Modelagem dos acessórios de imobilização e mesa de tratamento no Sistema de Planejamento Eclipse
DOI:
https://doi.org/10.29384/rbfm.2023.v17.19849001733Keywords:
radiotherapy, attenuation, table top, modeling of strucuturesAbstract
Currently, in treatment planning systems (TPS), some models of structures are offered that may not match reality, because the different regions and structures that compose them have different electronic densities. Therefore, its use may introduce systematic errors in the dose calculation. In this way, the objective of the study was to model the base of the orfit and the Exact couch table top in TPS Eclipse. For this, a computed tomography scan of the base of the Orfit accessories and the Exact Couch table top was performed. Their structures were delineated based on their densities. Attenuation measurements of each structure were performed in a water phantom with an ionization chamber. The Hounsfield unit was varied in the TPS in order to approximate the calculated dose value to the measured value. Initially, the largest discrepancy was up to 6.7%. After modeling the structures, the greatest discrepancy found was 1.3%. After validation of this set of structures, they started to be inserted in the SPT for consideration in the dose calculation.
Keywords: radiotherapy; attenuation; table top; modeling of structures.
Downloads
References
Olch AJ, Gerig L, Li H, Mihaylov I, Morgan A. Dosimetric effects caused by couch tops and immobilization devices: Report of AAPM Task Group 176. Medical Physics. 2014; 41(6):061501.
S.-T. Chiu-Tsao and M. F. Chan, “Evaluation of two- dimensional bolus effect of immobilization/support devices on skin doses: A radiochromic EBT film dosimetry study in phantom,” Med. Phys. 2010; 37(7):3611–3620.
J. Carl and A. Vestergaard, “Skin damage probabilities using fixation materials in high-energy photon beams,” Radiother. Oncol. 2000; 55(2):191–198.
B. De Ost, J. Vanregemorter, B. Schaeken, and D. Van den Weyngaert, “The effect of carbon fibre inserts on the build-up and attenuation of high energy photon beams,” Radiother. Oncol. 1997; 45(3):275–277.
Chyou T yu, Lorenz F. Couch modelling for volumetric modulated arc therapy (VMAT). Australasian Physical and Engineering Sciences in Medicine. 2017; 40(2):471–80.
Aldosary G, Nobah A, Al-Zorkani F, Devic S, Moftah B. A practical method of modeling a treatment couch using cone- beam computed tomography for intensity-modulated radiation therapy and rapidArc treatment delivery. Medical Dosimetry. 2015; 40(4):304–313.
Myint WK, Niedbala M, Wilkins D, Gerig LH. Investigating treatment dose error due to beam attenuation by a carbon fiber tabletop. Journal of Applied Clinical Medical Physics. 2006; 7(3):21–27.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Rodrigo Brito Lavoura, Kamille Joana Casagrande, André Vinicius Camargo, Diego C. S. A. da Silva
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The submission of original articles to the Brazilian Journal of Medical Physics implies the transfer, by the authors, of the rights of print and digital publication. Copyright for published articles remains with the author, with journal rights on first publication. Authors may only use the same results in other publications by clearly indicating this journal as the original publisher. As we are an open access journal, free use of articles in educational, scientific, non-commercial applications is allowed, as long as the source is cited.
The Brazilian Journal of Medical Physics is under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).