Li Xin Chen

A comparative dosimetric study for treating left-sided breast cancer for small breast size using five different radiotherapy techniques: conventional tangential field, filed-in-filed, Tangential-IMRT, Multi-beam IMRT and VMAT

Background and purposesTo compare the dosimetry for the left-sided breast cancer treatment using five different radiotherapy techniques.Materials and methodsTwenty patients with left sided breast cancer were treated with conservative surgery followed by radiotherapy. They were planned using five different radiotherapy techniques, including: 1) conventional tangential wedge-based fields (TW); 2) field-in-field (FIF) technique; 3) tangential inverse planning intensity-modulated radiation therapy (T-IMRT); 4) multi-field IMRT (M-IMRT); and 5) volumetric modulated arc therapy (VMAT). The CTV, PTV and OARs including the heart, the regions of coronary artery (CA), the contralateral breast, the left and right lung were delineated. The PTV dose was prescribed 50Gy and V47.5≥95%. Same dose constraint was used for all five plans. The planned volumetric dose of PTV and PRV-OARs were compared and analyzed.ResultsExcept VMAT (Average V47.5 was 94.72%±1.2%), all the other four plans were able to meet the V95% (V47.5) requirement. T-IMRT plan improved the PTV dose homogeneity index (HI) by 0.02 and 0.03 when compared to TW plan and VMAT plan, and decreased the V5, V10 and V20 of all PRV-OARs. However, the high dose volume (≥ 30Gy) of the PRV-OARs in T-IMRT plan had no statistically significant difference compared with the other two inverse plans. In all five plans, the dose volume of coronary artery area showed a strong correlation to the dose volume of the heart (the correlation coefficients were 0.993, 0.996, 1.000, 0.995 and 0.986 respectively).ConclusionCompared to other techniques, the T-IMRT technology reduced radiation dose exposure to normal tissues and maintained reasonable target homogeneity, VMAT is not recommended for left-sided breast cancer treatment. In five techniques, the dose-volume histogram (DVH) of the heart can be used to predict the dose-volume histogram (DVH) of the coronary artery.

Monte Carlo evaluations of the absorbed dose and quality dependence of Al2O3 in radiotherapy photon beams

PURPOSE The purpose of this work was to evaluate the absorbed dose to AL2O3 dosimeter at various depths of water phantom in radiotherapy photon beams by Monte Carlo simulation and evaluate the beam quality dependence. METHODS The simulations were done using EGSnrc. The cylindrical Al2O3 dosimeter (Phi4 mm x 1 mm) was placed at the central axis of the water phantom (Phi16 cm x 16 cm) at depths between 0.5 and 8 cm. The incident beams included monoenergetic photon beams ranging from 1 to 18 MeV, 60Co gamma beams, Varian 6 MV beams using phase space files based on a full simulation of the linac, and Varian beams between 4 and 24 MV using Mohans spectra. The absorbed dose to the dosimeter and the water at the corresponding position in the absence of the dosimeter, as well as absorbed dose ratio factor fmd, was calculated. RESULTS The results show that fmd depends obviously on the photon energy at the shallow depths. However, as the depth increases, the change in fmd becomes small, beyond the buildup region, the maximum discrepancy of fmd to the average value is not more than 1%. CONCLUSIONS These simulation results confirm the use of Al2O3 dosimeter in radiotherapy photon beams and clearly indicate that more attention should be paid when using such a dosimeter in the buildup region of high-energy radiotherapy photon beams.

Monte Carlo evaluations of the absorbed dose and quality dependence of Al2O3 in radiotherapy photon beams: Monte Carlo evaluations of Al2O3

PURPOSE The purpose of this work was to evaluate the absorbed dose to AL2O3 dosimeter at various depths of water phantom in radiotherapy photon beams by Monte Carlo simulation and evaluate the beam quality dependence. METHODS The simulations were done using EGSnrc. The cylindrical Al2O3 dosimeter (Phi4 mm x 1 mm) was placed at the central axis of the water phantom (Phi16 cm x 16 cm) at depths between 0.5 and 8 cm. The incident beams included monoenergetic photon beams ranging from 1 to 18 MeV, 60Co gamma beams, Varian 6 MV beams using phase space files based on a full simulation of the linac, and Varian beams between 4 and 24 MV using Mohans spectra. The absorbed dose to the dosimeter and the water at the corresponding position in the absence of the dosimeter, as well as absorbed dose ratio factor fmd, was calculated. RESULTS The results show that fmd depends obviously on the photon energy at the shallow depths. However, as the depth increases, the change in fmd becomes small, beyond the buildup region, the maximum discrepancy of fmd to the average value is not more than 1%. CONCLUSIONS These simulation results confirm the use of Al2O3 dosimeter in radiotherapy photon beams and clearly indicate that more attention should be paid when using such a dosimeter in the buildup region of high-energy radiotherapy photon beams.

Monte Carlo evaluations of the absorbed dose and quality dependence of in radiotherapy photon beams

PURPOSE The purpose of this work was to evaluate the absorbed dose to AL2O3 dosimeter at various depths of water phantom in radiotherapy photon beams by Monte Carlo simulation and evaluate the beam quality dependence. METHODS The simulations were done using EGSnrc. The cylindrical Al2O3 dosimeter (Phi4 mm x 1 mm) was placed at the central axis of the water phantom (Phi16 cm x 16 cm) at depths between 0.5 and 8 cm. The incident beams included monoenergetic photon beams ranging from 1 to 18 MeV, 60Co gamma beams, Varian 6 MV beams using phase space files based on a full simulation of the linac, and Varian beams between 4 and 24 MV using Mohans spectra. The absorbed dose to the dosimeter and the water at the corresponding position in the absence of the dosimeter, as well as absorbed dose ratio factor fmd, was calculated. RESULTS The results show that fmd depends obviously on the photon energy at the shallow depths. However, as the depth increases, the change in fmd becomes small, beyond the buildup region, the maximum discrepancy of fmd to the average value is not more than 1%. CONCLUSIONS These simulation results confirm the use of Al2O3 dosimeter in radiotherapy photon beams and clearly indicate that more attention should be paid when using such a dosimeter in the buildup region of high-energy radiotherapy photon beams.