Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry

Radiotherapy is one of the main approaches to cure prostate cancer, and its success depends on the accuracy of dose planning. A complicating factor is the presence of a metallic prosthesis in the femur and pelvis, which is becoming more common in elderly populations. The goal of this work was to per...

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Main Authors: G.G. Alves, A. Kinoshita, H.F. de Oliveira, F.S. Guimarães, L.L. Amaral, O. Baffa
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2015-07-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2015000700644&lng=en&tlng=en
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author G.G. Alves
A. Kinoshita
H.F. de Oliveira
F.S. Guimarães
L.L. Amaral
O. Baffa
author_facet G.G. Alves
A. Kinoshita
H.F. de Oliveira
F.S. Guimarães
L.L. Amaral
O. Baffa
author_sort G.G. Alves
collection DOAJ
description Radiotherapy is one of the main approaches to cure prostate cancer, and its success depends on the accuracy of dose planning. A complicating factor is the presence of a metallic prosthesis in the femur and pelvis, which is becoming more common in elderly populations. The goal of this work was to perform dose measurements to check the accuracy of radiotherapy treatment planning under these complicated conditions. To accomplish this, a scale phantom of an adult pelvic region was used with alanine dosimeters inserted in the prostate region. This phantom was irradiated according to the planned treatment under the following three conditions: with two metallic prostheses in the region of the femur head, with only one prosthesis, and without any prostheses. The combined relative standard uncertainty of dose measurement by electron spin resonance (ESR)/alanine was 5.05%, whereas the combined relative standard uncertainty of the applied dose was 3.35%, resulting in a combined relative standard uncertainty of the whole process of 6.06%. The ESR dosimetry indicated that there was no difference (P>0.05, ANOVA) in dosage between the planned dose and treatments. The results are in the range of the planned dose, within the combined relative uncertainty, demonstrating that the treatment-planning system compensates for the effects caused by the presence of femur and hip metal prostheses.
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spelling doaj.art-af2dac253fdd4c6ba8654f787def18e72022-12-21T21:49:30ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research1414-431X2015-07-0148764464910.1590/1414-431X20154367S0100-879X2015000700644Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetryG.G. AlvesA. KinoshitaH.F. de OliveiraF.S. GuimarãesL.L. AmaralO. BaffaRadiotherapy is one of the main approaches to cure prostate cancer, and its success depends on the accuracy of dose planning. A complicating factor is the presence of a metallic prosthesis in the femur and pelvis, which is becoming more common in elderly populations. The goal of this work was to perform dose measurements to check the accuracy of radiotherapy treatment planning under these complicated conditions. To accomplish this, a scale phantom of an adult pelvic region was used with alanine dosimeters inserted in the prostate region. This phantom was irradiated according to the planned treatment under the following three conditions: with two metallic prostheses in the region of the femur head, with only one prosthesis, and without any prostheses. The combined relative standard uncertainty of dose measurement by electron spin resonance (ESR)/alanine was 5.05%, whereas the combined relative standard uncertainty of the applied dose was 3.35%, resulting in a combined relative standard uncertainty of the whole process of 6.06%. The ESR dosimetry indicated that there was no difference (P>0.05, ANOVA) in dosage between the planned dose and treatments. The results are in the range of the planned dose, within the combined relative uncertainty, demonstrating that the treatment-planning system compensates for the effects caused by the presence of femur and hip metal prostheses.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2015000700644&lng=en&tlng=enAlanine electron spin resonance dosimetryProstateElectron paramagnetic resonanceTreatment-planning systemInhomogeneity correction
spellingShingle G.G. Alves
A. Kinoshita
H.F. de Oliveira
F.S. Guimarães
L.L. Amaral
O. Baffa
Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry
Brazilian Journal of Medical and Biological Research
Alanine electron spin resonance dosimetry
Prostate
Electron paramagnetic resonance
Treatment-planning system
Inhomogeneity correction
title Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry
title_full Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry
title_fullStr Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry
title_full_unstemmed Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry
title_short Accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry
title_sort accuracy of dose planning for prostate radiotherapy in the presence of metallic implants evaluated by electron spin resonance dosimetry
topic Alanine electron spin resonance dosimetry
Prostate
Electron paramagnetic resonance
Treatment-planning system
Inhomogeneity correction
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2015000700644&lng=en&tlng=en
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