Organ at risk radiation dose analysis in nasopharyngeal cancer with analytical anisotropic algorithm (AAA) and pencil beam convolution (PBC): A comparative study

2020 ◽  
Author(s):  
Nurul Fitriyah ◽  
Suryani Dyah Astuti ◽  
Evi Nurafida ◽  
Gege Ayu Listya ◽  
Bambang Haris Suhartono
1972 ◽  
Vol 11 (01) ◽  
pp. 70-78
Author(s):  
Esther Miller ◽  
Leopoldo Anghileri

SummaryThe distribution of 32P-polyphosphates (lineal and cross-linked) and 32Porthophosphate in normal and tumor bearing animals has been studied. Differences between the cross-linked and the lineal form are related to a different degree of susceptibility to the hydrolysis by the phosphatases. In contrast to orthophosphate, the polyphosphates showed a lower accumulation in soft tissues which gives an advantageous reduction of the total body radiation dose.


2006 ◽  
Vol 13 (3) ◽  
pp. 108-115 ◽  
Author(s):  
O. Ballivy ◽  
W. Parker ◽  
T. Vuong ◽  
G. Shenouda ◽  
H. Patrocinio

We assessed the effect of geometric uncertainties on target coverage and on dose to the organs at risk (OARS) during intensity-modulated radiotherapy (IMRT) for head-and-neck cancer, and we estimated the required margins for the planning target volume (PTV) and the planning organ-at-risk volume (PRV). For eight headand- neck cancer patients, we generated IMRT plans with localization uncertainty margins of 0 mm, 2.5 mm, and 5.0 mm. The beam intensities were then applied on repeat computed tomography (CT) scans obtained weekly during treatment, and dose distributions were recalculated. The dose–volume histogram analysis for the repeat CT scans showed that target coverage was adequate (V100 ≥ 95%) for only 12.5% of the gross tumour volumes, 54.3% of the upper-neck clinical target volumes (CTVS), and 27.4% of the lower-neck CTVS when no margins were added for PTV. The use of 2.5-mm and 5.0-mm margins significantly improved target coverage, but the mean dose to the contralateral parotid increased from 25.9 Gy to 29.2 Gy. Maximum dose to the spinal cord was above limit in 57.7%, 34.6%, and 15.4% of cases when 0-mm, 2.5-mm, and 5.0-mm margins (respectively) were used for PRV. Significant deviations from the prescribed dose can occur during IMRT treatment delivery for headand- neck cancer. The use of 2.5-mm to 5.0-mm margins for PTV and PRV greatly reduces the risk of underdosing targets and of overdosing the spinal cord.


2021 ◽  
pp. 1-12
Author(s):  
Ignacio O. Romero ◽  
Changqing Li

BACKGROUND: Pencil beam X-ray luminescence computed tomography (XLCT) imaging provides superior spatial resolution than other imaging geometries like sheet beam and cone beam geometries. However, the pencil beam geometry suffers from long scan times, resulting in concerns overdose which discourages the use of pencil beam XLCT. OBJECTIVE: The dose deposited in pencil beam XLCT imaging was investigated to estimate the dose from one angular projection scan with three different X-ray sources. The dose deposited in a typical small animal XLCT imaging was investigated. METHODS: A Monte Carlo simulation platform, GATE (Geant4 Application for Tomographic Emission) was used to estimate the dose from one angular projection scan of a mouse leg model with three different X-ray sources. Dose estimations from a six angular projection scan by three different X-ray source energies were performed in GATE on a mouse trunk model composed of muscle, spine bone, and a tumor. RESULTS: With the Sigray source, the bone marrow of mouse leg was estimated to have a radiation dose of 44 mGy for a typical XLCT imaging with six angular projections, a scan step size of 100 micrometers, and 106 X-ray photons per linear scan. With the Sigray X-ray source and the typical XLCT scanning parameters, we estimated the dose of spine bone, muscle tissues, and tumor structures of the mouse trunk were 38.49 mGy, 15.07 mGy, and 16.87 mGy, respectively. CONCLUSION: Our results indicate that an X-ray benchtop source (like the X-ray source from Sigray Inc.) with high brilliance and quasi-monochromatic properties can reduce dose concerns with the pencil beam geometry. Findings of this work can be applicable to other imaging modalities like X-ray fluorescence computed tomography if the imaging protocol consists of the pencil beam geometry.


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