west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "剂量分布" 2 results
  • 摆位系统误差对乳腺癌调强放射治疗剂量分布的影响

    目的探究摆位系统误差对乳腺癌患者实施调强放射治疗的剂量学影响。 方法2012年10月对一典型乳腺癌改良根治术后患者分别设计常规三维适形切线野(CRT)、多野静态调强(s-IMRT)、旋转调强(VMAT)3种不同治疗技术的计划,在计划中将治疗中心点向患者左、右、腹、背、头、脚方向分别平移3、6 mm模拟2种不同程度的系统误差,共计39个计划与原计划进行比较,观察不同治疗技术间、不同平移距离,不同方向上的靶区及主要危及器官患侧肺和心脏的剂量变化。 结果对于3 mm摆位系统误差,靶区D95%于向背侧s-IMRT降低4.0%,VMAT降低3.5%,向右(患侧)s-IMRT降低3.0%,VMAT降低2.8%,其余均方向降低且<1.6%。对于主要危及器官,系统误差对s-IMRT技术的患侧肺接受20 Gy剂量的体积影响大,对VMAT技术的患侧肺接受10 Gy剂量的体积影响大。除此外,对主要危及器官患侧肺及其他剂量参数影响均小(3 mm<3%,6 mm<6%)。系统误差对3D-CRT技术的影响小(3 mm<3%,6 mm<6%)。6 mm的系统误差对靶区及危及器官的影响与3 mm趋势一致,仅变化程度更大,两种调强技术的靶区D95%降低>5%。 结论对乳腺癌改良根治术后的呈弧段状、位于胸廓表面的放射治疗靶区,s-IMRT和VMAT方式的调强治疗技术对治疗摆位系统误差的影响程度相当,但较CRT技术更敏感,其中以向患者背侧、健侧方向偏移影响最大。改良根治术后乳腺癌调强治疗的实施需要有较三维治疗更高的位置精度保证。

    Release date: Export PDF Favorites Scan
  • Study of the Influence of Uniform Transverse Magnetic Field on the Dose Distribution of High Energy Electron Beam Using Monte Carlo Method

    In the present work, Monte Carlo simulations were employed to study the characteristics of the dose distribution of high energy electron beam in the presence of uniform transverse magnetic field. The simulations carried out the transport processes of the 30 MeV electron beam in the homogeneous water phantom with different magnetic field. It was found that the dose distribution of the 30 MeV electron beam had changed significantly because of the magnetic field. The result showed that the range of the electron beam was decreased obviously and it formed a very high dose peak at the end of the range, and the ratio of maximum dose to the dose of the surface was greatly increased. The results of this study demonstrated that we could change the depth dose distribution of electron beam which is analogous to the heavy ion by modulating the energy of the electron and magnetic field. It means that using magnetic fields in conjunction with electron radiation therapy has great application prospect, but it also has brought new challenges for the research of dose algorithm.

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content