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KMID : 1164219970090010064
Journal of Korean Society for Radiotherapeutic Technology
1997 Volume.9 No. 1 p.64 ~ p.70
Clinical Application of 3-D Compensator in Head and Neck Cancer
Hong Dong-Ki

Lee Jung-Woo
Lee Doo-Hyun
Park Kwang-Ho
Kim Jung-Man
Abstract
The goal of radiation treatment planning is to deliver the dose to the patient within of that prescribed. We have often encountered the situation that the area which have not only several irregular contours but also tissue heterogeneities should be treated. With conventional devices such as wedges, missing tissue compensator. there are some limitations to achieve the uniform dose distribution in treatment volume. The use of CT simulator, 3-D planning system, computer-controlled milling machine enables it to deliver the dose uniformally. This report includes the whole procedure which have patient data acquisition 3D planning, computer-controlled milling, performance verification of 3D compensator, and TLD evaluation. We applied it for the treatment of head and heck cancer only. In Spite of the irregular contour and different electron density of tessue, we have achieved the uniformity of the dose distribution within relatively. Although there are some problems which are not only verification of performance but uncertainties of using the new treatment device, we believe that the improvement of dosimetry will eliminate the uncertainties of that application. so the other lesions besides head and neck can will be ale to use the 3D compensator to achieve the dose uniformity
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