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在静态调强放射治疗中提高小MU射野的剂量输出

Improving delivery of segments with small MU in step-and-shoot IMRT.

作者信息

Kuperman V Y, Lam W C

机构信息

James A Haley Veterans Hospital, Tampa, FL 33612, USA.

出版信息

Med Phys. 2006 Apr;33(4):1067-73. doi: 10.1118/1.2174128.

DOI:10.1118/1.2174128
PMID:16696483
Abstract

The purpose of this study is to describe four new delivery schemes for intensity-modulated radiation therapy (IMRT). In the first two schemes the order in which segments are delivered is varied from fraction to fraction. The last two delivery schemes employ fixed order of segments. The obtained results indicate that the suggested approaches can significantly reduce the so-called "overshoot" and "undershoot" phenomena and the associated discrepancies between planned and delivered monitor units.

摘要

本研究的目的是描述四种用于调强放射治疗(IMRT)的新的射野分段照射方案。在前两种方案中,各射野分段的照射顺序在不同分次之间是变化的。后两种照射方案采用固定的射野分段顺序。所得结果表明,所建议的方法可显著减少所谓的“超调”和“欠调”现象以及计划与实际照射的监测单位之间的相关差异。

相似文献

1
Improving delivery of segments with small MU in step-and-shoot IMRT.在静态调强放射治疗中提高小MU射野的剂量输出
Med Phys. 2006 Apr;33(4):1067-73. doi: 10.1118/1.2174128.
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引用本文的文献

1
Three corrections for overshoot effect improved the dose for step-and-shoot intensity-modulated radiation therapy.三次过冲校正提高了步进扫描调强放疗的剂量。
PLoS One. 2021 Apr 23;16(4):e0250243. doi: 10.1371/journal.pone.0250243. eCollection 2021.
2
The Impact of Dose Rate on the Accuracy of Step-and-Shoot Intensity-modulated Radiation Therapy Quality Assurance Using Varian 2300CD.剂量率对使用瓦里安2300CD进行步进式调强放射治疗质量保证准确性的影响
J Med Phys. 2017 Oct-Dec;42(4):206-212. doi: 10.4103/jmp.JMP_18_17.
3
Clinical implications of the overshoot effect for treatment plan delivery and patient-specific quality assurance for step-and-shoot IMRT.
调强适形放疗中剂量过冲效应在治疗计划实施及患者个体化质量保证方面的临床意义。
J Appl Clin Med Phys. 2016 Jul 8;17(4):114-123. doi: 10.1120/jacmp.v17i4.6129.
4
The step-and-shoot IMRT overshooting phenomenon: a novel method to mitigate patient overdosage.
J Appl Clin Med Phys. 2016 Jul 8;17(4):214-222. doi: 10.1120/jacmp.v17i4.6101.
5
Is RapidArc more susceptible to delivery uncertainties than dynamic IMRT?容积旋转调强放疗(RapidArc)比动态调强放疗(dynamic IMRT)更容易受到传输不确定性的影响吗?
Med Phys. 2012 Oct;39(10):5882-90. doi: 10.1118/1.4749965.