Radiologic Sciences Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Med Sci Monit. 2011 Jul;17(7):MT51-5. doi: 10.12659/msm.881833.
Total body irradiation is a protocol used to treat acute lymphoblastic leukemia in patients prior to bone marrow transplant. It is involved in the treatment of the whole body using a large radiation field with extended source-skin distance. Therefore measuring and monitoring the skin dose during the treatment is important. Two kinds of metal oxide semiconductor field effect transistor (OneDose MOSFET and mobile MOSEFT) dosimeter are used during the treatment delivery to measure the skin dose to specific points and compare it with the target prescribed dose. The objective of this study was to compare the variation of skin dose in patients with acute lymphatic leukemia (ALL) treated with total body irradiation (TBI) using OneDose MOSFET detectors and Mobile MOSFET, and then compare both results with the target prescribed dose.
MATERIAL/METHODS: The measurements involved 32 patient's (16 males, 16 females), aged between 14-30 years, with an average age of 22.41 years. One-Dose MOSFET and Mobile MOSFET dosimetry were performed at 10 different anatomical sites on every patient.
The results showed there was no variation between skin dose measured with OneDose MOSFET and Mobile MOSFET in all patients. Furthermore, the results showed for every anatomical site selected there was no significant difference in the dose delivered using either OneDose MOSFET detector or Mobile MOSFET as compared to the prescribed dose.
The study concludes that One-Dose MOSFET detectors and Mobile MOSFET both give a direct read-out immediately after the treatment; therefore both detectors are suitable options when measuring skin dose for total body irradiation treatment.
全身照射是一种在骨髓移植前用于治疗急性淋巴细胞白血病患者的方案。它涉及使用大辐射野和延长源皮距对全身进行治疗。因此,在治疗过程中测量和监测皮肤剂量很重要。在治疗过程中,使用两种金属氧化物半导体场效应晶体管(OneDose MOSFET 和移动 MOSFET)剂量计来测量特定点的皮肤剂量,并将其与规定的靶剂量进行比较。本研究的目的是比较使用 OneDose MOSFET 探测器和 Mobile MOSFET 治疗急性淋巴细胞白血病(ALL)患者的皮肤剂量变化,并将两者的结果与规定的靶剂量进行比较。
材料/方法:测量涉及 32 名患者(16 名男性,16 名女性),年龄在 14-30 岁之间,平均年龄为 22.41 岁。对每位患者的 10 个不同解剖部位进行 One-Dose MOSFET 和 Mobile MOSFET 剂量测定。
结果表明,所有患者的 OneDose MOSFET 和 Mobile MOSFET 测量的皮肤剂量之间没有差异。此外,结果表明,在所选择的每个解剖部位中,与规定剂量相比,使用 OneDose MOSFET 探测器或 Mobile MOSFET 输送的剂量没有显著差异。
该研究得出结论,One-Dose MOSFET 探测器和 Mobile MOSFET 均可在治疗后立即直接读出读数;因此,在测量全身照射治疗的皮肤剂量时,这两种探测器都是合适的选择。