A simplified non-coplanar volumetric modulated arc therapy for the whole brain radiotherapy with hippocampus avoidance

Bibliographic Details
Title: A simplified non-coplanar volumetric modulated arc therapy for the whole brain radiotherapy with hippocampus avoidance
Authors: Juan Xue, Sunian Jin, Hongtao Zhang, Kun Zou, Junxiu Sheng, Jinhai Tang, Wanying Zhao, Ping Yang, Lufan Tang, Xiupeng Lv, Li Lv
Source: Frontiers in Oncology, Vol 13 (2023)
Publisher Information: Frontiers Media S.A., 2023.
Publication Year: 2023
Collection: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: hippocampal avoiding, whole brain radiation therapy, brain metastases, IMRT, VMAT, coplanar, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: PurposeTo evaluate the feasibility of using a simplified non-coplanar volumetric modulated arc therapy (NC-VMAT) and investigate its dosimetric advantages compared with intensity modulated radiation therapy (IMRT) and coplanar volumetric modulated arc therapy (C-VMAT) for hippocampal-avoidance whole brain radiation therapy (HA-WBRT).MethodsTen patients with brain metastase (BM) were included for HA-WBRT. Three treatment plans were generated for each case using IMRT, C-VMAT, and NC-VMAT, respectively.ResultsThe dosimetric results of the three techniques complied roughly with the RTOG 0933 criteria. After dose normalization, the V30Gy of whole brain planned target volume (WB-PTV) in all the plans was controlled at 95%. Homogeneity index (HI) of WB-PTV was significantly reduced in NC-VMAT (0.249 ± 0.017) over IMRT (0.265 ± 0.020, p=0.005) and C-VMAT (0.261 ± 0.014, p=0.020). In terms of conformity index (CI), NC-VMAT could provide a value of 0.821 ± 0.010, which was significantly superior to IMRT (0.788 ± 0.019, p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2234-943X
Relation: https://www.frontiersin.org/articles/10.3389/fonc.2023.1143564/full; https://doaj.org/toc/2234-943X
DOI: 10.3389/fonc.2023.1143564
Access URL: https://doaj.org/article/807f677562b0446c9646c7770c5c549b
Accession Number: edsdoj.807f677562b0446c9646c7770c5c549b
Database: Directory of Open Access Journals
More Details
ISSN:2234943X
DOI:10.3389/fonc.2023.1143564
Published in:Frontiers in Oncology
Language:English