• Title/Summary/Keyword: Dose planning

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Usefulness of Radiation Treatment Planning Applied Respiration Factor for Stereotactic Body Radiation Therapy in the Lung Cancer (폐암 환자의 정위체부방사선치료 시 호흡인자를 적용한 방사선 치료계획의 유용성)

  • Shin, Sung Pil;Kim, Tae-Hyung;So, Woon Young;Back, Geum Mun
    • Journal of radiological science and technology
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    • v.39 no.4
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    • pp.587-593
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    • 2016
  • We are evaluated the usefulness of radiation treatment planning applied respiration factor for stereotactic body radiation therapy in the lung cancer. Four dimensional computed tomography images were obtained in 10 patients with lung cancer. The radiation treatment plans were established total lung volume according to respiration images (new method) and conventional method. We was analyzed in the lung volume, radiation absorbed dose of lung and main organs (ribs, tracheobronchus, esophagus, spinal cord) around the tumor, respectively. We were confirmed that lung volume and radiation absorbed dose of lung and main organs around the tumor deference according to applied respiration. In conclusion, radiation treatment planning applied respiration factor seems to be useful for stereotactic body radiation therapy in the lung cancer.

Low Contrast and Low kV CTA Before Transcatheter Aortic Valve Replacement: A Systematic Review

  • Spencer C. Lacy;Mina M. Benjamin;Mohammed Osman;Mushabbar A. Syed;Menhel Kinno
    • Journal of Cardiovascular Imaging
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    • v.31 no.2
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    • pp.108-115
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    • 2023
  • BACKGROUND: Minimizing contrast dose and radiation exposure while maintaining image quality during computed tomography angiography (CTA) for transcatheter aortic valve replacement (TAVR) is desirable, but not well established. This systematic review compares image quality for low contrast and low kV CTA versus conventional CTA in patients with aortic stenosis undergoing TAVR planning. METHODS: We performed a systematic literature review to identify clinical studies comparing imaging strategies for patients with aortic stenosis undergoing TAVR planning. The primary outcomes of image quality as assessed by the signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were reported as random effects mean difference with 95% confidence interval (CI). RESULTS: We included 6 studies reporting on 353 patients. There was no difference in cardiac SNR (mean difference, -1.42; 95% CI, -5.71 to 2.88; p = 0.52), cardiac CNR (mean difference, -3.83; 95% CI, -9.98 to 2.32; p = 0.22), aortic SNR (mean difference, -0.23; 95% CI, -7.83 to 7.37; p = 0.95), aortic CNR (mean difference, -3.95; 95% CI, -12.03 to 4.13; p = 0.34), and ileofemoral SNR (mean difference, -6.09; 95% CI, -13.80 to 1.62; p = 0.12) between the low dose and conventional protocols. There was a difference in ileofemoral CNR between the low dose and conventional protocols with a mean difference of -9.26 (95% CI, -15.06 to -3.46; p = 0.002). Overall, subjective image quality was similar between the 2 protocols. CONCLUSIONS: This systematic review suggests that low contrast and low kV CTA for TAVR planning provides similar image quality to conventional CTA.

Accuracy of Dose Estimation in High Dose Rate Intracavitary Radiotherapy of Carcinoma of the Uterine Cervix (자궁경부암 고선량율 강내치료의 치료선량 정확도에 관한 연구)

  • Huh, Seung-Jae;Ha, Sung-Whan;Chai, Kyu-Young
    • Radiation Oncology Journal
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    • v.5 no.2
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    • pp.137-140
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    • 1987
  • In brachytherapy of uterine conical cancer using a high dose rate remote afterloading system, it is of prime importance to deliver a accurate dose in each fractionated treatment by minimizing the difference between the pre-treatment planned and post-treatment calculated doses. The post-treatment calculated point A dose was not much different from the pretreatment planned dose (500 cGy). The $average{\pm}standard$ deviation was $500\pm18cGy$ and 84 percent of 82 intracavitary radiotherapy was within the range of $500\pm25cGy$.

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A proposal on multi-agent static path planning strategy for minimizing radiation dose

  • Minjae Lee;SeungSoo Jang;Woosung Cho;Janghee Lee;CheolWoo Lee;Song Hyun Kim
    • Nuclear Engineering and Technology
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    • v.56 no.1
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    • pp.92-99
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    • 2024
  • To minimize the cumulative radiation dose, various path-finding approaches for single agent have been proposed. However, for emergence situations such as nuclear power plant accident, these methods cannot be effectively utilized for evacuating a large number of workers because no multi-agent method is valid to conduct the mission. In this study, a novel algorithm for solving the multi-agent path-finding problem is proposed using the conflict-based search approach and the objective function redefined in terms of the cumulative radiation dose. The proposed method can find multi paths that all agents arrive at the destinations with reducing the overall radiation dose. To verify the proposed method, three problems were defined. In the single-agent problem, the objective function proposed in this study reduces the cumulative dose by 82% compared with that of the shortest distance algorithm in experiment environment of this study. It was also verified in the two multi-agent problems that multi paths with minimized the overall radiation dose, in which all agents can reach the destination without collision, can be found. The method proposed in this study will contribute to establishing evacuation plans for improving the safety of workers in radiation-related facilities.

