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Perturbation analysis of 4D dose distribution for scanned carbon-ion beam radiotherapy

https://repo.qst.go.jp/records/79967
https://repo.qst.go.jp/records/79967
6bb79b58-991b-4d6d-8653-8cfc900cbb82
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-05-20
タイトル
タイトル Perturbation analysis of 4D dose distribution for scanned carbon-ion beam radiotherapy
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 He, Pengbo

× He, Pengbo

WEKO 868422

He, Pengbo

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Mori, Shinichiro

× Mori, Shinichiro

WEKO 868423

Mori, Shinichiro

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He, Pengbo

× He, Pengbo

WEKO 868424

en He, Pengbo

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Mori, Shinichiro

× Mori, Shinichiro

WEKO 868425

en Mori, Shinichiro

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抄録
内容記述タイプ Abstract
内容記述 Purpose: To evaluate the patients’ set-up error-induced perturbation effects on 4D dose distributions (4DDD) of range-adapted internal target volume-based (raITV) treatment plan using lung and liver 4DCT data sets. Methods: We enrolled 20 patients with lung and liver cancer treated with respiratory-gated carbon-ion beam scanning therapy. PTVs were generated by adding a 2 mm range-adapted set-up margin on the raITVs. Set-up errors were simulated by shifting the beam isocenter in three translational directions of±2 mm,±4 mm, and ± 6 mm. 4DDDs were calculated for both nominal and isocenter-shifted situations. Dose metrics of CTV dose coverage (D95) and normal tissue sparing were evaluated. Statistical significance with p < 0.01 was considered by Wilcoxon signed rank test.
Results: The CTV dose coverage was more sensitive to set-up errors for lung cases than for liver cases, and more serious in superior-inferior direction. The sufficient CTV-D95 > 98% could be achieved with set-up errors less than ± 2 mm in all shift directions both for lung and liver cases. With the increase of set-up error, the CTV dose coverage decreased gradually. The clinical criterial of CTV-D95 > 95% could not be fulfilled with set-up error reached to ± 4 mm for lung cases, and ± 6 mm for liver cases. OAR doses did not have a significant difference with each set-up error for both lung and liver cases.
Conclusions: The range-adapted set-up margin successfully prevented dose degradation of 4DDDs in the presence of the same magnitude of set-up error for raITV-based carbon-ion beam scanning therapy.
書誌情報 Physica Medica

巻 74, p. 74-82, 発行日 2020-05
出版者
出版者 Elsevier
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.2020.05.003
関連サイト
識別子タイプ URI
関連識別子 https://www.sciencedirect.com/science/article/pii/S1120179720301149
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