• Title/Summary/Keyword: dose comparison

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Dosimetric comparison of intensity-modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT) in total scalp irradiation: a single institutional experience

  • Ostheimer, Christian;Hubsch, Patrick;Janich, Martin;Gerlach, Reinhard;Vordermark, Dirk
    • Radiation Oncology Journal
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    • v.34 no.4
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    • pp.313-321
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    • 2016
  • Purpose: Total scalp irradiation (TSI) is a rare but challenging indication. We previously reported that non-coplanar intensity-modulated radiotherapy (IMRT) was superior to coplanar IMRT in organ-at-risk (OAR) protection and target dose distribution. This consecutive treatment planning study compared IMRT with volumetric-modulated arc therapy (VMAT). Materials and Methods: A retrospective treatment plan databank search was performed and 5 patient cases were randomly selected. Cranial imaging was restored from the initial planning computed tomography (CT) and target volumes and OAR were redelineated. For each patients, three treatment plans were calculated (coplanar/non-coplanar IMRT, VMAT; prescribed dose 50 Gy, single dose 2 Gy). Conformity, homogeneity and dose volume histograms were used for plan. Results: VMAT featured the lowest monitor units and the sharpest dose gradient (1.6 Gy/mm). Planning target volume (PTV) coverage and homogeneity was better in VMAT (coverage, 0.95; homogeneity index [HI], 0.118) compared to IMRT (coverage, 0.94; HI, 0.119) but coplanar IMRT produced the most conformal plans (conformity index [CI], 0.43). Minimum PTV dose range was 66.8%-88.4% in coplanar, 77.5%-88.2% in non-coplanar IMRT and 82.8%-90.3% in VMAT. Mean dose to the brain, brain stem, optic system (maximum dose) and lenses were 18.6, 13.2, 9.1, and 5.2 Gy for VMAT, 21.9, 13.4, 14.5, and 6.3 Gy for non-coplanar and 22.8, 16.5, 11.5, and 5.9 Gy for coplanar IMRT. Maximum optic chiasm dose was 7.7, 8.4, and 11.1 Gy (non-coplanar IMRT, VMAT, and coplanar IMRT). Conclusion: Target coverage, homogeneity and OAR protection, was slightly superior in VMAT plans which also produced the sharpest dose gradient towards healthy tissue.

Thyroid Doses in Children from Radioiodine following the Accident at the Fukushima Daiichi Nuclear Power Plant

  • Kim, Eunjoo;Kurihara, Osamu
    • Journal of Radiation Protection and Research
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    • v.45 no.1
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    • pp.2-10
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    • 2020
  • Background: Huge amounts of radionuclides were released into the environment due to the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident, which caused not only serious contamination on the ground, but also radiation exposure to the public. One problem that remains in performing the dose estimation is the difficulty of estimating the internal thyroid dose due to the intake of radioiodine (mainly, 131I) because of limitations to the human data available. Materials and Methods: The relevant papers were collected and reviewed by the authors. The results of thyroid dose estimates from different studies were tabulated for comparison. Results and Discussion: The thyroid dose estimates from the studies varied widely. The dose estimates by the United Nations Scientific Committee on the Effects of Atomic Radiation were higher than the others due to the ingestion dose being based on conservative assumptions. The dose estimates by Japanese experts were mostly below 20-30 mSv. The recent studies suggested that exposure on March 12, 2011 would be crucial for late evacuees from the areas near the FD-NPP because of the possible intake of short-lived radionuclides other than 131I. Further multilateral studies are vital to reduce uncertainties in the present dose estimations. Conclusion: The estimation of the thyroid doses to Fukushima residents still has many uncertainties. However, it is considered unlikely that the thyroid doses exceeded 50 mSv except in some extreme cases. Further multilateral studies are thus necessary to reduce the uncertainties in the present dose estimations.

Comparison between Old and New Versions of Electron Monte Carlo (eMC) Dose Calculation

  • Seongmoon Jung;Jaeman Son;Hyeongmin Jin;Seonghee Kang;Jong Min Park;Jung-in Kim;Chang Heon Choi
    • Progress in Medical Physics
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    • v.34 no.2
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    • pp.15-22
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    • 2023
  • This study compared the dose calculated using the electron Monte Carlo (eMC) dose calculation algorithm employing the old version (eMC V13.7) of the Varian Eclipse treatment-planning system (TPS) and its newer version (eMC V16.1). The eMC V16.1 was configured using the same beam data as the eMC V13.7. Beam data measured using the VitalBeam linear accelerator were implemented. A box-shaped water phantom (30×30×30 cm3) was generated in the TPS. Consequently, the TPS with eMC V13.7 and eMC V16.1 calculated the dose to the water phantom delivered by electron beams of various energies with a field size of 10×10 cm2. The calculations were repeated while changing the dose-smoothing levels and normalization method. Subsequently, the percentage depth dose and lateral profile of the dose distributions acquired by eMC V13.7 and eMC V16.1 were analyzed. In addition, the dose-volume histogram (DVH) differences between the two versions for the heterogeneous phantom with bone and lung inserted were compared. The doses calculated using eMC V16.1 were similar to those calculated using eMC V13.7 for the homogenous phantoms. However, a DVH difference was observed in the heterogeneous phantom, particularly in the bone material. The dose distribution calculated using eMC V16.1 was comparable to that of eMC V13.7 in the case of homogenous phantoms. The version changes resulted in a different DVH for the heterogeneous phantoms. However, further investigations to assess the DVH differences in patients and experimental validations for eMC V16.1, particularly for heterogeneous geometry, are required.

