Accuracy in the delivered dose to the patients plays an important and vital role in radiotherapy treatments. This happens because of steep gradient of dose-local control and dose-normal tissue complication probability curves. Dosimetric uncertainty of 3%-4% (one standard deviation) in the delivered dose to the target volume as an acceptable level has been recommended(1-3). In many centers, in v...

Disseminated lymphangiomatosis is a rare disease mostly observed in children and young adults. If no surgical removal can be achieved, the prognosis is poor, especially for patients with thoracic localization and pleural effusions. Next to pleural drainage, therapeutic options include radiotherapy, local, and systemic pharmacotherapy. An 11-year-old boy presented with disseminated lymphangiomat...

background: since tumors located in thorax region of body mainly move due to respiration, in the modern radiotherapy, there have been many attempts such as; external markers, strain gage and spirometer represent for monitoring patients’ breathing signal. with the advent of fluoroscopy technique, indirect methods were proposed as an alternative approach to extract patients’ breathing signals. ma...

background: small cell lung cancer (sclc) is a highly aggressive tumor.   objective: to evaluate the survival and time to progression of patients with sclc admitted to a chest disease center in istanbul, turkey.   methods: based on the reports of a pulmonary oncology clinic, data regarding performance status (ps), clinical stage of disease, treatment, time to progression and survival of 67 pati...

The registration of thoracic images is a challenging problem with essential clinical applications such as radiotherapy and diagnosis. In the context of the EMPIRE10 challenge, we briefly introduce a general robust and efficient algorithm to register automatically any type of scalar images (CT, MRI, ...) on virtually any location (brain, thorax, ...). Although fully automatic and generic, the pr...

Cone-beam computed tomography (CBCT) is used for external-beam radiation therapy setup and target localization. As with all medical applications of ionizing radiation, radiation exposure should be managed safely and optimized to achieve the necessary image quality using the lowest possible dose. The present study investigates doses from standard kilovoltage kV radiographic and CBCT imaging prot...

introduction radiotherapy with small fields is used widely in newly developed techniques. additionally, dose calculation accuracy of treatment planning systems in small fields plays a crucial role in treatment outcome. in the present study, dose calculation accuracy of two commercial treatment planning systems was evaluated against monte carlo method. materials and methods siemens once or linea...

A 50-year-old man presented with a 1-month history of dyspnea, weight loss, and pleuritic chest pain. He had environmental asbest exposure from birth to 12 years-old. Past medical history revealed maximal thymectomy operation and adjuvant radiotherapy with the diagnosis of minimally invasive lymphocytic thymoma 11 years ago. Thorax computerized tomography demonstrated a circumferential pleural ...

Accurate knowledge of ionizing radiation dose from cone-beam CT (CBCT) imaging in radiotherapy is important to allow concomitant risks to be estimated and for justification of imaging exposures. This study uses a Monte Carlo CBCT model to calculate imaging dose for a wide range of imaging protocols for male and female patients. The Elekta XVI CBCT system was modeled using GATE and simulated dos...