Purpose: The aim of this study was to evaluate the irradiated volume and doses to the target, heart, left lung, right lung and spinal cord, the number of segments and treatment time by using moderated deep inspiration breath hold (mDIBH) with active breathing control (ABC) and image-guided radiotherapy (IGRT) for patients treated with lung cancers. Methods: The suitability of this technique for...

The study compares the physical and biologically effective doses (BED) received by the heart and cardiac substructures using three-dimensional conformal RT (3D-CRT), intensity-modulated radiotherapy (IMRT), and simple IMRT (s-IMRT) in postoperative radiotherapy for patients with left-sided breast cancer. From October 2008 to February 2009, 14 patients with histologically confirmed left-sided br...

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main source(s): University Medical Centre Ljubljana Research Grant. Introduction Early cardiotoxicity modern radiotherapy (RT) is not known. Purpose To study the early cardiotoxic effect contemporary RT on myocardium with cardiac magnetic resonance (CMR) in patients breast cancer (BC). Methods Patients in-situ ductal...

Patients with left-sided breast cancer are at risk of cardiac toxicity because of cardiac irradiation during radiotherapy with the conventional 3-dimensional conformal radiotherapy technique. In addition, many patients may receive chemotherapy prior to radiation, which may damage the myocardium and may increase the potential for late cardiac complications. New radiotherapy techniques such as in...

Several studies have reported the advantages of the field-in-field (FIF) technique in breast radiotherapy, including dose reduction in the lungs by using lung field blocks. We evaluated the FIF technique with lung blocks for breast tangential radiotherapy. Sixteen patients underwent free breathing (FB) computed tomography (CT), followed by two CT procedures performed during breath hold after li...

Purpose : This study aims to compare the dosimetric differences in intensity-modulated proton therapy (IMPT) using pencil beam scanning technology and photon-based radiotherapy (IMRT) hypofractionated whole-breast irradiation (HF-WBI) find out more beneficial technique. Methods Materials Eight breast cancer (BC) patients with pathological stage T1 ~ 2N0M0 were immobilized underwent 4D-CT used d...

Purpose: Acuros XB (AXB) dose calculation algorithm is available for external beam photon dose calculations in Eclipse treatment planning system (TPS). The AXB can report the absorbed dose in two modes: dose-to-water (Dw) and dose-to-medium (Dm). The main purpose of this study was to compare the dosimetric results of the AXB_Dm with that of AXB_Dw on real patient treatment plans. Methods: Four ...

Aim: To evaluate the plan quality of 6MV unflattened (UFB) and flattened beam (FB) photon energy using AAA dose calculation algorithms for volumetric arc therapy. Materials and Methods: Plans were generated for bilateral carcinoma of breast and the dose prescribed was 50.4Gy in 28 fractions. Two different plans were made for each patient using 6MV FB and 6MV UFB. Dose calculations were performe...

Introduction: Breast conserving surgery followed by adjuvant radiotherapy (RT) of the whole breast is accepted as the treatment of choice in early stage breast cancer. Due to breast irregularities, it is difficult to access homogenous dose distribution with conventional techniques. Currently, it is possible to use varied breast irradiation techniques, such as field- in-field (F...