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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Associação Brasileira de Divulgação Científica
2015-07-01
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Series: | Brazilian Journal of Medical and Biological Research |
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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. |
first_indexed | 2024-12-17T12:08:54Z |
format | Article |
id | doaj.art-af2dac253fdd4c6ba8654f787def18e7 |
institution | Directory Open Access Journal |
issn | 1414-431X |
language | English |
last_indexed | 2024-12-17T12:08:54Z |
publishDate | 2015-07-01 |
publisher | Associação Brasileira de Divulgação Científica |
record_format | Article |
series | Brazilian Journal of Medical and Biological Research |
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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