LI Xue-nan,XIU Xia,LI Gao-feng.Influence of tumor volume change on intensity modulated radiotherapy for nasopharyngeal carcinoma analyzed by repeated CT simulation[J].Chinese Journal of Radiological Medicine and Protection,2013,33(5):516-518
Influence of tumor volume change on intensity modulated radiotherapy for nasopharyngeal carcinoma analyzed by repeated CT simulation
Received:April 16, 2013  
DOI:10.3760/cma.j.issn.0254-5098.2013.05.015
KeyWords:CT simulation  Intensity modulated radiotherapy  Nasopharyngeal carcinoma  Organ at risk
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Author NameAffiliationE-mail
LI Xue-nan Department of Radiation Oncology, Beijing Hospital, Ministry of Health, Beijing 100730, China  
XIU Xia Department of Radiation Oncology, Beijing Hospital, Ministry of Health, Beijing 100730, China cindy0204@hotmail.com 
LI Gao-feng Department of Radiation Oncology, Beijing Hospital, Ministry of Health, Beijing 100730, China  
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Abstract::
      Objective To analyze the influence of tumor volume change on intensity modulated radiotherapy (IMRT) for nasopharyngeal carcinoma by analyzing the repeated CT simulation. Methods Twenty nasopharyngeal carcinoma patients undergoing IMRT from July 2011 to November 2012 were selected in the study. The first CT simulation was conducted prior to radiotherapy, and the repeated CT simulation was finished after radiotherapy of 30 Gy. The first and the repeated CT images were fused in treatment planning system and GTV volume shrink rate was calculated. The original plan was used to recalculate the dose distribution on repeated CT. The dose volume histogram was used to calculate the dose difference of organs at risk including the brain stem and spinal cord. Results Compared with the first CT, GTV volume shrink rate of the repeated CT simulation was 28.7%, the maximum dose, 1 cm3 volume and the average dose percentage of the brain stem and spinal cord were increased (t=0.83-3.17,P<0.05). Conclusions GTV volume shrinked significantly after radiotherapy of 30 Gy in IMRT for nasopharyngeal carcinoma. The dose of the organs at risk increased accordingly.
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