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  1. 原著論文

The Impact of the Grid Size on TomoTherapy for Prostate Cancer

https://repo.qst.go.jp/records/49018
https://repo.qst.go.jp/records/49018
548fb6d2-dc19-4a38-be72-1586273c9b5d
Item type 学術雑誌論文 / Journal Article(1)
公開日 2018-05-16
タイトル
タイトル The Impact of the Grid Size on TomoTherapy for Prostate Cancer
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 Kawashima, Motohiro

× Kawashima, Motohiro

WEKO 494344

Kawashima, Motohiro

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Kawamura, Hidemasa

× Kawamura, Hidemasa

WEKO 494345

Kawamura, Hidemasa

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Masahiro, Onishi

× Masahiro, Onishi

WEKO 494346

Masahiro, Onishi

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Takakusagi, Yosuke

× Takakusagi, Yosuke

WEKO 494347

Takakusagi, Yosuke

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Okonogi, Noriyuki

× Okonogi, Noriyuki

WEKO 494348

Okonogi, Noriyuki

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Okazaki, Atsushi

× Okazaki, Atsushi

WEKO 494349

Okazaki, Atsushi

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Tetsuo, Sekihara

× Tetsuo, Sekihara

WEKO 494350

Tetsuo, Sekihara

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Ando, Yoshitaka

× Ando, Yoshitaka

WEKO 494351

Ando, Yoshitaka

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Nakano, Takashi

× Nakano, Takashi

WEKO 494352

Nakano, Takashi

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小此木 範之

× 小此木 範之

WEKO 494353

en 小此木 範之

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中野 隆史

× 中野 隆史

WEKO 494354

en 中野 隆史

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抄録
内容記述タイプ Abstract
内容記述 Abstract
\n
Discretization errors due to the digitization of computed tomography images and the calculation grid are a significant issue in radiation therapy. Such errors have been quantitatively reported for a fixed multifield intensity-modulated radiation therapy using traditional linear accelerators. The aim of this study is to quantify the influence of the calculation grid size on the dose distribution in TomoTherapy. This study used ten treatment plans for prostate cancer. The final dose calculation was performed with “fine” (2.73 mm) and “normal” (5.46 mm) grid sizes. The dose distributions were compared from different points of view: the dose-volume histogram (DVH) parameters for planning target volume (PTV) and organ at risk (OAR), the various indices, and dose differences. The DVH parameters were used Dmax, D2%, D2cc, Dmean, D95%, D98%, and Dmin for PTV and Dmax, D2%, and D2cc for OARs. The various indices used were homogeneity index and equivalent uniform dose for plan evaluation. Almost all of DVH parameters for the “fine” calculations tended to be higher than those for the “normal” calculations. The largest difference of DVH parameters for PTV was Dmax and that for OARs was rectal D2cc. The mean difference of Dmax was 3.5%, and the rectal D2cc was increased up to 6% at the maximum and 2.9% on average. The mean difference of D95% for PTV was the smallest among the differences of the other DVH parameters. For each index, whether there was a significant difference between the two grid sizes was determined through a paired t-test. There were significant differences for most of the indices. The dose difference between the “fine” and “normal” calculations was evaluated. Some points around high-dose regions had differences exceeding 5% of the prescription dose. The influence of the calculation grid size in TomoTherapy is smaller than traditional linear accelerators. However, there was a significant difference. We recommend calculating the final dose using the “fine” grid size.
書誌情報 Journal of Medical Physics

巻 42, 号 3, p. 144-150, 発行日 2017-07
ISSN
収録物識別子タイプ ISSN
収録物識別子 0971-6203
PubMed番号
識別子タイプ PMID
関連識別子 28974860
DOI
識別子タイプ DOI
関連識別子 10.4103/jmp.JMP_123_16.
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