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Amplitude-based gated phase-controlled rescanning in carbon-ion scanning beam treatment planning under irregular breathing conditions using lung and liver 4DCTs

https://repo.qst.go.jp/records/71378
https://repo.qst.go.jp/records/71378
4a70ffa9-5b12-4843-a388-50f253a3d4dd
Item type 会議発表用資料 / Presentation(1)
公開日 2013-12-02
タイトル
タイトル Amplitude-based gated phase-controlled rescanning in carbon-ion scanning beam treatment planning under irregular breathing conditions using lung and liver 4DCTs
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_c94f
資源タイプ conference object
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

WEKO 701824

森, 慎一郎

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森 慎一郎

× 森 慎一郎

WEKO 701825

en 森 慎一郎

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抄録
内容記述タイプ Abstract
内容記述 Purpose: Amplitude-based gating aids treatment planning in scanned particle therapy, because it provides better control of uncertainty with the gate window. We evaluated the effects of this gating under realistic organ motion conditions using 4DCT data of lung and liver tumors.
\nMethods and Materials: 4DCT imaging was done for 24 lung and liver patients using the area-detector CT. We calculated the field-specific target volume (FTV) for the gating window, which was defined for a single respiratory cycle. Prescribed doses of 48 Gy(RBE)/1fr/4fields and 45 Gy(RBE)/2fr/2fields were delivered to the FTVs for lung and liver treatments, respectively. Dose distributions were calculated for the repeated 1st respiratory cycle (planning dose) and the whole respiratory data (treatment dose). We applied eight phase-controlled rescannings with the amplitude-based gating.
\nResults: For the lung cases, CTV-D95 of the treatment dose (= 96.0±1.0 %) was almost the same as that of the planning dose (= 96.6±0.9 %). CTV-Dmax/Dmin of the treatment dose (= 104.5±2.2 %/89.4±2.6 %) was slightly increased over that of the planning dose (= 102.1±1.0 %/89.8±2.5 %) due to hot spots. For the liver cases, CTV-D95 of the treatment dose (= 97.6±0.5 %) was decreased by approximately 1 % when compared with the planning dose (= 98.5±0.4 %). CTV-Dmax/Dmin of the treatment dose was degraded by 3.0 %/0.4 % compared to the planning dose. Average treatment times were extended by 46.5 s and 65.9 s from those of the planning dose for lung and liver cases, respectively.
\nConclusions: As with regular respiratory patterns, amplitude-based gated multiple phase-controlled rescanning preserves target coverage to a moving target under irregular respiratory patterns.
会議概要(会議名, 開催地, 会期, 主催者等)
内容記述タイプ Other
内容記述 4D Treatment Planning Workshop 2013
発表年月日
日付 2013-11-29
日付タイプ Issued
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