THE EFFECT OF POSITIONING ACCURACY OF CANCER PATIENTS ON THE PARAMETERS OF THE INDIVIDUAL THREE-DIMENSIONAL DOSE DISTRIBUTION DELIVERED TO THEM

G. V. Bel’kov, M. Piatkevich
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Abstract

For the correct application of high-tech methods of radiation therapy, it is necessary to use strict requirements for the technical and dosimetric parameters of radiotherapy equipment, the accuracy of adjustment and calibration of its geometric, mechanical and radiation parameters. To determine the values of possible errors in patient positioning during radiation treatment, the authors considered the design and characteristics of typical RTS, developed a model of the patient’s «average» body, which allows changing the load on the TP RTS with a step of 1 kg. The parameters of the TP position were determined for the main types of localizations of radiation therapy for malignant neoplasms. Numerical values of deviations of the radiation beam isocenter from the treatment couch prescribed horizontal position were experimentally established for a load on it from 40 to 180 kg for treatment couch used for patients’ treatments in N.N. Alexandrov National Cancer Centre of Belarus.
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癌症患者的定位精度对传递给他们的个体三维剂量分布参数的影响
为了正确应用高科技的放射治疗方法,必须对放射治疗设备的技术参数和剂量学参数、其几何参数、机械参数和放射参数的调整和校准精度提出严格的要求。为了确定放射治疗期间患者定位可能误差的值,作者考虑了典型RTS的设计和特点,开发了一个患者“平均”身体模型,该模型允许以1 kg的步长改变TP RTS上的负荷。确定了恶性肿瘤放射治疗定位的主要类型的TP位置参数。实验建立了白俄罗斯N.N.亚历山德罗夫国家癌症中心用于病人治疗的治疗床在负荷40 ~ 180 kg的情况下,辐射束等心偏离规定水平位置的数值。
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