左侧早期乳腺癌的混合容积调强弧形放疗、容积调强弧形放疗和调强放射治疗的剂量学比较

Dosimetric comparison of hybrid volumetric-modulated arc therapy, volumetric-modulated arc therapy, and intensity-modulated radiation therapy for left-sided early breast cancer.

作者信息

Lin Jia-Fu, Yeh Dah-Cherng, Yeh Hui-Ling, Chang Chen-Fa, Lin Jin-Ching

机构信息

Department of Radiation Physics, Taichung Veterans General Hospital, Taichung, Taiwan.

Department of General Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.

出版信息

Med Dosim. 2015 Autumn;40(3):262-7. doi: 10.1016/j.meddos.2015.05.003. Epub 2015 Jun 23.

Abstract

To compare the dosimetric performance of 3 different treatment techniques: hybrid volumetric-modulated arc therapy (hybrid-VMAT), pure-VMAT, and fixed-field intensity-modulated radiation therapy (F-IMRT) for whole-breast irradiation of left-sided early breast cancer. The hybrid-VMAT treatment technique and 2 other treatment techniques—pure-VMAT and F-IMRT—were compared retrospectively in 10 patients with left-sided early breast cancer. The treatment plans of these patients were replanned using the same contours based on the original computed tomography (CT) data sets. Dosimetric parameters were calculated to evaluate plan quality. Total monitor units (MUs) and delivery time were also recorded and evaluated. The hybrid-VMAT plan generated the best results in dose coverage of the target and the dose uniformity inside the target (p < 0.0001 for conformal index [CI]; p = 0.0002 for homogeneity index [HI] of planning target volume [PTV](50.4 Gy) and p < 0.0001 for HI of PTV(62 Gy)). Volumes of ipsilateral lung irradiated to doses of 20 Gy (V(20 Gy)) and 5 Gy (V(5 Gy)) by the hybrid-VMAT plan were significantly less than those of the F-IMRT and the pure-VMAT plans. The volume of ipsilateral lung irradiated to a dose of 5 Gy was significantly less using the hybrid-VMAT plan than that using the F-IMRT or the pure-VMAT plan. The total mean MUs for the hybrid-VMAT plan were significantly less than those for the F-IMRT or the pure-VMAT plan. The mean machine delivery time was 3.23 ± 0.29 minutes for the hybrid-VMAT plans, which is longer than that for the pure-VMAT plans but shorter than that for the F-IMRT plans. The hybrid-VMAT plan is feasible for whole-breast irradiation of left-sided early breast cancer.

摘要

比较三种不同治疗技术

混合容积调强弧形放疗(hybrid-VMAT)、单纯VMAT和固定野调强放疗(F-IMRT)对左侧早期乳腺癌全乳照射的剂量学性能。对10例左侧早期乳腺癌患者进行回顾性比较,分析混合VMAT治疗技术与另外两种治疗技术——单纯VMAT和F-IMRT。根据原始计算机断层扫描(CT)数据集,使用相同轮廓对这些患者的治疗计划进行重新规划。计算剂量学参数以评估计划质量。还记录并评估了总监测单位(MUs)和照射时间。混合VMAT计划在靶区剂量覆盖和靶区内剂量均匀性方面产生了最佳结果(适形指数[CI],p < 0.0001;计划靶区体积[PTV](50.4 Gy)的均匀性指数[HI],p = 0.0002;PTV(62 Gy)的HI,p < 0.0001)。混合VMAT计划照射至20 Gy(V(20 Gy))和5 Gy(V(5 Gy))剂量的同侧肺体积明显小于F-IMRT和单纯VMAT计划。使用混合VMAT计划照射至5 Gy剂量的同侧肺体积明显小于使用F-IMRT或单纯VMAT计划。混合VMAT计划的总平均MUs明显少于F-IMRT或单纯VMAT计划。混合VMAT计划的平均机器照射时间为3.23 ± 0.29分钟,长于单纯VMAT计划,但短于F-IMRT计划。混合VMAT计划对左侧早期乳腺癌全乳照射是可行的。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索