Objective To study investigate the dose accuracy that can be achieved with the method of bulk density assignment. Methods Sixteen cases of nasopharyngeal cancer patients and nineteen cases of esophageal cancer patients who accept radiotherapy in our department were selected. The planning CT images with bulk density assignment to different classes of tissues were applied to calculate the dose distributions, and then the resulting dose volume histograms (DVH) of the tumor and organs of risk were compared withthe original treatment plan. The paired t-test was taken for dose comparison between two plans. Results
The DVH comparison based on the planning CT and the bulk density assignment CT showed good agreements. With nasopharyngeal cancer patients, differences between the two plans about target and normal tissue were less than 1%. With esophageal cancer patients, the dose differences were less than 2%. Conclusion Preliminary results confirm that the bulk density assignment method can be applied to calculate the dose distributions
. Study of the feasibility and precision in dose calculation with the method of bulk density assignment[J]. Chinese Journal of Radiation Oncology, 2013, 22(3): 247-249.
[1] Pasquier D, Betrouni N, Vermandel M, et al. MRI alone simulation for conformal radiation therapy of prostate cancer:technical aspects. Conf Proc IEEE Eng Med Biol Soc,2006,1:160-163. [2] Eilertsen K, Vestad LN, Geier O, et al. A simulation of MRI based dose calculations on the basis of radiotherapy planning CT images. Acta Oncol,2008,47:1294-1302. [3] International commission on radiation unit and measurement. ICRU report 50.Prescribing,recording,and reporting photon beam therapy. London:Oxford University Press,1993. [4] International commission on radiation unit and measurement. ICRU report 62.Prescribing,recording,and reporting photon beam therapy (supplement to ICRU report 50). Washington:ICRU,1999. [5] Joakim H, Magnus G, Karlsson M, et al. Treatment planning using MRI data:an analysis of the dose calculation accuracy for different treatment regions. Radiat Oncol,2010,5:62. [6] International commission on radiation unit and measurement. ICRU report 24. Determination of absorbed dose in a patient irradiated by beams of X-or γ-rays in radiotherapy procedures. Bethesdel:ICRU,1976.