Comparison of RapidArc plans and fixed field intensity modulated radiotherapy planning in cervical cancer radiotherapy
10.3760/cma.j.issn.0254-5098.2011.03.019
- VernacularTitle:宫颈癌放疗中的快速旋转调强计划和调强计划比较
- Author:
Xiangyu LIU
;
Xianfeng LIU
;
Yanan HE
;
Wenjuan YIN
;
Yongzhong WU
- Publication Type:Journal Article
- Keywords:
Cervical neoplasms;
Radiotherapy;
Treatment planning;
RapidArc;
Intensity modulated radiotherapy
- From:
Chinese Journal of Radiological Medicine and Protection
2011;31(3):326-328
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the advantages and disadvantages between the RapidArc plans and fixed-field IMRT plan (IMRT).Methods Ten cases of cervical cancer,aged 55 (36-70),who were to receive post-operative radiotherapy were selected randomly.Single arc (Arc 1),two arcs (Arc 2),and three arc (Arc 3) RapidArc plans and fixed-field IMRT plan were designed respectively in the Eclipse 8.6 planning system.The designing,treatment time,target area,and dose distribution of organs at risk by these 4 planning techniques were compared.Results The values of average planned treatment time by the Arc 1,Arc 2,and Arc 3 ten cases was 98,155,185,and 46 min,respectively.The values of average treatment time in the Varian IX accelerator were 2.15,3.32,4.48,and 6.95 min,respectively.The average mean doses were (48.99±1.08),(49.40±0.51) ,(49.51±0.62) ,and (48.65±0.92) Gy,respectively.The values of homogeneity index (HI) of target were 1.11±0.07,1.07±0.02,1.06±0.02,and 1.12±0.05,respectively.The values of eonformal index (CI) of target were 0.73±0.13,0.87±0.06,0.87±0.06,and 0.79±0.06,respectively.The doses at rectum,bladder,and small intestine calculated by IMRT plan were the lowest,and the doses at the femoral neck calculated by these 4 plans were similar.Conclusions The RapidArc plan is superior in dose distribution at target,HI,CI,and treatment time to IMRT,but IMRT plan is superior to RapidArc in planned dose calculation time and protection of organs at risk.However,in general,the RapidArc plan is better in clinical application than IMRT plan.
