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Optimization strategies for pulsed low-dose-rate IMRT of recurrent lung and head and neck cancers

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机构: [1]Radiation Oncology Department, Sichuan Cancer Hospital, Chengdu, 610041, People’s Republic of China [2]Department of Radiation Oncology,Fox Chase Cancer Center, Philadelphia, PA, USA [3]Department of Radiation Oncology,Eye Ear Nose & Throat Hospital of Fudan University, Shanghai, People’s Republic of China
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关键词: pulsed low-dose-rate radiotherapy (PLDR) IMRT recurrent cancer H&N cancer lung cancer

摘要:
Pulsed low-dose-rate radiotherapy (PLDR) has been proven to be a valid method of reirradiation. Previous studies of recurrent cancer radiotherapy were mainly based on conventional 3D CRT and VMAT delivery techniques. There are difficulties in IMRT planning using existing commercial treatment planning systems (TPS) to meet the PLDR protocol. This work focuses on PLDR using ten-field IMRT and a commercial TPS for two specific sites: recurrent lung cancers and head and neck cancers. Our PLDR protocol requires that the maximum dose to the PTV be less than 0.4 Gy and the mean dose to be 0.2 Gy per field. We investigated various planning strategies to meet the PLDR requirements for 20 lung and head and neck patients. The PTV volume for lung cases ranged from 101.7 to 919.4 cm(3) and the maximum dose to the PTV ranged from 0.22 to 0.39 Gy. The PTV volume for head and neck cases ranged from 66.2 to 282.1 cm(3) and the maximum dose to the PTV ranged from 0.21 to 0.39 Gy. With special beam arrangements and dosimetry parameters, it is feasible to use a commercial TPS to generate quality PLDR IMRT plans for lung and head and neck reirradiation.

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出版当年[2014]版:
大类 | 4 区 医学
小类 | 4 区 核医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 核医学
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出版当年[2014]版:
Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [1]Radiation Oncology Department, Sichuan Cancer Hospital, Chengdu, 610041, People’s Republic of China
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通讯机构: [2]Department of Radiation Oncology,Fox Chase Cancer Center, Philadelphia, PA, USA [*1]Fox Chase Cancer Center, 333 Cottman Ave., Philadelphia, PA 19111, USA
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