Verification of Clinical Usefulness of Jaw Tracking in IMRT (IMRT에 있어 Jaw Tracking 의 임상적 유용성 검증)

  • Kim, Jin-young;Kim, Ki-Hwan
    • Journal of the Korean Society of Radiology
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    • v.14 no.2
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    • pp.105-109
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    • 2020
  • Intensity-modulated radiotherapy(IMRT) has disadvantages such as increasing the low doses of irradiation to normal tissues and accumulated dose for the whole volume by leakage and transmission of the Multi Leaf Collimator (MLC). The accumulated dose and low dose may increase the occurrence of secondary malignant neoplasms. For this reasons, the jaw tracking function of the TrueBeam (Varian Medical Systems, Palo Alto, CA) was developed to reduce the leakage and transmission dose of the MLC with existing linear accelerators. But quantitative analysis of the dose reduction has not been verified. Therefore, in the present study, we intended to verify the clinical possibility of utilizing the jaw tracking function in brain tumor with comparison of treatment plans. To accomplish this, 3 types of original treatment plans were made using Eclipse11 (Varian Medical Systems, Palo Alto, CA): 1) beyond 2 cm distance from the Organs At Risk (OARs); 2) within 2 cm distance from the OARs; and 3) intersecting with the OARs. Jaw tracking treatment plans were also made with copies of the original treatment planning using Smart LMC Version 11.0.31 (Varian Medical Systems, Palo Alto, CA). A comparison between the 2 types of treatment planning methods was performed using the difference of the mean dose and maximum dose to the OARs in cumulative Dose Volume Histogram (DVH). In the DVH comparison, the maximum difference of 0.5 % was observed between the planning methods in the case of over 2 cm distance, and the maximum of 0.6 % was obtained for within the 2 cm distance. For the case intersecting with the OAR, the maximum difference of 2 % was achieved. According to these results, it could be realized that the differences of mean dose and maximum dose to the OARs was larger when the OARs and PTV were closer. Therefore, treatment plans with the jaw tracking function consistently affected the dose reduction and the clinical possibility could be verified.

Dosimetric comparison of IMRT versus 3DCRT for post-mastectomy chest wall irradiation

  • Rastogi, Kartick;Sharma, Shantanu;Gupta, Shivani;Agarwal, Nikesh;Bhaskar, Sandeep;Jain, Sandeep
    • Radiation Oncology Journal
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    • v.36 no.1
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    • pp.71-78
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    • 2018
  • Purpose: To compare the dose distribution of three-dimensional conformal radiation therapy (3DCRT) with intensity-modulated radiation therapy (IMRT) for post-mastectomy radiotherapy (PMRT) to left chest wall. Materials and Methods: One hundred and seven patients were randomised for PMRT in 3DCRT group (n = 64) and IMRT group (n = 43). All patients received 50 Gy in 25 fractions. Planning target volume (PTV) parameters-$D_{near-max}$ ($D_2$), $D_{near-min}$ ($D_{98}$), $D_{mean}$, $V_{95}$, and $V_{107}$-homogeneity index (HI), and conformity index (CI) were compared. The mean doses of lung and heart, percentage volume of ipsilateral lung receiving 5 Gy ($V_5$), 20 Gy ($V_{20}$), and 55 Gy ($V_{55}$) and that of heart receiving 5 Gy ($V_5$), 25 Gy ($V_{25}$), and 45 Gy ($V_{45}$) were extracted from dose-volume histograms and compared. Results: PTV parameters were comparable between the two groups. CI was significantly improved with IMRT (1.127 vs. 1.254, p < 0.001) but HI was similar (0.094 vs. 0.096, p = 0.83) compared to 3DCRT. IMRT in comparison to 3DCRT significantly reduced the high-dose volumes of lung ($V_{20}$, 22.09% vs. 30.16%; $V_{55}$, 5.16% vs. 10.27%; p < 0.001) and heart ($V_{25}$, 4.59% vs. 9.19%; $V_{45}$, 1.85% vs. 7.09%; p < 0.001); mean dose of lung and heart (11.39 vs. 14.22 Gy and 4.57 vs. 8.96 Gy, respectively; p < 0.001) but not the low-dose volume ($V_5$ lung, 61.48% vs. 51.05%; $V_5$ heart, 31.02% vs. 23.27%; p < 0.001). Conclusions: For left sided breast cancer, IMRT significantly improves the conformity of plan and reduce the mean dose and high-dose volumes of ipsilateral lung and heart compared to 3DCRT, but 3DCRT is superior in terms of low-dose volume.

