Dosimetric evaluation of dorsal vagal complex and vestibular apparatus in head-and-neck cancer patients treated with intensity-modulated radiotherapy

Purpose: The purpose of this study was to dosimetrically evaluate the dose received by dorsal vagal complex (DVC) and vestibular apparatus in patients with head-and-neck cancer treated with intensity-modulated radiotherapy (IMRT). Materials and Methods: Twenty histopathologically confirmed head-and-...

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Main Authors: Tauseef Ali, Anuradha Singh, Anand Parab
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Radiation and Cancer Research
Subjects:
Online Access:http://www.journalrcr.org/article.asp?issn=2588-9273;year=2021;volume=12;issue=2;spage=65;epage=69;aulast=Ali
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author Tauseef Ali
Anuradha Singh
Anand Parab
author_facet Tauseef Ali
Anuradha Singh
Anand Parab
author_sort Tauseef Ali
collection DOAJ
description Purpose: The purpose of this study was to dosimetrically evaluate the dose received by dorsal vagal complex (DVC) and vestibular apparatus in patients with head-and-neck cancer treated with intensity-modulated radiotherapy (IMRT). Materials and Methods: Twenty histopathologically confirmed head-and-neck cancer patients, preferably oropharynx and nasopharynx that were treated with IMRT from a period of 2018–2020, were retrospectively analyzed in this study. DVC and vestibular apparatus were contoured, and the doses received by them were noted. Results: The average minimum dose to the entire DVC and vestibular apparatus was 25.134 Gy (range, 8.77–37.49 Gy) and 12.812 Gy (range, 1.07–28.57 Gy); the average maximum point dose to the DVC and vestibular apparatus was 35.896 Gy (range, 24.29–45.53 Gy) and 33.266 Gy (range, 3.19–60.72 Gy); and the average mean dose to the entire DVC and vestibular apparatus volume was 30.151 Gy (range, 16.48–40.83 Gy) and 21.484 Gy (range, 2.99–39.42 Gy), respectively; the average volume of DVC and vestibular apparatus was 0.52 cm3 (range, 0.3–0.8 cm3) and 0.36 (range, 0.2–0.6 cm3), respectively. Conclusions: Considering the DVC and vestibular apparatus as an organ for conformal avoidance, there can be a possibility in the reduction of nausea and vomiting while treating patients of head-and-neck cancer with radiation.
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spelling doaj.art-4d8346cfd5874b6f9e9a4c07ac8029652022-12-21T22:53:03ZengWolters Kluwer Medknow PublicationsJournal of Radiation and Cancer Research2588-92732468-92032021-01-01122656910.4103/jrcr.jrcr_6_21Dosimetric evaluation of dorsal vagal complex and vestibular apparatus in head-and-neck cancer patients treated with intensity-modulated radiotherapyTauseef AliAnuradha SinghAnand ParabPurpose: The purpose of this study was to dosimetrically evaluate the dose received by dorsal vagal complex (DVC) and vestibular apparatus in patients with head-and-neck cancer treated with intensity-modulated radiotherapy (IMRT). Materials and Methods: Twenty histopathologically confirmed head-and-neck cancer patients, preferably oropharynx and nasopharynx that were treated with IMRT from a period of 2018–2020, were retrospectively analyzed in this study. DVC and vestibular apparatus were contoured, and the doses received by them were noted. Results: The average minimum dose to the entire DVC and vestibular apparatus was 25.134 Gy (range, 8.77–37.49 Gy) and 12.812 Gy (range, 1.07–28.57 Gy); the average maximum point dose to the DVC and vestibular apparatus was 35.896 Gy (range, 24.29–45.53 Gy) and 33.266 Gy (range, 3.19–60.72 Gy); and the average mean dose to the entire DVC and vestibular apparatus volume was 30.151 Gy (range, 16.48–40.83 Gy) and 21.484 Gy (range, 2.99–39.42 Gy), respectively; the average volume of DVC and vestibular apparatus was 0.52 cm3 (range, 0.3–0.8 cm3) and 0.36 (range, 0.2–0.6 cm3), respectively. Conclusions: Considering the DVC and vestibular apparatus as an organ for conformal avoidance, there can be a possibility in the reduction of nausea and vomiting while treating patients of head-and-neck cancer with radiation.http://www.journalrcr.org/article.asp?issn=2588-9273;year=2021;volume=12;issue=2;spage=65;epage=69;aulast=Alidorsal vagal complexemetic centersradiation-induced nausea and vomiting
spellingShingle Tauseef Ali
Anuradha Singh
Anand Parab
Dosimetric evaluation of dorsal vagal complex and vestibular apparatus in head-and-neck cancer patients treated with intensity-modulated radiotherapy
Journal of Radiation and Cancer Research
dorsal vagal complex
emetic centers
radiation-induced nausea and vomiting
title Dosimetric evaluation of dorsal vagal complex and vestibular apparatus in head-and-neck cancer patients treated with intensity-modulated radiotherapy
title_full Dosimetric evaluation of dorsal vagal complex and vestibular apparatus in head-and-neck cancer patients treated with intensity-modulated radiotherapy
title_fullStr Dosimetric evaluation of dorsal vagal complex and vestibular apparatus in head-and-neck cancer patients treated with intensity-modulated radiotherapy
title_full_unstemmed Dosimetric evaluation of dorsal vagal complex and vestibular apparatus in head-and-neck cancer patients treated with intensity-modulated radiotherapy
title_short Dosimetric evaluation of dorsal vagal complex and vestibular apparatus in head-and-neck cancer patients treated with intensity-modulated radiotherapy
title_sort dosimetric evaluation of dorsal vagal complex and vestibular apparatus in head and neck cancer patients treated with intensity modulated radiotherapy
topic dorsal vagal complex
emetic centers
radiation-induced nausea and vomiting
url http://www.journalrcr.org/article.asp?issn=2588-9273;year=2021;volume=12;issue=2;spage=65;epage=69;aulast=Ali
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AT anuradhasingh dosimetricevaluationofdorsalvagalcomplexandvestibularapparatusinheadandneckcancerpatientstreatedwithintensitymodulatedradiotherapy
AT anandparab dosimetricevaluationofdorsalvagalcomplexandvestibularapparatusinheadandneckcancerpatientstreatedwithintensitymodulatedradiotherapy