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KMID : 0357520130360030227
Journal of Radiological Science and Technology
2013 Volume.36 No. 3 p.227 ~ p.235
The Evaluation of Composite Dose using Deformable Image Registration in Adaptive Radiotherapy for Head and Neck Cancer
Hwang Chul-Hwan

Ko Seong-Jin
Kim Chang-Soo
Kim Jung-Hoon
Kim Dong-Hyun
Choi Seok-Yoon
Ye Soo-Young
Kang Se-Sik
Abstract
In adaptive radiotherapy(ART), generated composite dose of surrounding normal tissue on overall treatment course which is using deformable image registration from multistage images. Also, compared with doses summed by each treatment plan and clinical significance is considered. From the first of May, 2011 to the last of July, 2012. Patients who were given treatment and had the head and neck cancer with 3-dimension conformal radiotherapy or intensity modulated radiotherapy, those who were carried out adaptive radiotherapy cause of tumor shrinkage and weight loss. Generated composite dose of surrounding normal tissue using deformable image registration was been possible, statistically significant difference was showed to mandible($48.95{pm}3.89$ ¼ö½Ä À̹ÌÁö vs $49.10{pm}3.55$ ¼ö½Ä À̹ÌÁö Gy), oral cavity($36.93{pm}4.03$ ¼ö½Ä À̹ÌÁö vs $38.97{pm}5.08$ ¼ö½Ä À̹ÌÁö Gy), parotid gland($35.71{pm}6.22$ ¼ö½Ä À̹ÌÁö vs $36.12{pm}6.70$ ¼ö½Ä À̹ÌÁö Gy) and temporomandibular joint($18.41{pm}9.60$ ¼ö½Ä À̹ÌÁö vs $20.13{pm}10.42$ ¼ö½Ä À̹ÌÁö Gy) compared with doses summed by each treatment plan. The results of this study show significant difference between composite dose by deformable image registration and doses summed by each treatment plan, composite dose by deformable image registration may generate more exact evaluation to surrounding normal tissue in adaptive radiotherapy.
KEYWORD
Adaptive Radiotherapy (ART), Deformable Image Registration, Dose Volume Histogram (DVH)
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