Scopus Eşleşmesi Bulundu
218
Cilt
Scopus Yazarları: Hikmettin Demir, Gul Kanyılmaz, Osman Vefa Gul, Hamit Basaran
Özet
In postmastectomy radiation therapy (PMRT), it is important that the chest wall skin is included in the target volume and receives an adequate dose. This study aims to investigate the effect of bolus on skin dose in breast cancer treatment with Tomotherapy and LINAC radiotherapy devices and to examine the accuracy of the surface dose calculated by treatment planning system (TPS) with thermoluminescence dosimetry (TLD). Female Alderson Rando Phantom's chest wall is virtually divided into 9 regions. Computed tomography (CT) images of the phantom were obtained with a section thickness of 3 mm. Two plans, with and without bolus, were created for each of the helical tomotherapy (HT), intensity-modulated radiotherapy (IMRT) and field-in-field (FiF) techniques. A bolus thickness of 0.5 cm was used for all bolus plans. Doses calculated from TPSs were obtained for 88 predetermined points on the chest wall. After irradiation, doses measured with TLDs were obtained. The effect of bolus use on the chest wall surface was examined. The increase in surface dose due to bolus use was 50.35%, 55.35% and 68.56% for HT, IMRT and FiF techniques in TPS, respectively. This increase in TLD measurements was 58.18%, 30.90% and 46.31% for HT, IMRT and FiF techniques, respectively. The best agreement between TPS and TLD doses for bolus and non-bolus plans was found in the HT technique. The difference between TPS and TLD doses decreased within the three treatment techniques due to bolus use. Since the chest wall skin cannot receive the required dose in IMRT and FiF techniques, bolus use is recommended until acute skin reactions occur. There is no need to use a bolus for the HT technique.
Anahtar Kelimeler (Scopus)
Bolus
Linac
Tomotherapy
Breast cancer
TLD
Anahtar Kelimeler
Bolus
Linac
Tomotherapy
Breast cancer
TLD
Makale Bilgileri
Dergi
Radiation Physics and Chemistry
ISSN
0969-806X
Yıl
2024
/ 5. ay
Cilt / Sayı
218
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI-Expanded
JCR Quartile
Q1
TEŞV Puanı
81,00
Yayın Dili
Türkçe
Kapsam
Uluslararası
Toplam Yazar
4 kişi
Erişim Türü
Basılı+Elektronik
Erişim Linki
Makaleye Git
Alan
Sağlık Bilimleri Temel Alanı
Radyasyon Onkolojisi
YÖKSİS Yazar Kaydı
Yazar Adı
GÜL OSMAN VEFA,DEMİR HİKMETTİN,BAŞARAN HAMİT,KANYILMAZ GÜL
YÖKSİS ID
7976552
Hızlı Erişim
Metrikler
JCR Quartile
Q1
TEŞV Puanı
81,00
Yazar Sayısı
4