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Dosimetric characteristics of a cubic‐block‐piled compensator for intensity‐modulated radiation therapy in the Pinnacle radiotherapy treatment planning system

We examined the dose distributions generated by [Formula: see text] (Philips Radiation Oncology Systems, Milpitas, CA) for intensity‐modulated radiotherapy (IMRT) plans using a cubic‐block‐piled compensator as the intensity modulator for 4‐MV and 10‐MV photon beams. The Pinnacle treatment planning s...

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Autores principales: Sasaki, Koji, Obata, Yasunori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722403/
https://www.ncbi.nlm.nih.gov/pubmed/17592450
http://dx.doi.org/10.1120/jacmp.v8i1.2323
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author Sasaki, Koji
Obata, Yasunori
author_facet Sasaki, Koji
Obata, Yasunori
author_sort Sasaki, Koji
collection PubMed
description We examined the dose distributions generated by [Formula: see text] (Philips Radiation Oncology Systems, Milpitas, CA) for intensity‐modulated radiotherapy (IMRT) plans using a cubic‐block‐piled compensator as the intensity modulator for 4‐MV and 10‐MV photon beams. The Pinnacle treatment planning system (TPS) uses an algorithm in which only the physical density of the absorber is required for calculating the characteristics of the modulator. The intensity modulator consists of cubic blocks (attenuator) of a tungsten alloy, plus cubic blocks of polyethylene resin foam that fill the spaces between the attenuator blocks and polymethyl methacrylate (PMMA) boards that act as the platform for the modulator. By measuring the transmission for various thicknesses of attenuator and by deriving values for the total physical density of the modulator, we determined the optimal effective density by comparing the curves fitted for the actual transmission data with the transmission calculated by the TPS. Using these effective densities, we examined the accuracy of [Formula: see text] for dose profiles of specific geometric patterns. The levels of consistency between the measurements and the calculations were within a tolerance of 3% of the dose difference and had a 3‐mm distance to agreement for the ladder‐, stairstep‐, and pyramid‐shaped test patterns, except in the high dose gradient region. In this modulator assembly, leakage occurred from the slits between the cubic blocks. This leakage was about 1.6% at maximum, and its influence on dose distribution was not crucial. In the TPS, in which physical density was the only user‐controllable parameter, we used the effective density of the absorber deduced from the effective mass attenuation coefficient. We conclude that the intensity modulation compensator system, together with a piled cubic attenuator, is clinically applicable, with an acceptable tolerance level. For the intensity map of the IMRT plan, measurements in treatment fields met 3% and 3‐mm criteria, excluding some regions of high gradient, which had a discrepancy of less than 5% and 4 mm. PACS numbers: 87.53.Mr, 87.53.Tf
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spelling pubmed-57224032018-04-02 Dosimetric characteristics of a cubic‐block‐piled compensator for intensity‐modulated radiation therapy in the Pinnacle radiotherapy treatment planning system Sasaki, Koji Obata, Yasunori J Appl Clin Med Phys Radiation Oncology Physics We examined the dose distributions generated by [Formula: see text] (Philips Radiation Oncology Systems, Milpitas, CA) for intensity‐modulated radiotherapy (IMRT) plans using a cubic‐block‐piled compensator as the intensity modulator for 4‐MV and 10‐MV photon beams. The Pinnacle treatment planning system (TPS) uses an algorithm in which only the physical density of the absorber is required for calculating the characteristics of the modulator. The intensity modulator consists of cubic blocks (attenuator) of a tungsten alloy, plus cubic blocks of polyethylene resin foam that fill the spaces between the attenuator blocks and polymethyl methacrylate (PMMA) boards that act as the platform for the modulator. By measuring the transmission for various thicknesses of attenuator and by deriving values for the total physical density of the modulator, we determined the optimal effective density by comparing the curves fitted for the actual transmission data with the transmission calculated by the TPS. Using these effective densities, we examined the accuracy of [Formula: see text] for dose profiles of specific geometric patterns. The levels of consistency between the measurements and the calculations were within a tolerance of 3% of the dose difference and had a 3‐mm distance to agreement for the ladder‐, stairstep‐, and pyramid‐shaped test patterns, except in the high dose gradient region. In this modulator assembly, leakage occurred from the slits between the cubic blocks. This leakage was about 1.6% at maximum, and its influence on dose distribution was not crucial. In the TPS, in which physical density was the only user‐controllable parameter, we used the effective density of the absorber deduced from the effective mass attenuation coefficient. We conclude that the intensity modulation compensator system, together with a piled cubic attenuator, is clinically applicable, with an acceptable tolerance level. For the intensity map of the IMRT plan, measurements in treatment fields met 3% and 3‐mm criteria, excluding some regions of high gradient, which had a discrepancy of less than 5% and 4 mm. PACS numbers: 87.53.Mr, 87.53.Tf John Wiley and Sons Inc. 2007-02-28 /pmc/articles/PMC5722403/ /pubmed/17592450 http://dx.doi.org/10.1120/jacmp.v8i1.2323 Text en © 2007 The Authors. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/3.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Radiation Oncology Physics
Sasaki, Koji
Obata, Yasunori
Dosimetric characteristics of a cubic‐block‐piled compensator for intensity‐modulated radiation therapy in the Pinnacle radiotherapy treatment planning system
title Dosimetric characteristics of a cubic‐block‐piled compensator for intensity‐modulated radiation therapy in the Pinnacle radiotherapy treatment planning system
title_full Dosimetric characteristics of a cubic‐block‐piled compensator for intensity‐modulated radiation therapy in the Pinnacle radiotherapy treatment planning system
title_fullStr Dosimetric characteristics of a cubic‐block‐piled compensator for intensity‐modulated radiation therapy in the Pinnacle radiotherapy treatment planning system
title_full_unstemmed Dosimetric characteristics of a cubic‐block‐piled compensator for intensity‐modulated radiation therapy in the Pinnacle radiotherapy treatment planning system
title_short Dosimetric characteristics of a cubic‐block‐piled compensator for intensity‐modulated radiation therapy in the Pinnacle radiotherapy treatment planning system
title_sort dosimetric characteristics of a cubic‐block‐piled compensator for intensity‐modulated radiation therapy in the pinnacle radiotherapy treatment planning system
topic Radiation Oncology Physics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722403/
https://www.ncbi.nlm.nih.gov/pubmed/17592450
http://dx.doi.org/10.1120/jacmp.v8i1.2323
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