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Dosimetric and delivery comparison of helical tomotherapy with dynamic jaw and fixed jaw for cervical carcinoma.

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机构: [1]Sichuan Cancer Center, Radiation Oncology Key Laboratory of Sichuan Province, School of Medicine, Sichuan Cancer Hospital and Institute, University of Electronic Science and Technology of China, Chengdu, [2]Chongqing University Cancer Hospital, Chongqing, [3]Key Laboratory of Radiation Physics and Technology, Ministry of Education, Institute of Nuclear Science and Technology, Sichuan University, Chengdu, China
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关键词: Cervical carcinoma dosimetry dynamic jaw mode fixed jaw mode helical tomotherapy

摘要:
Recently, the dynamic jaw mode has been introduced in our radiation oncology center second in China. Many studies showed that dynamic jaw mode in helical tomotherapy (HT) has the potential to improve organs at risk avoidance.This study aimed to evaluate the plan quality and efficiency of dynamic jaw delivery compared to the regular HT delivery mode (fixed jaw mode) for cervical carcinoma.Plan quality and efficiency were compared among the fixed jaw 2.5 cm mode, the dynamic jaw 2.5 cm mode, and the dynamic jaw 5.0 cm mode. Subjects and Methods A total of 20 patients with cervical carcinoma were chosen to compare the plan quality and treatment efficiency using regular HT mode (fixed jaw 2.5 cm field width) and HT dynamic jaw mode with width 2.5 cm and 5.0 cm field width. The prescribed dose was 50.4 Gy in 28 fractions to planning target volume. Target coverage, homogeneity, conformity, sparing of organs at risk (OARs), monitor unit, and beam-on time were evaluated.: The statistical significance of any difference among plans assessed the two-sided paired t-test. The statistical analysis was conducted using SPSS 19.0 software.For each of the 20 patients, the plans were clinically acceptable. The target coverage and sparing of most OARs were measured using the dynamic jaw.Cervical carcinoma should be treated with the dynamic jaw 2.5 cm mode. Considering the risk of long treatment time, the dynamic jaw 5.0 cm mode could be an option.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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出版当年[2021]版:
Q4 ONCOLOGY
最新[2023]版:
Q4 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Sichuan Cancer Center, Radiation Oncology Key Laboratory of Sichuan Province, School of Medicine, Sichuan Cancer Hospital and Institute, University of Electronic Science and Technology of China, Chengdu,
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通讯机构: [1]Sichuan Cancer Center, Radiation Oncology Key Laboratory of Sichuan Province, School of Medicine, Sichuan Cancer Hospital and Institute, University of Electronic Science and Technology of China, Chengdu, [3]Key Laboratory of Radiation Physics and Technology, Ministry of Education, Institute of Nuclear Science and Technology, Sichuan University, Chengdu, China [*1]No. 55, Section 4, South Renmin Road, Chengdu, China.
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