The Comparison on Treatment Method of Liquid Radioactive Waste in Yonggwang #3&4 and #5&6 (영광 3&4와 5&6호기에서 액체 방사성폐기물 처리방법의 비교)

  • Yeom, Yu-Seon;Kim, Soong-Pyung;Lee, Seung-Jin
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.2 no.3
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    • pp.219-230
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    • 2004
  • Most of the low-level liquid radioactive wastes generated from PWR plants are classified into high or low total suspended solid(HTDS or LTDS), and into radiochemical and radioactive laundry waste. Although the evaporation process has a high decontami- nation ability, it has several problems such as corrosion, foam, and congestion. A new liquid waste disposal process using the ion-exchange demineralizer(IED), instead of the current evaporation process, has been introduced into the Yonggwang NPP #5 and 6. These two methods have been compared to understand the differences in this study. Aspects compared here were the released radioactivity amount of the liquid radioactive wastes, the dose of off-site residents, the decontamination factor, and the amount of the solid radioactive wastes. The IED system is designed to discharge higher radioactivity about 20% than the evaporating system, and the actual radioactivity released from the evaporating and IED system were 0.473mCi and 1.098mCi, respectively. The radioactivity released from the IED was 2.32 times higher than that of the evaporating system. The dose of off-site residents was $2.97{\times}10^{-6}$mSv for the evaporating system, and $6.47{\times}10^{-6}$mSv for IED. The decontamination factor(DF) of the evaporator is, in most cases, far lower than the lower limits of detection(LLD) with the Ge-Li detector. Due to the low concentration of the liquid wastes collected from the liquid waste system, the decontamination factor of IED is very low. Since there is not enough data on the amount of solid radioactive wastes generated by the evaporation system, the comparison on these two systems has been conducted on the basis of the design, and the comparison result was that the evaporating system generated more wastes about 40% than IED.

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Comparison of Estimated and Measured Doses of Dual-energy Computed Tomography (Dual-energy 컴퓨터단층촬영에서 장비 제공선량과 측정선량 비교)

  • Kim, Yung-Kyoon;Kim, Yon-Min
    • Journal of radiological science and technology
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    • v.41 no.5
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    • pp.405-411
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    • 2018
  • We will provide basic data on the evaluation of patient dose in terms of DECT quality control by comparing the equipment-provided dose with the measured dose according to the configuration method of the X-ray generator by the manufacturer of the dual-energy CT unit. For computed tomography (CT) equipment, Discovery 750HD, Aquilion ONE GENESIS Edition, and Somatom Definition Flash were used. The $CTDI_{vol}$ value was measured by inserting the Unfors Xi ion chamber into a 32 cm PMMA acryl Phantom. The results of estimated $CTDI_{vol}$ DECT and measured $CTDI_{vol}$ showed that the dose difference between DECT 80 + 140 kVp of G company was at least 0.51% and -1.90% max, and measured $CTDI_{vol}$ was slightly lower (p<0.05). The difference of 80 + 140 kVp of S company was the minimum of 5.84% and the maximum of 7.52% (p<0.05). The measured $CTDI_{vol}$ was less than estimated $CTDI_{vol}$. The C company's 80 + 135 kVp showed a difference of at least 7.58% and a maximum of 13.58% (P<0.05), and all of measured $CTDI_{vol}$ was less. The linearity of exposure dose for all DECT equipment was very linearly reflected with $R^2$ being 0.97 or above, and the measured dose of the ionization chamber was less than the predicted dose of the monitor.

Comparison of Off-site Radiological Dose Due to the Routine Release of Gaseous Radioactive Effluents Based on the Korean and Japanese Regulatory Recommendations

  • Hwang, Won Tae;Kim, Chang Lak;Lee, Cheol-Woo;Han, Moon Hee
    • Journal of Radiation Protection and Research
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    • v.44 no.4
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    • pp.161-165
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    • 2019
  • Background: Not only regulatory framework including radiation protection quantities and regulatory standards, but also methodology for regulatory compliance may be different in each country due to inherent philosophy for radiation protection. Materials and Methods: Based on the Korean regulatory models, off-site radiological dose resulting from the routine releases of gaseous radioactive effluents was calculated by applying the parameter values and assumptions recommended in the Korean and Japanese regulations. Results and Discussion: Effective dose for adult based on the Korean recommendation were 17.5 and 1.6 times higher than those of Japanese recommendation for 131I and 133I, respectively, for the same atmosphere dispersion and ground deposition factors. Conclusion: It was due to different parameter values and assumptions recommended for the purpose of evaluating compliance with dose criteria for the radiation protection of the public in each country.