Abstract:Objective To study the set-up errors by CBCT in IMRT with two different immobilization techniques for thoracic and abdominal tumors.Methods Sixty patients with thoracic and abdominal tumor were included in this study and separated into study group and the control group. The study group were immobilized with carbon fiber holder, vacuum bag and thermoplastic mask. The control group were immobilized with carbon fiber holder and thermoplastic mask. CBCT scan and auto-match online were regularly performed before the treatment. The setup of left-right(x), superior-inferior(y), anterior-posterior(z) were received. The value of the Mptv was calculated, meanwhile. The grouped t-test of was carried out between these two methods. Results The shift errors in x-, y-, z-dimension of the study group were (0.32±2.58)mm,(-0.40±3.89) mm,(-0.75±2.43) mm. The MPTV were 5.60 mm,6.08 mm,6.32 mm. The translation set-up errors in x-, y-, z- dimension of the control group were(0.62±3.60),(2.44±4.93),(0.66±2.85) mm, respectively. The MPTV were 8.07,10.63,6.90 mm, respectively. The t-test value were t=-0.78,-5.11,-4.22,P=0.440,0.000,0.000, respectively.Conclusions The immobilization techniques with carbon fiber holder, vacuum bag and thermoplastic mask would be better than the techniques without the vacuum bag in reducing the setup errors.
Liu Libin,Wu Junxin,Qu Yiyan et al. Study the setup errors by CBCT in radiotherapy with two different immobilization techniques for thoracic and abdominal tumors [J]. Chinese Journal of Radiation Oncology, 2014, 23(1): 48-51.
[1]胡逸民.治疗体位及体位固定技术[A]//胡逸民,杨定字.肿瘤放射治疗技术[M].北京:北京医科大学中国协和医科大学联合出版社,1999:200-205. [2] 王艳阳,傅小龙,夏冰,等.肺癌锥形束CT图像引导放疗最优图像配准方法的筛选与评价[J].中华放射肿瘤学杂志,2009,18:61-64. [3] 胡彩容,陆军,张秀春,等.锥形束CT联合六自由度床的校位精度分析[J].中华放射肿瘤学杂志,2010,19:340-344. [4] Stroom JC, de Boer JC, Huzenga H, et al. Inclusion of geometrical nucertainties in radiotherapy treatment planning by means of coverage probability[J].Int J Radiat Oncol Biol Phys,1999,43:905-919. [5] van Herk M, Remeijer P, Lebesque JV. Inclusion of geometric uncertainties in treatment plan evaluation[J]. Int J Radiat Oncol Biol Phys,2002,52:1407-1422. [6] 邱梅.腹部肿瘤放疗使用固定器价值的探讨[J].现代肿瘤医学,2004(6):580-581. [7] 应惟良,刘根华,丁生苟.现代放疗的体位固定技术与发展[J].井冈山学院学报(自然科学版),2008,29:106-107. [8] 盛延兴,隋振忠,郑芳霞,等.立体定向放疗床、头架、真空袋对吸收剂量的影响[J].现代肿瘤医学,2004(3):184. [9] Ahmad S, Vlachaki MT, Teslow TN, et al. Impact of setup uncertainty in the dosimetry of prostate and surrounding tissues in prostate cancer patients treated with Peacock/IMRT [J]. Med Dosim,2005,30:1-7. [10] 贾国峰.真空袋在胸腹部肿瘤放疗中的应用分析[J].吉林医学,2012(18):3811-3812. [11] 林益匡,缪龙华,张忠金.胸腹部肿瘤适形放射治疗摆位误差临床分析[J].福建医药杂志,2012(1):34-36. [12] van Herk M.Errors and margins in radiotherapy[J].Semin Radiat 0ncol Biol,2004,14:52-64. [13] Fu W, Yang Y, Li X, et al. Dosimetric effects of patient rotational setup errors on prostate IMRT treatments[J].Phys Med Biol,2006,51:5321-5331. [14] Astreinidou E, Bel A, Raaijmakers CP, et al.Adequate margins for random setup uncertainties in head-and-neck IMRT[J].Int J Radiat 0ncol Biol Phys,2005,61:938-944. [15] 张连胜,张寅,李明辉,等.用锥形束CT技术测量热塑成型膜固定患者的放疗摆位误差[J].中华放射肿瘤学杂志,2008,17:219-222. [16] 张寅,张连胜,肖建平,等.用图像引导技术提高胸腹部肿瘤大分割放疗的治疗精度[J].中华放射肿瘤学杂志,2008,17:441-444.