aims: it was aimed to investigate postoperative conformal radiotherapy planning that provides the best target volume and the least dose for critical organs in cancers of stomach. methods: this study was conducted on the ct simulation images of thirty patients diagnosed with gastric cancer. target volumes and the organs at risk were contoured. ap-pa reciprocal parallel field conventional plan an...

Introduction: Presence of dental filling material (DFM) such as amalgam in treatment patient with nasopharyngeal cancer (NPC) is common. Streaking artifact Arising from this high density material in computed tomography (scan), may lead to perturbation in dose calculation and dose delivery. Widespread performance of intensity-modulated radiotherapy (IMRT) for NPC using anterior...

We design and implement an intensity-modulated radiation therapy (IMRT) plan generation technology that effectively and efficiently optimizes beam geometry as well as beam intensities. Our approach is based on an existing linear programming based fluence map optimization model that approximates dose volume requirements using conditional value-at-risk (C-VaR) constraints. We show how the paramet...

Angiosarcoma of the scalp is a rare aggressive tumor that affects elderly patients. Chemoradiation is the treatment of choice for multicentric and extensive disease. The shape of the scalp represents a dosimetric challenge in terms of achieving a homogeneous concave dose distribution with coverage of the entire target volume and an acceptable organs-at-risk sparing. We report a case of an 81-ye...

BACKGROUND This paper compares the calculated dose to target and normal tissues when using pencil beam (PBC), superposition/convolution (AAA) and Monte Carlo (MC) algorithms for whole breast (WBI) and accelerated partial breast irradiation (APBI) treatment plans. METHODS Plans for 10 patients who met all dosimetry constraints on a prospective APBI protocol when using PBC calculations were rec...

PURPOSE To evaluate and determine whether 30 patients previously treated with the SAVI™ device could have been treated to a PTV_EVAL created with a 1.5 cm expansion. This determination was based upon dosimetric parameters derived from current recommendations and dose-response data. MATERIAL AND METHODS Thirty patients were retrospectively planned with PTV_EVALs generated with a 1.5 cm expansi...

Introduction:   Radiotherapy with or without surgery plays an important role in the treatment of patients with esophageal cancer. In the treatment planning of esophageal cancer, usually normal lung volume was observed in the treatment fields and probably received high radiation dose. The incidence of radiation pneumonitis (RP) after radiotherapy (RT) for sensitive organ of lu...

BACKGROUND The cumulative dose was compared with the planned dose among fourteen patients undergoing image-guided, intensity-modulated radiotherapy of the prostate bed. Moreover, we investigated the feasibility of adding dose tracking to the routine workflow for radiotherapy. METHODS Daily cone beam computed tomography was conducted for image-guided radiotherapy, and weekly cumulative deliver...

BACKGROUND An advantage of the Intensity Modulated Radiotherapy (IMRT) technique is the feasibility to deliver different therapeutic dose levels to PTVs in a single treatment session using the Simultaneous Integrated Boost (SIB) technique. The paper aims to describe an automated tool to calculate the dose to be delivered with the SIB-IMRT technique in different anatomical regions that have the ...

PURPOSE Both the AccuBoost D-shaped and round applicators have been dosimetrically characterized and clinically used to treat patients with breast cancer. While the round applicators provide conformal dose coverage, under certain clinical circumstances the breast skin dose may be higher than preferred. The purpose of this study was to modify the round applicators to minimize skin dose while not...