Background: Stereotactic Radiotherapy (SRT) in pancreatic and biliary tract cancer (PBC) suffers from proximity to any organ(s) at risk (OARs). Some strategies manage this issue have previously been proposed, such as Simultaneous Integrated Protection (SIP), with the aim of maintaining a biological effective dose prescription while reducing toxicities. We performed systematic review literature ...

PURPOSE To assess the potential advantage of intensity-modulated radiotherapy (IMRT) over 3D-conformal radiotherapy (3D-CRT) planning in postoperative adjuvant radiotherapy for patients with gastric carcinoma. METHODS AND MATERIALS In a retrospective study, for plan comparison, dose distribution was recalculated in 15 patients treated with 3D-CRT on the contoured structures of same CT images ...

The purpose was to determine dose-delivery errors resulting from systematic rotational setup errors for fractionated stereotactic radiotherapy using direct simulation in a treatment planning system. Ten patients with brain tumors who received intensity-modulated radiotherapy had dose distributions re-evaluated to assess the impact of systematic rotational setup errors. The dosimetric effect of ...

The unwanted radiation transmission through the multileaf collimators could be reduced by the jaw tracking technique which is commercially available on Varian TrueBeam accelerators. On the basis of identical plans, this study aims to investigate the dosimetric impact of jaw tracking on the volumetric-modulated arc therapy (VMAT) plans. Using Eclipse treatment planning system (TPS), 40 jaw-track...

INTRODUCTION Flattening filter-free (FFF) radiation beams have recently become clinically available on modern linear accelerators in radiation therapy. This study aimed to evaluate the dosimetric impact of using FFF beams in intensity-modulated radiotherapy (IMRT) for early-stage upper thoracic oesophageal cancer. METHODS Eleven patients with primary stage upper thoracic oesophageal cancer we...

Background: The grading evaluation of atlas based auto-segmentation (ABAS) of organs at risk (OARs) in thorax was studied. Materials and Methods: Forty patients with thoracic cancer were included in this study, and for each thirteen thoracic OARs were delineated by an experienced radiation oncologist. The patients were randomly grouped into the training and the test dataset (20 each). The inves...

To analyze the magnitude of setup errors corrected by helical tomotherapy megavoltage computed tomography (MVCT) on a daily or weekly basis and the impact of those corrections on the delivered dose to the tumor and organs at risk (OARs), we retrospectively analyzed the setup errors for 6 nasal cavity and 4 nasopharyngeal cancer patients treated with helical tomotherapy for 25 – 33 fractions. Ea...

Radiotherapy for pancreatic cancer is limited by the tolerance of local organs at risk (OARs) and frequent overlap of the planning target volume (PTV) and OAR volumes. Using lexicographic ordering (LO), a hierarchical optimization technique, with generalized equivalent uniform dose (gEUD) cost functions, we studied the potential of intensity modulated radiation therapy (IMRT) to increase the do...

PURPOSE To recommend the optimal plan parameter set of grid size and angular increment for dose calculations in treatment planning for lung stereotactic body radiation therapy (SBRT) using dynamic conformal arc therapy (DCAT) considering both accuracy and computational efficiency. MATERIALS AND METHODS Dose variations with varying grid sizes (2, 3, and 4 mm) and angular increments (2°, 4°, 6°...

BACKGROUND Re-irradiation is a reasonable second treatment option for patients with recurrent malignant glioma (MG) after previous radio(chemo)therapy. However, only limited data is available allowing for a precise selection of patients suitable for re-treatment in regard to safety and efficacy. METHODS Using the department database, 58 patients with two courses of percutaneous radiation were...