Collapsed cone superposition algorithm validation for chest wall tangential fields using virtual wedge filters

Background: Virtual wedge (VW) is used in radiotherapy to compensate for missing tissues and create a uniform dose distribution in tissues. According to TECDOC-1583 and technical reports series no. 430, evaluating the dose calculation accuracy is essential for the quality assurance of treatment plan...

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Main Authors: Ahad Zeinali, Mikaeil Molazadeh, Samaneh Ganjgahi, Hassan Saberi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Medical Signals and Sensors
Subjects:
Online Access:http://www.jmssjournal.net/article.asp?issn=2228-7477;year=2023;volume=13;issue=3;spage=191;epage=198;aulast=Zeinali
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author Ahad Zeinali
Mikaeil Molazadeh
Samaneh Ganjgahi
Hassan Saberi
author_facet Ahad Zeinali
Mikaeil Molazadeh
Samaneh Ganjgahi
Hassan Saberi
author_sort Ahad Zeinali
collection DOAJ
description Background: Virtual wedge (VW) is used in radiotherapy to compensate for missing tissues and create a uniform dose distribution in tissues. According to TECDOC-1583 and technical reports series no. 430, evaluating the dose calculation accuracy is essential for the quality assurance of treatment planning systems (TPSs). In this study, the dose calculation accuracy of the collapsed cone superposition (CCS) algorithm in the postmastectomy radiotherapy of the chest wall for breast cancer was evaluated by comparing the calculated and measured dose in VW fields. Methods: Two tangential fields with the typical VW angles were planned using ISOgray TPS in a thorax phantom. The CCS algorithm was used for dose calculation at 6 and 15 MV photon beams. The obtained dose distributions from EBT3 film spaces and TPS were evaluated using the gamma index. Results: The measured and calculated dose values using VW in a heterogeneous medium with different beam energies were in a good agreement with each other (acceptance rate: 88.0%–93.4%). The calculated and measured data did not differ significantly with an increase/decrease in wedge angle. In addition, the results demonstrated that ISOgray overestimated and underestimated the dose of the soft tissue and lung in the planned volume, respectively. Conclusions: According to the results of gamma index analysis, the calculated dose distribution using VW model with the CCS algorithm in a heterogeneous environment was within acceptable limits.
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spelling doaj.art-55d0d5497a8540549794c5820a4d00372023-08-23T09:42:50ZengWolters Kluwer Medknow PublicationsJournal of Medical Signals and Sensors2228-74772023-01-0113319119810.4103/jmss.jmss_7_22Collapsed cone superposition algorithm validation for chest wall tangential fields using virtual wedge filtersAhad ZeinaliMikaeil MolazadehSamaneh GanjgahiHassan SaberiBackground: Virtual wedge (VW) is used in radiotherapy to compensate for missing tissues and create a uniform dose distribution in tissues. According to TECDOC-1583 and technical reports series no. 430, evaluating the dose calculation accuracy is essential for the quality assurance of treatment planning systems (TPSs). In this study, the dose calculation accuracy of the collapsed cone superposition (CCS) algorithm in the postmastectomy radiotherapy of the chest wall for breast cancer was evaluated by comparing the calculated and measured dose in VW fields. Methods: Two tangential fields with the typical VW angles were planned using ISOgray TPS in a thorax phantom. The CCS algorithm was used for dose calculation at 6 and 15 MV photon beams. The obtained dose distributions from EBT3 film spaces and TPS were evaluated using the gamma index. Results: The measured and calculated dose values using VW in a heterogeneous medium with different beam energies were in a good agreement with each other (acceptance rate: 88.0%–93.4%). The calculated and measured data did not differ significantly with an increase/decrease in wedge angle. In addition, the results demonstrated that ISOgray overestimated and underestimated the dose of the soft tissue and lung in the planned volume, respectively. Conclusions: According to the results of gamma index analysis, the calculated dose distribution using VW model with the CCS algorithm in a heterogeneous environment was within acceptable limits.http://www.jmssjournal.net/article.asp?issn=2228-7477;year=2023;volume=13;issue=3;spage=191;epage=198;aulast=Zeinalifilm dosimetrygamma indextreatment planning systemvirtual wedge
spellingShingle Ahad Zeinali
Mikaeil Molazadeh
Samaneh Ganjgahi
Hassan Saberi
Collapsed cone superposition algorithm validation for chest wall tangential fields using virtual wedge filters
Journal of Medical Signals and Sensors
film dosimetry
gamma index
treatment planning system
virtual wedge
title Collapsed cone superposition algorithm validation for chest wall tangential fields using virtual wedge filters
title_full Collapsed cone superposition algorithm validation for chest wall tangential fields using virtual wedge filters
title_fullStr Collapsed cone superposition algorithm validation for chest wall tangential fields using virtual wedge filters
title_full_unstemmed Collapsed cone superposition algorithm validation for chest wall tangential fields using virtual wedge filters
title_short Collapsed cone superposition algorithm validation for chest wall tangential fields using virtual wedge filters
title_sort collapsed cone superposition algorithm validation for chest wall tangential fields using virtual wedge filters
topic film dosimetry
gamma index
treatment planning system
virtual wedge
url http://www.jmssjournal.net/article.asp?issn=2228-7477;year=2023;volume=13;issue=3;spage=191;epage=198;aulast=Zeinali
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AT mikaeilmolazadeh collapsedconesuperpositionalgorithmvalidationforchestwalltangentialfieldsusingvirtualwedgefilters
AT samanehganjgahi collapsedconesuperpositionalgorithmvalidationforchestwalltangentialfieldsusingvirtualwedgefilters
AT hassansaberi collapsedconesuperpositionalgorithmvalidationforchestwalltangentialfieldsusingvirtualwedgefilters