Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy

Sarac, Hilal; Demircan, Niyazi Volkan; BORA, HÜSEYIN; ÇATLI, SERAP; Şenturk, Ertugrul

doi:10.5505/tjo.2022.3740

Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy

Hilal Sarac, (Gazi Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Ankara-Türkiye)

Volkan DEMİRCAN, (Acıbadem Altunizade Hastanesi Radyasyon Onkolojisi Bölümü, İstanbul-Türkiye)

Serap Catli DİNC, (Gazi Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Ankara-Türkiye)

Muhammed Ertugrul SENTURK, (Sağlık Bilimleri Üniversitesi Van Eğitim ve Araştırma Hastanesi Radyasyon Onkolojisi Anabilim Dalı, Van-Türkiye)

Huseyin BORA (Gazi Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Ankara-Türkiye)

Türk Onkoloji Dergisi

4 0

Yıl: 2023 Cilt: 38 Sayı: 1 Sayfa Aralığı: 45 - 51 Metin Dili: İngilizce DOI: 10.5505/tjo.2022.3740 İndeks Tarihi: 30-05-2023

Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy

Öz:

OBJECTIVE It is aimed to compare the hybrid radiotherapy (RT) plans according to three-dimensional field-in-field (FIF), intensity-modulated RT (IMRT), and volumetric-modulated arc therapy (VMAT) techniques in RT applied to the whole breast volume after breast-conserving surgery. METHODS Based on the simulation images of 31 consecutive patients who received whole breast RT, a dose of 50 Gy (25 fractions) was prescribed to the planned treatment volume (PTV) with 6 MV X-rays, five new plans were created, respectively (FIF, VMAT, IMRT, H-VMAT, and H-IMRT). Homogeneity criteria for PTV, volume-dose criteria for peripheral critical organs, and MU values of the plans were evaluated separately for each plan. Subgroup analyses were performed for the left- and right-sided patients. RESULTS Both hybrid plans produced a more homogeneous plan at the target volume compared to the other three techniques (HI; 0.14, 0.14, 0.16, 0.12, and 0.13, p<0.001, respectively). Again, smaller values for D2% were obtained with both hybrid techniques (53.25, 53.24, 53.8, 52.41, and 52.47 Gy, respectively, p<0.001). The mean heart dose for the left-sided irradiations was 3.54, 3.40, 4.33, 3.49, and 3.79 Gy for the five techniques, respectively (p=0.029). Compared with FIF with the other four techniques for the left-sided irradiations, the LAD D 10% value was significantly reduced (p<0.001). CONCLUSION Hybrid plans provide a more homogeneous dose distribution compared to the use of other techniques alone, while at the same time, it allows reducing the ipsilateral lung and heart doses.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Sarac H, Demircan N, ÇATLI S, Şenturk E, BORA H (2023). Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. , 45 - 51. 10.5505/tjo.2022.3740
Chicago	Sarac Hilal,Demircan Niyazi Volkan,ÇATLI SERAP,Şenturk Ertugrul,BORA HÜSEYIN Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. (2023): 45 - 51. 10.5505/tjo.2022.3740
MLA	Sarac Hilal,Demircan Niyazi Volkan,ÇATLI SERAP,Şenturk Ertugrul,BORA HÜSEYIN Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. , 2023, ss.45 - 51. 10.5505/tjo.2022.3740
AMA	Sarac H,Demircan N,ÇATLI S,Şenturk E,BORA H Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. . 2023; 45 - 51. 10.5505/tjo.2022.3740
Vancouver	Sarac H,Demircan N,ÇATLI S,Şenturk E,BORA H Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. . 2023; 45 - 51. 10.5505/tjo.2022.3740
IEEE	Sarac H,Demircan N,ÇATLI S,Şenturk E,BORA H "Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy." , ss.45 - 51, 2023. 10.5505/tjo.2022.3740
ISNAD	Sarac, Hilal vd. "Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy". (2023), 45-51. https://doi.org/10.5505/tjo.2022.3740

APA	Sarac H, Demircan N, ÇATLI S, Şenturk E, BORA H (2023). Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. Türk Onkoloji Dergisi, 38(1), 45 - 51. 10.5505/tjo.2022.3740
Chicago	Sarac Hilal,Demircan Niyazi Volkan,ÇATLI SERAP,Şenturk Ertugrul,BORA HÜSEYIN Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. Türk Onkoloji Dergisi 38, no.1 (2023): 45 - 51. 10.5505/tjo.2022.3740
MLA	Sarac Hilal,Demircan Niyazi Volkan,ÇATLI SERAP,Şenturk Ertugrul,BORA HÜSEYIN Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. Türk Onkoloji Dergisi, vol.38, no.1, 2023, ss.45 - 51. 10.5505/tjo.2022.3740
AMA	Sarac H,Demircan N,ÇATLI S,Şenturk E,BORA H Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. Türk Onkoloji Dergisi. 2023; 38(1): 45 - 51. 10.5505/tjo.2022.3740
Vancouver	Sarac H,Demircan N,ÇATLI S,Şenturk E,BORA H Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy. Türk Onkoloji Dergisi. 2023; 38(1): 45 - 51. 10.5505/tjo.2022.3740
IEEE	Sarac H,Demircan N,ÇATLI S,Şenturk E,BORA H "Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy." Türk Onkoloji Dergisi, 38, ss.45 - 51, 2023. 10.5505/tjo.2022.3740
ISNAD	Sarac, Hilal vd. "Dosimetric Investigation of FIF, VMAT, IMRT, H-VMAT, and H-IMRT Planning Techniques in Breast Cancer Radiotherapy". Türk Onkoloji Dergisi 38/1 (2023), 45-51. https://doi.org/10.5505/tjo.2022.3740