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KMID : 1164220140260010099
Journal of Korean Society for Radiotherapeutic Technology
2014 Volume.26 No. 1 p.99 ~ p.105
Evaluation of Manufactured Device for Radiation therapy in Head and Neck Cancer
Kim Tae-Jun

Kim Dong-Wook
Chung Weon-Kuu


Abstract
Purpose : We compared the set-up accuracy and right-left Shoulder position variation of the manufactured device and other commercial shoulder-retractors in the head and neck radiation treatment.

Materials and Methods : Six patients consist of three groups which were used three different Shoulder retractors. We measured position corrections of left and right Shoulder and the couch after the image guidance by using on board imager
(OBI) for six head and neck patients who has the extended target to the neck node lower region.

Results : The position variation correction of left (right) Shoulder after image guidance were 1.07¡¾3.99 mm (-4.35¡¾2.09 mm), -0.37¡¾5.91 mm (1.26¡¾5.28 mm), -0.63¡¾2.44 mm (0.25¡¾1.61 mm) for group A, B and C. The vertical, lateral, longitudinal position and angular corrections of the couch after image guidance were -2.06¡¾2.68, -1.11¡¾8.15, 0.34¡¾3.78 mm, and 0.51¡¾0.77 degree for group A, -1.18¡¾1.82, 0.94¡¾2.13, -0.67¡¾1.98 mm, and 0.91¡¾1.04 degree for group B and 0.12¡¾2.18, - 0.79¡¾2.64, 0.79¡¾2.64 mm, and 0.00¡¾0.49 degree for group C.

Conclusion : In this preliminary study, we found the positioning accuracy of the manufactured Shoulder retractor is comparable to other commercial Shoulder retractors. We expect that the reproducibility and accuracy of the patient set-up
could be improved by using the home made Shoulder retractor in the head and neck radiation treatment
KEYWORD
left (right) Shoulder position variation, set-up accuracy, manufactured device
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