The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Evaluation on Usefulness of Applying Body-fix to Four Dimensional Radiation Therapy

4차원 방사선 치료시 Body Fix의 유용성 평가

  • 김영재 (광양보건대학교 방사선과) ;
  • 장영일 (광양보건대학교 방사선과) ;
  • 지연상 (광주보건대학교 방사선과) ;
  • 한재복 (동신대학교 방사선학과) ;
  • 최남길 (동신대학교 방사선학과) ;
  • 장성주 (동신대학교 방사선학과)
  • Received : 2013.09.03
  • Accepted : 2013.09.24
  • Published : 2013.10.28
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Abstract

This study investigates the usefulness of body fix in 4DRT on Liver cancer trying to find tumor tissue's volume and located variations, absorbed dose on tumor and normal tissues. Test subjects 23 patients were agreed these test. These patient's have a 4 dimensional CT scan. We make an acquisition on patients CT image by two types -put on the body fix or not-. Average tumor volume reduced by 0.17% on GTV and 3.2% on CTV and PTV. Tumor's variation reduces 29.8%(anterior and posterior, AP) and 5.31% (upper and lower, UL). The absorbed tumor doses under put on the body fix was a little higher(1.3%) than other. Normal tissues'(normal liver, stomach, Rt. kidney, spinal cord) absorbed dose could be reduced approximately 5%. Therefore, using body fix on 4DRT for liver cancer patient is considered effectively.

본 연구에서는 간암 치료시 Body fix를 이용하여 4DRT를 실시할 경우 종양의 체적, 위치의 변화정도, 종양 및 정상조직의 선량흡수정도를 파악하여 Body fix의 유용성을 평가하였다. 사전 연구에 동의한 23명의 환자를 대상으로 Body fix의 착용 유무에 따라 각기 다른 4차원 모의치료영상을 획득하여 영상을 바탕으로 종양조직 및 정상조직을 설정하고 분석하였다. 종양의 용적을 분석해본 결과 Body fix의 사용이 GTV는 0.17%, CTV와 PTV는 3.2% 정도 체적을 줄일 수 있었으며, 종양의 운동성은 AP방향에서 29.8%, UL방향에서 5.31%의 움직임을 감소시킬 수 있었다. 종양의 흡수선량 값은 Body fix를 사용한 경우가 다소(1.3%) 높았으며 정상조직(정상간, 위, 우측신장, 척수)의 흡수선량은 5% 정도 줄일 수 있었다. 따라서 간암의 4DRT시 Body fix는 유용하게 사용할 수 있을 것으로 생각된다.

Keywords

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