Swangsilpa Thiti, Kraiphibul Puangtong, Tangboonduangjit Puangpen, Tannanonta Chirapha, Layangkul Tasanee, Rattanasuwan Orawan
Radiation Oncology Division, Department of Radiology Faculty of Medicine, Ramathibodi Hospital, Mahidol University Bangkok, Thailand.
J Med Assoc Thai. 2011 Jun;94(6):732-7.
The main problem of total body irradiation (TBI) is how to maintain radiation dose homogeneity throughout the body during a treatment course. The simple set up treatment with non-complicated in vivo dosimetry measurement technique is the ideal method to solve this problem. For this reason, the authors have reported the results of in vivo dosimetry measurement method to prove the reliability of dose distribution from the authors' TBI technique.
The authors reviewed the data of dose measurement record from 53 patients' treatment files to report the uniformity of absorbed in vivo dose distribution throughout the whole body from TBI with semiconductor detectors and ionization chamber with the accepted homogeneity within +/- 10% of the prescribed dose. The result was reported in the term of mean and standard deviation of absorbed dose difference from the prescribed dose.
The uniformity of radiation dose distribution throughout the whole body of all patients calculated from semiconductors was accepted with mean difference value of -3.2 +/- 2.5% from the prescribed dose and the difference of mean absorbed dose value at midline point between semiconductor and ionization chamber was 4 +/- 3.3%.
This TBI dosimetry measurement technique has been proved to exhibit the reliability of dose homogeneity throughout the whole body within the accepted value. This could be applied for use at any institute that has some limitation in resources and small treatment room.
全身照射(TBI)的主要问题是如何在整个治疗过程中保持全身的辐射剂量均匀性。采用简单设置且体内剂量测定测量技术不复杂的治疗方法是解决这一问题的理想方法。因此,作者报告了体内剂量测定测量方法的结果,以证明作者的TBI技术剂量分布的可靠性。
作者回顾了53例患者治疗档案中的剂量测量记录数据,报告了使用半导体探测器和电离室进行TBI时,全身吸收剂量分布的均匀性,规定剂量的可接受均匀性在±10%以内。结果以吸收剂量与规定剂量差值的平均值和标准差表示。
根据半导体计算的所有患者全身辐射剂量分布均匀性可接受,与规定剂量的平均差值为-3.2±2.5%,半导体与电离室在中线点的平均吸收剂量值差异为4±3.3%。
已证明这种TBI剂量测定测量技术在可接受值范围内,全身剂量均匀性具有可靠性。这可应用于资源有限且治疗室较小的任何机构。