Out-of-field dose studies with an anthropomorphic phantom: Comparison of X-rays and particle therapy treatments
La Tessa, Chiara and Berger, Thomas and Kaderka, Robert and Schardt, Dieter and Körner, Christine and Ramm, Ulla and Licher, Jörg and Matsufuji, Nakahiro and Vallhagen Dahlgren, Christina and Lomax, Tony and Reitz, Günther and Durante, Marco (2012) Out-of-field dose studies with an anthropomorphic phantom: Comparison of X-rays and particle therapy treatments. Radiotherapy and Oncology, 105 (1), pp. 133-138. Elsevier. DOI: 10.1016/j.radonc.2012.04.004.
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Background and purpose: Characterization of the out-of-field dose profile following irradiation of the target with a 3D treatment plan delivered with modern techniques. Methods: An anthropomorphic RANDO phantom was irradiated with a treatment plan designed for a simulated 5 x 2 x 5 cm³ tumor volume located in the center of the head. The experiment was repeated with all most common radiation treatment types (photons, protons and carbon ions) and delivery techniques (Intensity Modulated Radiation Therapy, passive modulation and spot scanning). The measurements were performed with active diamond detector and passive thermoluminescence (TLD) detectors to investigate the out-of-field dose both inside and outside the phantom. Results: The highest out-of-field dose values both on the surface and inside the phantom were measured during the treatment with 25 MV photons. In the proximity of the Planned Target Volume (PTV), the lowest lateral dose profile was observed for passively modulated protons mainly because of the presence of the collimator in combination with the chosen volume shape. In the far out-of-field region (above 100 mm from the PTV), passively modulated ions were characterized by a less pronounced dose falloff in comparison with scanned beams. Overall, the treatment with scanned carbon ions delivered the lowest dose outside the target volume. Conclusions: For the selected PTV, the use of the collimator in proton therapy drastically reduced the dose deposited by ions or photons nearby the tumor. Scanning modulation represents the optimal technique for achieving the highest dose reduction far-out-of-field.
|Title:||Out-of-field dose studies with an anthropomorphic phantom: Comparison of X-rays and particle therapy treatments|
|Journal or Publication Title:||Radiotherapy and Oncology|
|In ISI Web of Science:||Yes|
|Page Range:||pp. 133-138|
|Keywords:||X-rays, Protons, Carbon ions, Hadrontherapy, Out-of-field dose|
|HGF - Research field:||Aeronautics, Space and Transport|
|HGF - Program:||Raumfahrt|
|HGF - Program Themes:||R FR - Forschung unter Weltraumbedingungen|
|DLR - Research area:||Raumfahrt|
|DLR - Program:||R FR - Forschung unter Weltraumbedingungen|
|DLR - Research theme (Project):||R - Vorhaben Strahlenbiologie|
|Institutes and Institutions:||Institute of Aerospace Medicine > Radiation Biology|
|Deposited By:||Kerstin Kopp|
|Deposited On:||17 Aug 2012 11:21|
|Last Modified:||04 Apr 2013 16:38|
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