Assessment of Treatment Plan Quality between Flattening Filter and Flattening Filter Free Photon Beam for Carcinoma of the Esophagus with IMRT Technique
Background: As compared to the flattened photon beam, removing the flattening filter (FF) from the head of a gantry decreases the average energy of the photon beam and increases the dose rate, leading to an impact on the quality of treatment plans. Objective: This study aimed to compare the quality...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2023-06-01
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| Series: | Journal of Biomedical Physics and Engineering |
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| Online Access: | https://jbpe.sums.ac.ir/article_48544_5aa2759c1a8da0816926554dee7e2407.pdf |
| _version_ | 1797807119854993408 |
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| author | Dinesh Kumar Saroj Suresh Yadav Neetu Paliwal Subhas Haldar Amol Jagtap Arvind Kumar |
| author_facet | Dinesh Kumar Saroj Suresh Yadav Neetu Paliwal Subhas Haldar Amol Jagtap Arvind Kumar |
| author_sort | Dinesh Kumar Saroj |
| collection | DOAJ |
| description | Background: As compared to the flattened photon beam, removing the flattening filter (FF) from the head of a gantry decreases the average energy of the photon beam and increases the dose rate, leading to an impact on the quality of treatment plans.
Objective: This study aimed to compare the quality of intensity-modulated radiation therapy (IMRT) treatment plans for esophageal cancer with and without a flattened filter photon beam.
Material and Methods: In this analytical study, 12 patients, who had already been treated with a 6X FF photon beam, were treated based on new IMRT methods using a 6X the flattening filter-free (FFF) photon beam. Both 6X FF IMRT and 6X FFF IMRT plans used identical beam parameters and planning objectives. All plans were evaluated with planning indices and doses for organs at risk (OARs).
Results: Insignificant dose variation was for HI, CI, D98%, and V95% between FF and FFF photon beam IMRT plans. FF-based IMRT plan delivered a 15.51% and 11.27% higher mean dose to both lungs and heart than the FFF plan, respectively. The integral dose (ID) for the heart and lungs was 11.21% and 15.51%, respectively, less in the IMRT plan with an FFF photon beam.
Conclusion: In contrast to the FF photon beam, a filtered photon beam-oriented IMRT plan provides significant OAR sparing without losing the quality of the treatment plan. High monitor units (MUs), low ID, and Beam on Time (BOT) are major highlights of the IMRT plan with FFF beam. |
| first_indexed | 2024-03-13T06:17:45Z |
| format | Article |
| id | doaj.art-7f95d015d2624061bcb1de2935c2d59e |
| institution | Directory Open Access Journal |
| issn | 2251-7200 |
| language | English |
| last_indexed | 2024-03-13T06:17:45Z |
| publishDate | 2023-06-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Journal of Biomedical Physics and Engineering |
| spelling | doaj.art-7f95d015d2624061bcb1de2935c2d59e2023-06-10T10:41:57ZengShiraz University of Medical SciencesJournal of Biomedical Physics and Engineering2251-72002023-06-0113322723810.31661/jbpe.v0i0.2108-138148544Assessment of Treatment Plan Quality between Flattening Filter and Flattening Filter Free Photon Beam for Carcinoma of the Esophagus with IMRT TechniqueDinesh Kumar Saroj0Suresh Yadav1Neetu Paliwal2Subhas Haldar3Amol Jagtap4Arvind Kumar5Department of Radiotherapy, Alexis Multispecialty Hospital Nagpur-440030 (Maharashtra), IndiaDepartment of Radiotherapy, Gandhi Medical College, Bhopal-462001 (M.P.), IndiaDepartment of Science, Rabindranath Tagore University, Bhopal, Madhya Pradesh, IndiaDepartment of Radiotherapy, Saroj Gupta Cancer Center and Research Institute, Kolkata-700063 (West Bengal), IndiaDepartment of Radiotherapy, Alexis Multispecialty Hospital Nagpur-440030 (Maharashtra), IndiaDepartment of Radiation Oncology, All India Institute of Medical Sciences (AIIMS), Rishikesh-249203 (U.K.), IndiaBackground: As compared to the flattened photon beam, removing the flattening filter (FF) from the head of a gantry decreases the average energy of the photon beam and increases the dose rate, leading to an impact on the quality of treatment plans. Objective: This study aimed to compare the quality of intensity-modulated radiation therapy (IMRT) treatment plans for esophageal cancer with and without a flattened filter photon beam. Material and Methods: In this analytical study, 12 patients, who had already been treated with a 6X FF photon beam, were treated based on new IMRT methods using a 6X the flattening filter-free (FFF) photon beam. Both 6X FF IMRT and 6X FFF IMRT plans used identical beam parameters and planning objectives. All plans were evaluated with planning indices and doses for organs at risk (OARs). Results: Insignificant dose variation was for HI, CI, D98%, and V95% between FF and FFF photon beam IMRT plans. FF-based IMRT plan delivered a 15.51% and 11.27% higher mean dose to both lungs and heart than the FFF plan, respectively. The integral dose (ID) for the heart and lungs was 11.21% and 15.51%, respectively, less in the IMRT plan with an FFF photon beam. Conclusion: In contrast to the FF photon beam, a filtered photon beam-oriented IMRT plan provides significant OAR sparing without losing the quality of the treatment plan. High monitor units (MUs), low ID, and Beam on Time (BOT) are major highlights of the IMRT plan with FFF beam.https://jbpe.sums.ac.ir/article_48544_5aa2759c1a8da0816926554dee7e2407.pdfintensity modulatedlinear acceleratorradiotherapyphotonsradiotherapy planningradiotherapy, conformal |
| spellingShingle | Dinesh Kumar Saroj Suresh Yadav Neetu Paliwal Subhas Haldar Amol Jagtap Arvind Kumar Assessment of Treatment Plan Quality between Flattening Filter and Flattening Filter Free Photon Beam for Carcinoma of the Esophagus with IMRT Technique Journal of Biomedical Physics and Engineering intensity modulated linear accelerator radiotherapy photons radiotherapy planning radiotherapy, conformal |
| title | Assessment of Treatment Plan Quality between Flattening Filter and Flattening Filter Free Photon Beam for Carcinoma of the Esophagus with IMRT Technique |
| title_full | Assessment of Treatment Plan Quality between Flattening Filter and Flattening Filter Free Photon Beam for Carcinoma of the Esophagus with IMRT Technique |
| title_fullStr | Assessment of Treatment Plan Quality between Flattening Filter and Flattening Filter Free Photon Beam for Carcinoma of the Esophagus with IMRT Technique |
| title_full_unstemmed | Assessment of Treatment Plan Quality between Flattening Filter and Flattening Filter Free Photon Beam for Carcinoma of the Esophagus with IMRT Technique |
| title_short | Assessment of Treatment Plan Quality between Flattening Filter and Flattening Filter Free Photon Beam for Carcinoma of the Esophagus with IMRT Technique |
| title_sort | assessment of treatment plan quality between flattening filter and flattening filter free photon beam for carcinoma of the esophagus with imrt technique |
| topic | intensity modulated linear accelerator radiotherapy photons radiotherapy planning radiotherapy, conformal |
| url | https://jbpe.sums.ac.ir/article_48544_5aa2759c1a8da0816926554dee7e2407.pdf |
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