|Table of Contents|

Analysis of the influence of the level difference between accelerator and positioning CT bed board on the dosimetry of radiotherapy plan for nasopharyngeal carcinoma

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 11
Page:
2080-2085
Research Field:
Publishing date:

Info

Title:
Analysis of the influence of the level difference between accelerator and positioning CT bed board on the dosimetry of radiotherapy plan for nasopharyngeal carcinoma
Author(s):
LIU Xiaolong1ZHANG Jing1LI Lei1HAN Yunwei1LUO Yamei2YANG Bo12
1.Department of Oncology,the Affiliated Hospital of Southwest Medical University,Sichuan Luzhou 646000,China;2.Medicine & Engineering & Informatics Fusion and Transformation Key Laboratory of Luzhou City,Sichuan Luzhou 646000,China.
Keywords:
CT couchtiltiso-centersetupnasopharyngeal carcinoma
PACS:
R739.6
DOI:
10.3969/j.issn.1672-4992.2023.11.020
Abstract:
Objective:To analyze the change of radiotherapy center position and dose distribution due to the horizontal difference between the accelerator bed and the positioning CT bed.Methods:Twenty radiotherapy plans of patients with nasopharyngeal carcinoma were selected.It was assumed that the positioning CT bed plate were inclined at 1° and 2° respectively,the distance difference of radiotherapy center were calculated by making geometric figures.Results:The distance difference of radiotherapy center were 1.45 mm for 1°,and 2.89 mm for 2°.With the increase of the tilt angle,the HI and CI of PTV2 became worse,the D95% of target areas became gradually smaller and the dose of the spinal cord and brain stem increased(P<0.05).Conclusion:The tilting of the positioning CT bed plate has an effect on the radiotherapy center positionand dose distribution,the level of the positioning CT bed and accelerator bed should be consistent.It is suggested to establish an evaluation method of dose difference caused by the horizontal difference of bed.

References:

