Nemec H W, Walther E
Strahlentherapie. 1979 Aug;155(8):557-61.
The dose distribution within the patient was studied with 8-MeV bremsstrahlung from a linear accelerator during mantle field irradiation using molded shielding blocks. Doses and dose distributions in the different layers of a modified Alderson phantom were measured by means of film dosimetry and related to the dose in the central ray beam at the middle of the body. Dose distribution within unshielded regions perpendicular to the central ray beam generally being relatively homogeneous, the highest relative doses, amounting to ca. 115%, are found in the region of the mandibular angle and in the supraclavicular region; the dose to superficial lymph nodes at the supraclavicular region reaches 100% of the dose in the central ray beam. As a cause for these important doses near the surface of the body are discussed the extension of mantle fields as well as the increased exit dose of the opposed field and the oblique incidence of radiation.
利用线性加速器产生的8兆电子伏轫致辐射,在使用塑形屏蔽块进行斗篷野照射期间,研究了患者体内的剂量分布。通过胶片剂量测定法测量了改良的阿尔德森体模不同层面的剂量和剂量分布,并将其与身体中部中心射线束中的剂量相关联。垂直于中心射线束的未屏蔽区域内的剂量分布通常相对均匀,在下颌角区域和锁骨上区域发现了最高相对剂量,约为115%;锁骨上区域浅表淋巴结的剂量达到中心射线束中剂量的100%。讨论了身体表面附近出现这些重要剂量的原因,包括斗篷野的延伸、对侧野出射剂量的增加以及辐射的斜入射。