Lu Feng,Song Gang,Bi Mingwei,Xu Jiaang,Liu Qian,Chen Yingmin,Deng Daping.Comparison of radiation field irradiated by different focusing modes of γ-knife[J].Chinese Journal of Radiological Medicine and Protection,2015,35(5):384-388
Comparison of radiation field irradiated by different focusing modes of γ-knife
Received:October 13, 2014  
DOI:10.3760/cma.j.issn.0254-5098.2015.05.018
KeyWords:γ-knife  Radiation field  Focusing mode  Dose
FundProject:山东省科技发展计划(2009GG10002051)
Author NameAffiliationE-mail
Lu Feng Institute of Radiation Medicine, Shandong Academy of Medicine Sciences, Jinan 250062, China  
Song Gang Institute of Radiation Medicine, Shandong Academy of Medicine Sciences, Jinan 250062, China  
Bi Mingwei Institute of Radiation Medicine, Shandong Academy of Medicine Sciences, Jinan 250062, China  
Xu Jiaang Institute of Radiation Medicine, Shandong Academy of Medicine Sciences, Jinan 250062, China  
Liu Qian Institute of Radiation Medicine, Shandong Academy of Medicine Sciences, Jinan 250062, China  
Chen Yingmin Institute of Radiation Medicine, Shandong Academy of Medicine Sciences, Jinan 250062, China  
Deng Daping Institute of Radiation Medicine, Shandong Academy of Medicine Sciences, Jinan 250062, China yanzhid@126.com 
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Abstract::
      Objective To compare the single-shot fields irradiated by three focusing modes of γ-knife and explore the approaches for improving the quality of stereotactic radiosurgery. Methods GAFCHROMIC® EBT3 mode flushing-free film was used to measure the single-shot fields irradiated by multi-source static focusing modes, multi-source single-axis rotating focusing mode and single-source double-axis rotating focusing mode of γ-knife. Also the uniformity and penumbra of the single-shot fields were compared. Results The 2D dose distribution of the single-shot fields irradiated by three focusing modes of γ-knife was different. In the axis (x, y, z), the rang of penumbra axial length ratios of multi-source static focusing modes, multi-source single-axis rotating focusing mode and single-source double-axis rotating focusing mode were 0.13-0.48, 0.17-0.33 and 0.28-0.54, in the diagonal direction of the wings plane (NSD, PSD), were 0.31-0.39,0.38-0.43 and 0.54-0.72, respectively; the penumbra axial length ratio of single-source double-axis rotating focusing mode was bigger than in multi-source static focusing modes and multi-source single-axis rotating focusing mode. On the no-wings plane, the area ratios of 80% dose curve enveloped and 50% dose curve enveloped(A80%/A50%)were 0.40,0.47 and 0.19, on the wings plane, were 0.61,0.53 and 0.35, respectively. The field uniformity of multi-source static focusing modes and multi-source single-axis rotating focusing mode were superior to single-source double-axis rotating focusing mode. Conclusions Considering dose distribution of the single-shot fields, the multi-source static focusing modes devices and the multi-source single-axis rotating focusing mode devices should be preferred, when important tissues and organs are adjacent to the target areas. Compared with single-source double-axis rotating focusing mode, both multi-source static focusing modes and multi-source single-axis rotating focusing mode could make more target areas to be surrounded by high dose region.
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