JIA Ming-xuan,ZOU Hua-wei,JI Tian-long,ZHANG Xu,HAN Cheng-bo.Evaluation of the patient doses from megavoltage cone-beam CT imaging in the image-guided radiation therapy for nasopharyngeal carcinoma.[J].Chinese Journal of Radiological Medicine and Protection,2010,30(2):199-201
Evaluation of the patient doses from megavoltage cone-beam CT imaging in the image-guided radiation therapy for nasopharyngeal carcinoma.
Received:April 17, 2009  
DOI:
KeyWords:Nasopharyngeal carcinoma  Megavoltage cone-beam CT  Patient doses
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Author NameAffiliation
JIA Ming-xuan Department of Radiation Oncology, Shengjing Hospital of China Medial University, Shenyang 110022, China 
ZOU Hua-wei Department of Radiation Oncology, Shengjing Hospital of China Medial University, Shenyang 110022, China 
JI Tian-long Department of Radiation Oncology, Shengjing Hospital of China Medial University, Shenyang 110022, China 
ZHANG Xu Department of Radiation Oncology, Shengjing Hospital of China Medial University, Shenyang 110022, China 
HAN Cheng-bo Department of Radiation Oncology, Shengjing Hospital of China Medial University, Shenyang 110022, China 
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Abstract::
      Objective To evaluate and estimate the patient doses from megavoltage cone-beam CT imaging system in the image-guided radiation therapy for nasopharyngeal carcinoma.Methods 8 MU protocol of the MV CBCT system was selected for the head-and-neck region. The absorbed doses at the different positions in the phantom were measured using a 0.65 cm3 ion chamber and the cylindrical acrylic phantom. The absorbed doses at the measurement positions of the phantom were calculated and the patient doses to the tumor and critical organs were derived from dose-volume histogram by the TPS mimicking the MV CBCT scanning with 8 MU protocol.Results The error between the measured dose and the calculated dose was less than 3.5%. The average doses to the tumor target, brain stem, spinal cord and chiasm were 6.43, 6.36, 6.83 and 6.90 cGy, respectively, while those to left and right of both optic nerve and parotid were 7.70 and 7.53 cGy, 7.70 and 7.53 cGy, respectively.Conclusion The patient doses estimated using the TPS mimicking the MV CBCT image acquiring procedure are accurate and reliable. The patient doses from the MV CBCT imaging must be considered when treatment plan of the patient is designed.
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