A Cosideration on Physical Aspects in Teleradiotherapy Chart QA (원격방사선치료 기록부의 QA 에서 물리적 측면의 고찰)

  • 강위생;허순녕
    • Progress in Medical Physics
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    • v.10 no.2
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    • pp.95-101
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    • 1999
  • The aims of this report are to classify the incorrect data of patients and the errors of dose and dose distribution observed in QA activities on teleradiotherapy chart, and to analyze their frequency. In our department, radiation physicists check several sheets of patient chart to reduce numeric errors before starting radiation therapy and at least once a week, which include history, port diagram, MU calculation or treatment planning summary and daily treatment sheet. The observed errors are classified as followings. 1) Identity of patient, 2) Omitted or unrecorded history sheet even though not including the item related to dose, 3) Omission of port diagram, or omitted or erroneous data, 4) Erroneous calculation of MU and point dose, and important causes, 5) Loss of summary sheet of treatment planning, and erroneous data of patient in the sheet, 6) Erroneous record of radiation therapy, and errors of daily dose, port setup, MU and accumulated dose in the daily treatment sheet, 7) Errors leading inexact dose or dose distribution, errors not administerd even though its possibility, and simply recorded errors, 8) Omission of sign. Number of errors was counted rather than the number of patients. In radiotherapy chart QA from Jun 17, 1996 to Jul 31, 1999, no error of patient identity had been observed. 431 Errors in 399 patient charts had been observed and there were 405 physical errors, 9 cases of omitted or unrecorded history sheet, and 17 unsigned. There were 23 cases (5.7%) of omitted port diagram, 21 cases (5.2%) of omitted data and 73 cases (18.0 %) of erroneous data in port diagram, 13 cases (3.2 %) treated without MU calculation, 68 cases (16.3 %) of erroneous MU, 8 cases (2.0%) of erroneous point dose, 1 case (0.2 %) of omitted treatment planning summary, 11 cases (2.7%) of erroneous input of patient data, 13 cases (3.2%) of uncorrected record of treatment, 20 cases (4.9%) of discordant daily doses in MU calculation sheet and daily treatment sheet, 33 cases (8.1%) of erroneous setup, 52 cases (12.8%) of MU setting error, 61 cases (15.1%) of erroneous accumulated dose. Cases of error leading inexact dose or dose distribution were 239 (59.0 %), cases of error not administered even though its possibility were 142 (35.1 %), and cases of simply recorded error were 24 (5.9 %). The numeric errors observed in radiotherapy chart ranged over various items. Because errors observed can actually contribute to erroneous dose or dose distribution, or have the possibility to lead such errors, thorough QA activity in physical aspects of radiotherapy charts is required.

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In-vivo Dose verification using MOSFET dosimeter (MOSFET 선량계를 이용한 In-vivo 선량의 확인)

  • Kang, Dae-Gyu;Lee, Kwang-Man
    • Journal of Sensor Science and Technology
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    • v.15 no.2
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    • pp.102-105
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    • 2006
  • In-vivo dosimetry is an essential tool of quality assurance programs in radiotherapy. The most commonly used techniques to verify dose are thermoluminescence dosimeter (TLD) and diode detectors. Metal oxide semiconductor field-effect transistor (MOSFET) has been recently proposed for using in radiation therapy with many advantages. The reproducibility, linearity, isotropy, dose rate dependence of the MOSFET dosimeter were studied and its availability was verified. Consequently the results can be used to improve therapeutic planning procedure and minimize treatment errors in radiotherapy.

Photon Beam Commissioning for Monte Carlo Dose Calculation

  • Cho, Byung-Chul;Park, Hee-Chul;Hoonsik Bae
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.106-108
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    • 2002
  • Recent advances in radiation transport algorithms, computer hardware performance, and parallel computing make the clinical use of Monte Carlo based dose calculations possible. Monte Carlo treatment planning requires accurate beam information as input to generate accurate dose distributions. The procedures to obtain this accurate beam information are called "commissioning", which includes accelerator head modeling. In this study, we would like to investigate how much accurately Monte Carlo based dose calculations can predict the measured beam data in various conditions. The Siemens 6MV photon beam and the BEAM Monte Carlo code were used. The comparisons including the percentage depth doses and off-axis profiles of open fields and wedges, output factors will be presented.

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THE IMPORTANCE OF PATIENT-SPECIFIC DOSE CALCULATIONS IN NUCLEAR MEDICINE

  • Stabin, Michael G.
    • Nuclear Engineering and Technology
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    • v.40 no.7
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    • pp.527-532
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    • 2008
  • As therapeutic uses of radionuclides in nuclear medicine increases, the use of patient-specific methods for calculation of radiation dose becomes more important. In this manuscript basic methods and resources for internal dose calculations are outlined, with a focus on how current changes and advances are making more accurate and detailed, patient-individualized dose calculations possible. Most current resources make use of standardized models of the human body representing median individuals, but the use of image-based and more realistic models will soon take their place, and will permit adjustments to represent individual patients and tailor therapy planning uniquely for each subject.

Investigation of Dose Distribution in Mixed Neutron-Gamma Field of Boron Neutron Capture Therapy using N-Isopropylacrylamide Gel

  • Bavarnegin, Elham;Khalafi, Hossein;Sadremomtaz, Alireza;Kasesaz, Yaser;Khajeali, Azim
    • Nuclear Engineering and Technology
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    • v.49 no.1
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    • pp.189-195
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    • 2017
  • Gel dosimeters have unique advantages in comparison with other dosimeters. Until now, these gels have been used in different radiotherapy techniques as a reliable dosimetric tool. Because dose distribution measurement is an important factor for appropriate treatment planning in different radiotherapy techniques, in this study, we evaluated the ability of the N-isopropylacrylamide (NIPAM) polymer gel to record the dose distribution resulting from the mixed neutron-gamma field of boron neutron capture therapy (BNCT). In this regard, a head phantom containing NIPAM gel was irradiated using the Tehran Research Reactor BNCT beam line, and then by a magnetic resonance scanner. Eventually, the $R_2$ maps were obtained in different slices of the phantom by analyzing T2-weighted images. The results show that NIPAM gel has a suitable potential for recording three-dimensional dose distribution in mixed neutron-gamma field dosimetry.