open access

Vol 17, No 2 (2012)
Published online: 2012-03-01
Submitted: 2011-04-18
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Beam rate influence on dose distribution and fluence map in IMRT dynamic technique

Krzysztof Ślosarek, Aleksandra Grządziel, Wojciech Osewski, Łukasz Dolla, Barbara Bekman, Borislava Petrovic
DOI: 10.1016/j.rpor.2012.01.004
·
Rep Pract Oncol Radiother 2012;17(2):97-103.

open access

Vol 17, No 2 (2012)
Published online: 2012-03-01
Submitted: 2011-04-18

Abstract

Aim

To examine the impact of beam rate on dose distribution in IMRT plans and then to evaluate agreement of calculated and measured dose distributions for various beam rate values.

Background

Accelerators used in radiotherapy utilize some beam rate modes which can shorten irradiation time and thus reduce ability of patient movement during a treatment session. This aspect should be considered in high conformal dynamic techniques.

Materials and methods

Dose calculation was done for two different beam rates (100[[ce:hsp sp="0.25"/]]MU/min and 600[[ce:hsp sp="0.25"/]]MU/min) in an IMRT plan. For both, a comparison of Radiation Planning Index (RPI) and MU was conducted. Secondly, the comparison of optimal fluence maps and corresponding actual fluence maps was done. Next, actual fluence maps were measured and compared with the calculated ones. Gamma index was used for that assessment. Additionally, positions of each leaf of the MLC were controlled by home made software.

Results

Dose distribution obtained for lower beam rates was slightly better than for higher beam rates in terms of target coverage and risk structure protection. Lower numbers of MUs were achieved in 100[[ce:hsp sp="0.25"/]]MU/min plans than in 600[[ce:hsp sp="0.25"/]]MU/min plans. Actual fluence maps converted from optimal ones demonstrated more similarity in 100[[ce:hsp sp="0.25"/]]MU/min plans. Better conformity of the measured maps to the calculated ones was obtained when a lower beam rate was applied. However, these differences were small. No correlation was found between quality of fluence map conversion and leaf motion accuracy.

Conclusion

Execution of dynamic techniques is dependent on beam rate. However, these differences are minor. Analysis shows a slight superiority of a lower beam rate. It does not significantly affect treatment accuracy.

Abstract

Aim

To examine the impact of beam rate on dose distribution in IMRT plans and then to evaluate agreement of calculated and measured dose distributions for various beam rate values.

Background

Accelerators used in radiotherapy utilize some beam rate modes which can shorten irradiation time and thus reduce ability of patient movement during a treatment session. This aspect should be considered in high conformal dynamic techniques.

Materials and methods

Dose calculation was done for two different beam rates (100[[ce:hsp sp="0.25"/]]MU/min and 600[[ce:hsp sp="0.25"/]]MU/min) in an IMRT plan. For both, a comparison of Radiation Planning Index (RPI) and MU was conducted. Secondly, the comparison of optimal fluence maps and corresponding actual fluence maps was done. Next, actual fluence maps were measured and compared with the calculated ones. Gamma index was used for that assessment. Additionally, positions of each leaf of the MLC were controlled by home made software.

Results

Dose distribution obtained for lower beam rates was slightly better than for higher beam rates in terms of target coverage and risk structure protection. Lower numbers of MUs were achieved in 100[[ce:hsp sp="0.25"/]]MU/min plans than in 600[[ce:hsp sp="0.25"/]]MU/min plans. Actual fluence maps converted from optimal ones demonstrated more similarity in 100[[ce:hsp sp="0.25"/]]MU/min plans. Better conformity of the measured maps to the calculated ones was obtained when a lower beam rate was applied. However, these differences were small. No correlation was found between quality of fluence map conversion and leaf motion accuracy.

Conclusion

Execution of dynamic techniques is dependent on beam rate. However, these differences are minor. Analysis shows a slight superiority of a lower beam rate. It does not significantly affect treatment accuracy.

Get Citation

Keywords

Dose rate; Fluence map; IMRT; Gamma index

About this article
Title

Beam rate influence on dose distribution and fluence map in IMRT dynamic technique

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 17, No 2 (2012)

Pages

97-103

Published online

2012-03-01

DOI

10.1016/j.rpor.2012.01.004

Bibliographic record

Rep Pract Oncol Radiother 2012;17(2):97-103.

Keywords

Dose rate
Fluence map
IMRT
Gamma index

Authors

Krzysztof Ślosarek
Aleksandra Grządziel
Wojciech Osewski
Łukasz Dolla
Barbara Bekman
Borislava Petrovic

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