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  1. 原著論文

Effect of patient positioning on carbon-ion therapy planned dose distribution to pancreatic tumors and organs at risk

https://repo.qst.go.jp/records/48093
https://repo.qst.go.jp/records/48093
3e90e5c5-0df5-46b1-a4e4-c21d0c6e798e
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-07-13
タイトル
タイトル Effect of patient positioning on carbon-ion therapy planned dose distribution to pancreatic tumors and organs at risk
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 三木, 健太朗

× 三木, 健太朗

WEKO 482925

三木, 健太朗

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深堀, 麻衣

× 深堀, 麻衣

WEKO 482926

深堀, 麻衣

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熊谷, 始紀

× 熊谷, 始紀

WEKO 482927

熊谷, 始紀

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山田, 滋

× 山田, 滋

WEKO 482928

山田, 滋

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森, 慎一郎

× 森, 慎一郎

WEKO 482929

森, 慎一郎

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三木 健太朗

× 三木 健太朗

WEKO 482930

en 三木 健太朗

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深堀 麻衣

× 深堀 麻衣

WEKO 482931

en 深堀 麻衣

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熊谷 始紀

× 熊谷 始紀

WEKO 482932

en 熊谷 始紀

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山田 滋

× 山田 滋

WEKO 482933

en 山田 滋

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森 慎一郎

× 森 慎一郎

WEKO 482934

en 森 慎一郎

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抄録
内容記述タイプ Abstract
内容記述 Purpose
Pancreatic tumor treatment dose distribution variations associated with supine and prone patient positioning were evaluated.
\nMethods
A total of 33 patients with pancreatic tumors who underwent CT in the supine and prone positions were analyzed retrospectively. Gross tumor volume (GTV), planning target volume (PTV), and organs at risk (OARs) (duodenum and stomach) were contoured. The prescribed dose of 55.2 Gy (RBE) was planned from four beam angles (0°, 90°, 180°, and 270°). Patient collimator and compensating boli were designed for each field. Dose distributions were calculated for each field in the supine and prone positions. To improve dose distribution, patient positioning was selected from supine or prone for each beam field.
\nResults
Compared with conventional beam angle and patient positioning, D2cc of 1st-2nd portion of duodenum (D1-D2), 3rd-4th portion of duodenum (D3-D4), and stomach could be reduced to a maximum of 6.4 Gy (RBE), 3.5 Gy (RBE), and 4.5 Gy (RBE) by selection of patient positioning. V10 of D1-D2, D3-D4, and stomach could be reduced to a maximum of 7.2 cc, 11.3 cc, and 11.5 cc, respectively. D95 of GTV and PTV were improved to a maximum of 6.9% and 3.7% of the prescribed dose, respectively.
\nConclusions
Optimization of patient positioning for each beam angle in treatment planning has the potential to reduce OARs dose maintaining tumor dose in pancreatic treatment.
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 33, p. 38-46, 発行日 2016-12
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.2016.12.001
関連サイト
識別子タイプ URI
関連識別子 http://www.physicamedica.com/article/S1120-1797(16)31100-0/fulltext
関連名称 http://www.physicamedica.com/article/S1120-1797(16)31100-0/fulltext
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