@misc{oai:repo.qst.go.jp:00064240, author = {馬場, 雅行 and 蓑原, 伸一 and 土橋, 卓 and 森, 慎一郎 and 熊谷, 始紀 and 稲庭, 拓 and 中嶋, 美緒 and 山本, 直敬 and 須金, 紀雄 and 神立, 進 and 馬場 雅行 and 蓑原 伸一 and 土橋 卓 and 森 慎一郎 and 熊谷 始紀 and 稲庭 拓 and 中嶋 美緒 and 山本 直敬 and 須金 紀雄 and 神立 進}, month = {Apr}, note = {To study the range of intrafractional lung tumor motion and evaluate how much they were reduced in the use of immobilization, 10 patients of lung cancer fixed by an immobilization device underwent four-dimensional computed tomography (4DCT) for one cycle of respiration in free-breathing condition. The respiratory period was subdivided into 10 phases and intrafractional tumor motions were evaluated by identifying the center of mass of gross tumor volume (GTV) for each respiratory phase. The mean ranges of the tumor motion over 10 patients were 1.4 mm, 2.2 mm and 6.6 mm in left-right (LR), anterior-posterior (AP) and superior-inferior (SI) directions, respectively. A previous work which studied the lung tumor motion for freely breathing patients without immobilization by using 4DCT have reported that the movement averaged 1.9mm, 4.0mm and 10.3 mm in LR, AP and SI-directions, respectively. The immobilization reduces the range of the lung tumor motion by 0.5mm, 1.8mm and 3.7mm in each direction. This result shows that immobilization is effective not only for fixing patients to a couch, but also for reducing intrafractional tumor motion., H20年度HIMAC共同利用研究成果発表会}, title = {中心型肺癌に対する炭素イオン線治療における3次元治療計画の研究}, year = {2009} }