LI Ling,WANG An-yu,ZHU Xiao-dong.Treating dose of target volume of nasopharyngeal carcinoma and contiguous organ at risk influenced by MRI and CT image difference in cranial base[J].Chinese Journal of Radiological Medicine and Protection,2008,28(5):520-522
Treating dose of target volume of nasopharyngeal carcinoma and contiguous organ at risk influenced by MRI and CT image difference in cranial base
Received:March 17, 2008  
DOI:
KeyWords:Nasopharyngeal carcinoma  Target volume of primary tumor  Contiguous organ at risk influenced  Computed tomography  Magnetic resonance imaging
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Author NameAffiliation
LI Ling Department of Radiation Oncology, Cancer Hospital, Guangxi Medical University, Nanning 530021, China 
WANG An-yu Department of Radiation Oncology, Cancer Hospital, Guangxi Medical University, Nanning 530021, China 
ZHU Xiao-dong Department of Radiation Oncology, Cancer Hospital, Guangxi Medical University, Nanning 530021, China 
秦岭 广西壮族自治区人民医院神经内科 
杨超凤 Department of Radiation Oncology, Cancer Hospital, Guangxi Medical University, Nanning 530021, China 
谢东 广西医科大学肿瘤医院CT室 
黄江琼 Department of Radiation Oncology, Cancer Hospital, Guangxi Medical University, Nanning 530021, China 
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Abstract::
      Objective To study the treating dose of target volume of nasopharyngeal carcinoma (NPC) and contiguous organ at risk influenced by magnetic resonance imaging (MRI) and computed tomography(CT) Image difference in cranial base. Methods 26 cases were performed from 101 patients of NPC with MRI and CT image difference in cranial base. We applied ARTP-TOP3D-TPS system to delineate target volume of NPC and contiguous organ at risk and develop the three-dimensional conformal radiotherapy (3-DCRT) plan, and compared the target volume of NPC by MRI (GTVMR) with the target volume of NPC by CT (GTVCT). Results There was statistic difference between GTVMR (47.0±16.3) cm3 and GTVCT (31.6±10.0) cm3 (Z=4.462,P<0.01). Compared with CT based plan, the mean dose of brainstem, pituitary, temporal lobe and both eyes and the D5 mean dose of brainstem, spinal cord, pituitary, temporal lobe and both eyes in MRI based plan were larger. There was no statistic difference in the mean dose of spinal cord between two plans. Conclusions The dose of target volume in 3D-CRT plan based GTVMR is superior to GTVCT, but the dose of contiguous organ at risk in 3D-CRT plan based GTVMR is higher.
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