Assessment of Dose Calculation Accuracy of TiGRT Treatment Planning System for Physical Wedged fields in Radiotherapy

Introduction Wedge modifiers are commonly applied in external beam radiotherapy to change the dose distribution corresponding to the body contour and to obtain a uniform dose distribution within the target volume. Since the radiation dose delivered to the target must be within ±5% of the prescribed...

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Main Authors: Bagher Farhood, Mohammad Taghi Bahreyni Toossi, Shokouhozaman Soleymanifard
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2016-09-01
Series:Iranian Journal of Medical Physics
Subjects:
Online Access:http://ijmp.mums.ac.ir/article_7958_bbc9c92f679bf346ff4e4f4ab84f3626.pdf
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author Bagher Farhood
Mohammad Taghi Bahreyni Toossi
Shokouhozaman Soleymanifard
author_facet Bagher Farhood
Mohammad Taghi Bahreyni Toossi
Shokouhozaman Soleymanifard
author_sort Bagher Farhood
collection DOAJ
description Introduction Wedge modifiers are commonly applied in external beam radiotherapy to change the dose distribution corresponding to the body contour and to obtain a uniform dose distribution within the target volume. Since the radiation dose delivered to the target must be within ±5% of the prescribed dose, accurate dose calculation by a treatment planning system (TPS) is important. The objective of the present study was to quantify the dose calculation accuracy of TiGRT TPS for physical wedged fields in radiotherapy. Materials and Methods A Semiflex™ ionization chamber was used for dose measurements in a water phantom; TiGRT TPS was also applied for dose calculations. The central axis (i.e., high dose-small dose gradient), build-up (i.e., high dose-large dose gradient), off-axis (i.e., high dose-small dose gradient), and out-of-field (i.e., low dose-small dose gradient) regions were evaluated in this study. Finally, the confidence limit values were obtained to quantify the dose calculation accuracy of TPS in these regions. Results The confidence limit values for the central axis, build-up, off-axis, and out-of-field regions were 1.01, 8.62, 1.79, and 55.24, respectively. Furthermore, the results showed that TiGRT TPS underestimated the dose of build-up and out-of-field regions for most points. Conclusion According to the results of the present study, it can be concluded that the dose calculation accuracy of TiGRT TPS for physical wedged fields in the central axis, build-up, and off-axis regions is adequate, while it is insufficient for out-of-field regions.
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spelling doaj.art-234c5dec83d343869184a6589331d4ba2022-12-22T02:17:48ZengMashhad University of Medical SciencesIranian Journal of Medical Physics2345-36722345-36722016-09-0113314615310.22038/ijmp.2016.79587958Assessment of Dose Calculation Accuracy of TiGRT Treatment Planning System for Physical Wedged fields in RadiotherapyBagher Farhood0Mohammad Taghi Bahreyni Toossi1Shokouhozaman Soleymanifard2Medical Physics Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranMedical Physics Research Center, Mashhad University of Medical Sciences, Mashhad, IranMedical Physics Research Center, Mashhad University of Medical Sciences, Mashhad, IranIntroduction Wedge modifiers are commonly applied in external beam radiotherapy to change the dose distribution corresponding to the body contour and to obtain a uniform dose distribution within the target volume. Since the radiation dose delivered to the target must be within ±5% of the prescribed dose, accurate dose calculation by a treatment planning system (TPS) is important. The objective of the present study was to quantify the dose calculation accuracy of TiGRT TPS for physical wedged fields in radiotherapy. Materials and Methods A Semiflex™ ionization chamber was used for dose measurements in a water phantom; TiGRT TPS was also applied for dose calculations. The central axis (i.e., high dose-small dose gradient), build-up (i.e., high dose-large dose gradient), off-axis (i.e., high dose-small dose gradient), and out-of-field (i.e., low dose-small dose gradient) regions were evaluated in this study. Finally, the confidence limit values were obtained to quantify the dose calculation accuracy of TPS in these regions. Results The confidence limit values for the central axis, build-up, off-axis, and out-of-field regions were 1.01, 8.62, 1.79, and 55.24, respectively. Furthermore, the results showed that TiGRT TPS underestimated the dose of build-up and out-of-field regions for most points. Conclusion According to the results of the present study, it can be concluded that the dose calculation accuracy of TiGRT TPS for physical wedged fields in the central axis, build-up, and off-axis regions is adequate, while it is insufficient for out-of-field regions.http://ijmp.mums.ac.ir/article_7958_bbc9c92f679bf346ff4e4f4ab84f3626.pdfAccuracyDoseRadiotherapyTreatment planningWedge
spellingShingle Bagher Farhood
Mohammad Taghi Bahreyni Toossi
Shokouhozaman Soleymanifard
Assessment of Dose Calculation Accuracy of TiGRT Treatment Planning System for Physical Wedged fields in Radiotherapy
Iranian Journal of Medical Physics
Accuracy
Dose
Radiotherapy
Treatment planning
Wedge
title Assessment of Dose Calculation Accuracy of TiGRT Treatment Planning System for Physical Wedged fields in Radiotherapy
title_full Assessment of Dose Calculation Accuracy of TiGRT Treatment Planning System for Physical Wedged fields in Radiotherapy
title_fullStr Assessment of Dose Calculation Accuracy of TiGRT Treatment Planning System for Physical Wedged fields in Radiotherapy
title_full_unstemmed Assessment of Dose Calculation Accuracy of TiGRT Treatment Planning System for Physical Wedged fields in Radiotherapy
title_short Assessment of Dose Calculation Accuracy of TiGRT Treatment Planning System for Physical Wedged fields in Radiotherapy
title_sort assessment of dose calculation accuracy of tigrt treatment planning system for physical wedged fields in radiotherapy
topic Accuracy
Dose
Radiotherapy
Treatment planning
Wedge
url http://ijmp.mums.ac.ir/article_7958_bbc9c92f679bf346ff4e4f4ab84f3626.pdf
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AT shokouhozamansoleymanifard assessmentofdosecalculationaccuracyoftigrttreatmentplanningsystemforphysicalwedgedfieldsinradiotherapy