論文

査読有り
2020年

[Comparison of O-ring and General Linacs for Treatment Planning of Volumetric Modulated Arc Therapy].

Nihon Hoshasen Gijutsu Gakkai zasshi
  • Kenji Matsumoto
  • ,
  • Masakazu Otsuka
  • ,
  • Mikoto Tamura
  • ,
  • Hajime Monzen
  • ,
  • Masahiko Okumura

76
4
開始ページ
339
終了ページ
345
記述言語
日本語
掲載種別
研究論文(学術雑誌)
DOI
10.6009/jjrt.2020_JSRT_76.4.339

PURPOSE: Novel linac improvements in speed of gantry, collimator, leaf and dose rate may increase the time-efficiency of volumetric modulated arc therapy (VMAT) delivery, however remains to be investigated. In this study, a fast-rotating O-ring linac (Halcyon) with fast moving leaves is compared with a general linac (TrueBeam: TB) in terms of plan quality for VMAT of C-shape, prostate, multi target and, head and neck (H&N) cases from AAPM TG-119. MATERIALS AND METHODS: For the four test cases, VMAT planning was performed using single to four-arc VMAT on a Halcyon and using single to three-arc VMAT on a TrueBeam. Same conditions for optimization were used in each test case. Target coverage metrics and organ at risks (OAR) dose were compared. Monitor unit (MU) and irradiation time in each plan were also compared. RESULTS: In all cases, single-arc plans of Halcyon were inferior to TB plans on dose objectives. Conformity index (CI) to outer target of C-shape case was better for Halcyon (1-arc: 1.242, 2-arc: 1.202, 3-arc: 1.198, 4-arc: 1.181) than for TB (1-arc: 1.247, 2-arc: 1.211, 3-arc: 1.211) except to single arc. D5 (Gy) of core for C-shape case was better for halcyon (1-arc: 23.29, 2-arc: 21.01, 3-arc: 20.64, 4-arc: 20.47) than for TB (1-arc: 24.04, 2-arc: 22.94, 3-arc: 23.04). Calculated MU was smaller for Halcyon than for TB. In addition, Halcyon is more faster than TB because mechanical movements were improved. CONCLUSION: For VMAT plan in each case, Halcyon as well or better at the plan quality of two or three arcs on TB while reducing the delivery time.

リンク情報
DOI
https://doi.org/10.6009/jjrt.2020_JSRT_76.4.339
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32307361
ID情報
  • DOI : 10.6009/jjrt.2020_JSRT_76.4.339
  • PubMed ID : 32307361

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