SU-E-T-592: Comparison of Low Dose Volume and Integral Dose in Rotational Arc Radiation Therapy Modalities

Medical Physics
J LianA Hu

Abstract

To compare low dose volume and integral dose of various rotational arc radiation therapy modalities, including helical tomotherapy (HT) and other volumetric modulated arc therapies (VMAT). A digital cylindrical phantom and an anthropomorphic pelvic phantom were used in the study. HT treatment was planned on TomoTherapy Planning Station (Accuray) and VMAT plans were generated on Pinnacle (Philips) and Eclipse (Varian). Same objectives and criteria were used for all the planning tasks. Tomotherapy plans were made with both 1cm jaw and 2.5cm jaw. Pinnacle SmartArc and Eclipse RapidArc plans used 1 arc and 2 arcs. Plan quality was evaluated by dose-volume histograms, conformity index (CI), and heterogeneity index (HI). V10% and V20% of body were used in quantifying low dose volume. Integral doses were computed for each plan and compared. Dose profiles across the target center were retrieved to show the rate of dose falls off. All arc TPS generated clinically acceptable plan with comparable target CI and HI. The V20% of body of the cylindrical phantom case were 3551cc, 4054cc, 3375cc, 3438cc, 3714cc and 3679cc for tomotherapy 1 cm and 2 cm jaw, SmartArc 1 arc and 2 arc, and RapidArc 1 arc and 2 arc plans, respectively. The integral ...Continue Reading

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