Investigation and Comparison of Coplanar Versus Noncoplanar Intensity-Modulated Radiation Therapy (IMRT) Techniques in Glioblastoma Multiforme Tumors

Background: This study aimed to make a comparison among 4 coplanar and noncoplanar intensity-modulated radiation therapy (IMRT) techniques in glioblastoma multiforme (GBM) tumors, to achieve an optimal treatment technique considering the absorbed doses of organs at risk. Methods: Treatment planning...

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Main Authors: Roya Parhizkar-Kalnadani, Keyvan Jabbari, Seyyed Rabie Mahdavi, Golbarg Esmaili
Format: Article
Language:fas
Published: Isfahan University of Medical Sciences 2018-07-01
Series:مجله دانشکده پزشکی اصفهان
Subjects:
Online Access:http://jims.mui.ac.ir/index.php/jims/article/view/9947
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author Roya Parhizkar-Kalnadani
Keyvan Jabbari
Seyyed Rabie Mahdavi
Golbarg Esmaili
author_facet Roya Parhizkar-Kalnadani
Keyvan Jabbari
Seyyed Rabie Mahdavi
Golbarg Esmaili
author_sort Roya Parhizkar-Kalnadani
collection DOAJ
description Background: This study aimed to make a comparison among 4 coplanar and noncoplanar intensity-modulated radiation therapy (IMRT) techniques in glioblastoma multiforme (GBM) tumors, to achieve an optimal treatment technique considering the absorbed doses of organs at risk. Methods: Treatment planning and contouring were performed on 20 patients with glioblastoma multiforme tumors in 2 phases based on Radiation Therapy Oncology Group (RTOG) protocol. Four coplanar and noncoplanar intensity-modulated radiation therapy techniques at 6 and 15 MV energy levels were compared. Finally, comparing the conformity and homogeneity indices, and maximum and mean doses (using dose volume histogram), the optimal treatment technique was proposed. Findings: The absorbed doses of critical organs in the cases of noncoplanar techniques reduced drastically compared with the cases of coplanar techniques. Increase in energy levels in noncoplanar techniques did not impose any significant changes. Conclusion: The absorbed doses of all critical organs in noncoplanar technique with 6 MV energy level reduced significantly. Besides, in this technique, there was no neutron contamination, because of the employment of 6 MV energy.
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spelling doaj.art-de17bf8470ba4affad5076b25079bf652023-09-02T12:31:57ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2018-07-013647847848410.22122/jims.v36i478.99472977Investigation and Comparison of Coplanar Versus Noncoplanar Intensity-Modulated Radiation Therapy (IMRT) Techniques in Glioblastoma Multiforme TumorsRoya Parhizkar-Kalnadani0Keyvan Jabbari1Seyyed Rabie Mahdavi2Golbarg Esmaili3MSc Student, Department of Medical Physics and Engineering, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Department of Medical Physics and Engineering, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Department of Medical Physics and Engineering, School of Medicine, Iran University of Medical Sciences, Tehran, IranPhD, Department of Medical Physics, School of Medicine, Iran University of Medical Sciences, Tehran, IranBackground: This study aimed to make a comparison among 4 coplanar and noncoplanar intensity-modulated radiation therapy (IMRT) techniques in glioblastoma multiforme (GBM) tumors, to achieve an optimal treatment technique considering the absorbed doses of organs at risk. Methods: Treatment planning and contouring were performed on 20 patients with glioblastoma multiforme tumors in 2 phases based on Radiation Therapy Oncology Group (RTOG) protocol. Four coplanar and noncoplanar intensity-modulated radiation therapy techniques at 6 and 15 MV energy levels were compared. Finally, comparing the conformity and homogeneity indices, and maximum and mean doses (using dose volume histogram), the optimal treatment technique was proposed. Findings: The absorbed doses of critical organs in the cases of noncoplanar techniques reduced drastically compared with the cases of coplanar techniques. Increase in energy levels in noncoplanar techniques did not impose any significant changes. Conclusion: The absorbed doses of all critical organs in noncoplanar technique with 6 MV energy level reduced significantly. Besides, in this technique, there was no neutron contamination, because of the employment of 6 MV energy.http://jims.mui.ac.ir/index.php/jims/article/view/9947Treatment protocolsGlioblastoma multiformeRadiation therapy
spellingShingle Roya Parhizkar-Kalnadani
Keyvan Jabbari
Seyyed Rabie Mahdavi
Golbarg Esmaili
Investigation and Comparison of Coplanar Versus Noncoplanar Intensity-Modulated Radiation Therapy (IMRT) Techniques in Glioblastoma Multiforme Tumors
مجله دانشکده پزشکی اصفهان
Treatment protocols
Glioblastoma multiforme
Radiation therapy
title Investigation and Comparison of Coplanar Versus Noncoplanar Intensity-Modulated Radiation Therapy (IMRT) Techniques in Glioblastoma Multiforme Tumors
title_full Investigation and Comparison of Coplanar Versus Noncoplanar Intensity-Modulated Radiation Therapy (IMRT) Techniques in Glioblastoma Multiforme Tumors
title_fullStr Investigation and Comparison of Coplanar Versus Noncoplanar Intensity-Modulated Radiation Therapy (IMRT) Techniques in Glioblastoma Multiforme Tumors
title_full_unstemmed Investigation and Comparison of Coplanar Versus Noncoplanar Intensity-Modulated Radiation Therapy (IMRT) Techniques in Glioblastoma Multiforme Tumors
title_short Investigation and Comparison of Coplanar Versus Noncoplanar Intensity-Modulated Radiation Therapy (IMRT) Techniques in Glioblastoma Multiforme Tumors
title_sort investigation and comparison of coplanar versus noncoplanar intensity modulated radiation therapy imrt techniques in glioblastoma multiforme tumors
topic Treatment protocols
Glioblastoma multiforme
Radiation therapy
url http://jims.mui.ac.ir/index.php/jims/article/view/9947
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