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KMID : 1164220140260020321
Journal of Korean Society for Radiotherapeutic Technology
2014 Volume.26 No. 2 p.321 ~ p.327
The Evaluation of the dose calculation algorithm(AAA)¡¯s Accuracy in Case of a Radiation Therapy on Inhomogeneous tissues using FFF beam
Kim In-Woo

Chae Seung-Hoon
Kim Min-Jung
Kim Bo-Gyum
Kim Chan-Yong
Park So-Yeon
Yoo Suk-Hyun
Abstract
Purpose : To verify the accuracy of the Ecilpse¡¯s dose calculation algorithm(AAA:Analytic anisotropic algorithm) in case of a radiation treatment on Inhomogeneous tissues using FFF beam comparing dose distribution at TPS with actual distribution.

Materials and Methods : After acquiring CT images for radiation treatment by the location of tumors and sizes using the solid water phantoms, cork and chest tumor phantom made of paraffin, we established the treatment plan for 6MV photon therapy using our radiation treatment planning system for chest SABR, Ecilpse¡¯s AAA(Analytic anisotropic algorithm).
According to the completed plan, using our TrueBeam STx(Varian medical system, Palo Alto, CA), we irradiated radiation on the chest tumor phantom on which EBT2 films are inserted and evaluated the dose value of the treatment plan and that of the actual phantom on Inhomogeneous tissue.

Results : The difference of the dose value between TPS and measurement at the medial target is 1.28~2.7%, and, at the side of target including inhomogeneous tissues, the difference is 2.02%~7.40% at Ant, 4.46%~14.84% at Post, 0.98%~7.12% at Rt, 1.36%~4.08% at Lt, 2.38%~4.98% at Sup, and 0.94%~3.54% at Inf.

Conclusion : In this study, we discovered the possibility of dose calculation¡¯s errors caused by FFF beam¡¯s characteristics and the inhomogeneous tissues when we do SBRT for inhomogeneous tissues. SBRT which is most popular therapy method needs high accuracy because it irradiates high dose radiation in small fraction. So, it is supposed that ideal treatment is possible if we minimize the errors when planning for treatment through more study about organ¡¯s characteristics like Inhomogeneous tissues and FFF beam¡¯s characteristics.
KEYWORD
SABR, FFF, VMAT Analytic Anisotropic Algorithm, Inhomogeneity
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