[1]周军,黄胜,刘崇武.调强放疗计划床板修正的剂量学分析[J].中国医学物理学杂志,2018,35(8):895-899. ZHOU J,HUANG S,LIU CW.Bedplate correction in intensity-modulated radiotherapy plan:a dosimetric analysis[J].Chinese Journal of Medical Physics,2018,35(8):895-899.
[2]MUTIC S,PALTA JR,BUTKER EK,et al.Quality assurance for computed-tomography simulators and the computed-tomography-simulation process:Report of the AAPM Radiation Therapy Committee Task Group No.66[J].Medical Physics,2003,30(10):2762-2792.
[3]国家癌症中心/国家肿瘤质控中心.医用电子直线加速器质量控制指南[J].中华放射肿瘤学杂志,2020,29(4):241-258. National Cancer Center/National Cancer Quality Control Center.Quality control guidelines for medical electronic linear accelerators[J].Chinese Journal of Radiation Oncology,2020,29(4):241-258.
[4]KLEIN EE,HANLEY J,BAYOUTH J.Task Group 142 report:quality assurance of medical accelerators[J].Medical Physics,2009,36(9):4197-4212.
[5]张静,刘小龙,李磊,等.CT床板倾斜对患者放疗等中心点位置的影响分析[J].西南医科大学学报,2020,43(6):607-610. ZHANG J,LIU XL,LI L,et al.Influence of CT couch tilt on the position of isocenter in radiotherapy[J].Journal of Southwest Medical University,2020,43(6):607-610.
[6]中国鼻咽癌临床分期工作委员会.2010鼻咽癌调强放疗靶区及剂量设计指引专家共识[J].中华放射肿瘤学杂志,2011,20(4):267-269. China Nasopharyngeal Carcinoma Clinical Staging Committee.Experts on target area and dose design guidelines of intensity modulated radiotherapy for nasopharyngeal carcinoma(2010)[J].Chinese Journal of Radiation Oncology,2011,20(4):267-269.
[7]YANG B,SUN XY,PANG HW,et al.Dosimetric analysis of rib interference of the CTV during interstitial brachytherapy of lung tumors[J].Journal of Contemporary Brachytherapy,2017,9(6):566-571.
[8]吴事海,徐钢,全任翠,等.鼻咽癌调强放疗疗效及预后影响因素分析(附691例)[J].现代肿瘤医学,2022,30(5):801-806. WU SH,XU G,QUAN RC,et al.Analysis of the efficacy and prognostic factor of intensity-modulated radiotherapy for nasopharyngeal carcinoma(691 cases)[J].Modern Oncology,2022,30(5):801-806.
[9]胡逸民,张洪志,戴建荣.肿瘤放射物理学[M].北京:原子能出版社,1999:612-635. HU YM,ZHANG HZ,DAI JR.Radiation oncology physics[M].Beijing:Atomic Energy Press,1999:612-635.
[10]潘建基,潘才住,陈传本,等.摆位系统误差对鼻咽癌调强放疗剂量的影响[J].中华放射肿瘤学杂志,2007,16(5):394-396. PAN JJ,PAN CZ,CHEN CB,et al.Influence of positioning system error on dose of intensity-modulated radiotherapy for nasopharyngeal carcinoma[J].Chinese Journal of Radiation Oncology,2007,16(5):394-396.
[11]郭红博,费振乐,吴先想,等.加速器治疗床对VMAT剂量影响研究[J].中华肿瘤防治杂志,2018,25(19):1376-1381. GUO HB,FEI ZL,WU XX,et al.Effect of accelerator treatment couch on the VMAT dose distribution[J].Chinese Journal of Cancer Prevention and Treatment,2018,25(19):1376-1381.
[12]宋洪兵,潘景辉,杨雄,等.Elekta Infinity直线加速器治疗床对放疗剂量的影响[J].中国医学物理学杂志,2021,38(2):157-161. SONG HB,PAN JH,YANG X,et al.Effects of the carbon fiber couch of Elekta Infinity linear accelerator on radiotherapy dose[J].Chinese Journal of Medical Physics,2021,38(2):157-161.
[13]ARTHUR J OLCH,LEE GERIG,HENG LI,et al.Dosimetric effects caused by couch tops and immobilization devices:Report of AAPM Task Group 176[J].Medical Physics,2014,41(6):061501.
[14]KUROKAWA C,ITO K,AOKI K,et al.Couch displacement effects on volumetric modulated arc therapy delivery and verification of simplified couch structure[J].Juntendo Medical Journal,2017,63(6):458-466.
[15]倪昕晔,汤晓斌,耿长冉,等.模拟定位CT床板对放射治疗剂量的影响[J].临床肿瘤学杂志,2011,16(4):338-341. NI XY,TANG XB,GENG CR,et al.The study of different CT bed boards on the effects of radiation therapy[J].Chinse Clinical Oncology,2011,16(4):338-341.
[16]曹婷婷,全红,刘晖,等.联影直线加速器新型全碳素纤维治疗床对放疗剂量的影响[J].中国医学物理学杂志,2018,35(1):14-18. CAO TT,QUAN H,LIU H,et al.Effects of a new carbon fiber couch of linear accelerator on radiotherapy dose[J].Chinese Journal of Medical Physics,2018,35(1):14-18.
[17]何正中,戴建荣,乐文友.调强放疗中摆位误差对脊髓剂量的影响[J].中华放射肿瘤学杂志,2007,16(2):132-135. HE ZZ,DAI JR,LE WY.Influence of setup error on spinal cord dose in intensity-modulated radiotherapy[J].Chinese Journal of Radiation Oncology,2007,16(2):132-135.
[18]张文君.鼻咽癌调强放疗中摆位误差对剂量分布的影响综合分析[J].现代肿瘤医学,2014,22(12):2970-2971. ZHANG WJ.Comprehensive analysis of the impact-bit errors on the dose distribution in nasopharyngeal IMRT swing[J].Modern Oncology,2014,22(12):2970-2971.
[19]游雁,李赓,向昭雄,等.模拟摆位训练对鼻咽癌调强放疗首次摆位误差的影响研究[J].现代肿瘤医学,2017,25(17):2799-2803. YOU Y,LI G,XIANG ZX,et al.The influence of the first positioning error with simulation positioning training for NPC intensity modulated radiation therapy[J].Modern Oncology,2017,25(17):2799-2803.
[20]VICTORIA Y YU,BENJAMIN P FAHIMIAN,LEI X,et al.Quality control procedures for dynamic treatment delivery techniques involving couch motion[J].Medical Physics,2014,41(8):081712.
[21]DUGGAR WILLIAM NEIL,NGUYEN ALEX,STANFORD JASON,et al.Modeling treatment couches in the Pinnacle treatment planning system:Especially important for arc therapy[J].Medical Dosimetry,2016,41(1):34-41.
[22]邓小武.放射治疗的物理质量控制与质量保证[J].中国肿瘤,2008,17(8):660-665. DENG XW.Quality control and quality assurance for radiotherapy[J].China Cancer,2008,17(8):660-665.
[23]于金明,于甬华.放射治疗的质量保证与质量控制[J].中国肿瘤,2004,13(8):473-477. YU JM,YU YH.Quality assurance and quality control in radiotherapy[J].China Cancer,2004,13(8):473-477.
[24]李毅,李芳,李宇星,等.呼吸运动对肺癌患者三维适形调强放疗肿瘤靶区体积的影响[J].现代肿瘤医学,2022,30(14):2609-2612. LI Y,LI F,LI YX,et al.Effect of respiratory movement on tumor target volume of three-dimensional conformal IMRT for lung cancer patients[J].Modern Oncology,2022,30(14):2609-2612.
[25]张丙新,石祥礼,梁广立.三维床与六维床对肺癌图像引导放疗摆位误差校正能力的比较[J].重庆医学,2022,51(10):1710-1718. ZHANG BX,SHI XL,LIANG GL.Comparison of setup error correction ability between three-dimensional bed and six dimensional bed in image-guided radiotherapy for lung cancer[J].Chongqing Medicine,2022,51(10):1710-1718.
[26]刘苓苓,费振乐,崔相利,等.锥形束CT结合六维床HexaPOD验证及纠正放疗中摆位偏差的研究[J].中国医疗设备,2022,37(4):19-22. LIU LL,FEI ZL,CUI XL,et al.Verification and correction of positioning deviation in radiotherapy with cone beam CT and HexaPOD treatment couch[J].China Medical Devices,2022,37(4):19-22.
[27]钟伟伟,郑祖安,刘庆,等.六维床在颅内肿瘤立体定向放射治疗中的临床应用[J].放射学实践,2018,33(5):511-514. ZHONG WW,ZHENG ZA,LIU Q,et al.Clinical application of PerfectPitch 6D couch in the stereotactic radiotherapy of intracranial tumors[J].Radiologic Practice,2018,33(5):511-514.

Memo

Memo:
四川省科技计划项目(编号:2020JDTD0036);医工医信融合与转化医学泸州市重点实验室项目(编号:XGY202105);四川省医学科研课题(编号:S19007)
Last Update: 2023-04-28