatment: worst case analysis in lung and liver treatments | |||||
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 |
森, 慎一郎
× 森, 慎一郎× 熊谷, 始紀× 山本, 直敬× Karube, Masataka× 森 慎一郎× 熊谷 始紀× 山本 直敬× 軽部 雅崇 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Introduction: We evaluated the impact of 4DCT artifacts on carbon-ion pencil beam scanning dose distributions in lung and liver treatment. \nMethods & Materials: 4DCT was performed in20 liver and lung patients using area-detector CT (original 4DCT). 4DCT acquisition by multi-detector row CT was simulated using original 4DCT by selecting other phases randomly (plus/minus 20% phases). Since tumor position can move over the respiratory range in original 4DCT, mid-exhalation was set as reference phase. Total prescribed dose of 60Gy(RBE) was delivered to the clinical target volume (CTV). Reference dose distribution was calculated with the original CT, and actual dose distributions were calculated with treatment planning parameters optimized using the simulated CT (simulated dose). Dose distribution was calculated by substituting these parameters into the original CT. \nResults: For liver cases, CTV-D95 and CTV-Dmin values for the reference dose were 97.6±0.5% and 89.8±0.6% of prescribed dose, respectively. Values for the simulated dose were significantly degraded, to 88.6±14.0% and 46.3±26.7%, respectively. Dose assessment results for lung cases were 84.8±12.8% and 58.0±24.5% for the simulated dose, showing significant degradation over the reference dose of 95.1±1.5% and 87.0±2.2%, respectively. \nConclusions: 4DCT image quality should be closely checked to minimize degradation of dose conformation due to 4DCT artifacts. Medical staff should pay particular attention to checking the quality of 4DCT images as a function of respiratory phase, because it is difficult to recognize 4DCT artifact on a single phase in some cases |
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書誌情報 |
Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) 巻 32, 号 6, p. 787-794, 発行日 2016-05 |
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出版者 | ||||||
出版者 | Istituti Editoriali e Poligrafici Internazionali | |||||
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.2016.05.003 |