PURPOSE At present, techniques of 4D dose verification in radiation therapy for lung cancers associated with respiratory motion are very limited, due to either lack of patient anatomy or breathing information. The aim of this study is to develop a 4D dose verification technique based on XCAT phantom which incorporates both patient anatomy and respiratory mechanics. MATERIALS AND METHODS The 4...

BACKGROUND Intensity-modulated radiotherapy is useful for cervical oesophageal carcinoma (CEC); however, increasing low-dose exposure to the lung may lead to radiation pneumonitis. Nevertheless, an irradiation technique that avoids the lungs has never been examined due to the high difficulty of dose optimization. In this study, we examined the efficacy of helical tomotherapy that can restrict b...

This study sought to compare the differences in target volumes and dose distributions to the targets and organs at risk (OARs) between a four-dimensional computed tomography (4DCT)-based respiratory-gated intensity-modulated radiation therapy (IMRT) plan (PlanEOE) and a three-dimensional CT (3DCT)-based IMRT plan (Plan3D) in patients with non-small-cell lung cancer (NSCLC). For 17 patients with...

PURPOSE The present project studied the implications of using the irregular surface compensator (ISC) technique in comparison to three-dimensional conformal radiation therapy (3D-CRT) for breast cancer treatment. ISC is an electronic compensation algorithm that modulates the fluence across the radiation fields to compensate for irregularly-shaped surfaces and deliver a homogeneous dose to a com...

Introduction Radiotherapy with small fields is used widely in newly developed techniques. Additionally, dose calculation accuracy of treatment planning systems in small fields plays a crucial role in treatment outcome. In the present study, dose calculation accuracy of two commercial treatment planning systems was evaluated against Monte Carlo method. Materials and Methods Siemens Once or linea...

Radiation therapy (RT) is an integral component of breast cancer management. For mitigating the normal tissue toxicity, many radiotherapy techniques have been explored and utilized. In present study, we compare post modified radical mastectomy (PMRM) plans utilizing 3DCRT VMAT techniques. This prospective, single-institutional includes 40 PMRM patients. all patient, both were generated dosimetr...

Radiation pneumonitis is a well-documented side effect of radiation therapy for breast cancer. The purpose of this study was to compare combined photon-electron, photon-only, and electron-only plans in the radiation treatment of the supraclavicular lymph nodes. In total, 13 patients requiring chest wall and supraclavicular nodal irradiation were planned retrospectively using combined photon-ele...

Not all clinics have breath-hold radiotherapy available for left-breast irradiation. However intensity-modulated radiotherapy (IMRT) has also been advocated as a means of lowering heart doses. There is currently no large-scale, long-term follow-up data after breast IMRT and, since dose distributions may differ from classic tangent-based radiotherapy, caution is needed to avoid unexpected worsen...

background:  in this study a series of basic dosimetric properties of a low-density (ld) gel dosimeter are investigated. the dose response is studied regarding to linearity, sensitivity, dose-rate and energy dependence as well as lung tissue equivalence. materials and methods: the ld gel was made by mixing the polymer gel with expanded polystyrene spheres. energy dependence was studied at two d...