GONG Jian,YU Rong,WU Hao,et al.Dosimetric comparison between RapidArc and fixed gantry dynamic IMRT for central-type lung cancer radiotherapy[J].Chinese Journal of Radiological Medicine and Protection,2010,30(4):448-451
Dosimetric comparison between RapidArc and fixed gantry dynamic IMRT for central-type lung cancer radiotherapy
Received:March 13, 2010  
DOI:10.3760/cma.j.issn.0254-5098.2010.04.022
KeyWords:RapidArc  Dynamic intensity modulated radiation therapy  Central-type lung cancer  Dosimetry
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Author NameAffiliationE-mail
GONG Jian Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Radiation Oncology, School of Oncology, Peking University, Beijing Cancer Hospital & Institute, Beijing 100142, China  
YU Rong Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Radiation Oncology, School of Oncology, Peking University, Beijing Cancer Hospital & Institute, Beijing 100142, China  
WU Hao Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Radiation Oncology, School of Oncology, Peking University, Beijing Cancer Hospital & Institute, Beijing 100142, China  
HAN Shu-kui Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Radiation Oncology, School of Oncology, Peking University, Beijing Cancer Hospital & Institute, Beijing 100142, China  
XU Bo Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Radiation Oncology, School of Oncology, Peking University, Beijing Cancer Hospital & Institute, Beijing 100142, China fangliaoxubo@vip.sina.com 
ZHU Guang-ying Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Radiation Oncology, School of Oncology, Peking University, Beijing Cancer Hospital & Institute, Beijing 100142, China  
JIANG Fan Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Radiation Oncology, School of Oncology, Peking University, Beijing Cancer Hospital & Institute, Beijing 100142, China  
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Abstract::
      Objective To compare the dosimetric difference between RapidArc and fixed gantry angle dynamic IMRT(dIMRT) for central-type lung cancer radiotherapy.Methods Therapy for 10 patients previously treated with dIMRT was replanned with RapidArc. Dose prescription was 66 Gy/33 fraction. Comparative endpoints were planning target volume (PTV) dose, doses to surrounding structures, number of monitor units, and treatment delivery time.Results There was no significant dosimetric difference between RapidArc and dIMRT. Compared with dIMRT, RapidArc slightly elevated target volume dose, lung V5,V10. The average values of lung V20,V30 and heart V30 were larger in dIMRT than those in RapidArc. The number of monitor units was reduced by 32% and the treatment time by 66% in RapidArc.Conclusions Both RapidArc and dIMRT plans could meet the clinical therapy needs. RapidArc could achieve similar target coverage and sparing of organs at risk, with fewer monitor units and shorter delivery time than dIMRT.
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