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How to deal with the relationship between hypoxia and radiotherapy in the hypofractionated radiotherapy era 低分割放疗时代如何处理低氧与放疗的关系
Q4 Health Professions Pub Date : 2021-10-10 DOI: 10.29242/IJRR.19.4.759
H. Gao, Y. Wan, X. Bu, X. Fan, X. Xie, X. Ji, W. Song
Hypoxia, a common phenomenon in solid tumors can promote dysfunctional vascular growth and epithelial-to-mesenchymal transition, leading to cell mobility and metastasis. The decreased sensitivity of hypoxic tumor cells to ionizing radiation is one of the main factors affecting the effect of conventional radiotherapy. It is well known that conventional radiotherapy mainly reduces the effect of hypoxic radiation resistance by reoxygenation between fractions. With the improvement of radiation treatment planning and delivery, more and more cancer patients have been treated with hypofractionated radiotherapy (HFRT), which have achieved a much higher effect than conventional radiotherapy. Given that HFRT is delivered within one or a few fractions, does tumor hypoxia affect its efficacy? Is there any way to further improve the effect of HFRT? In this review, we focus on the interaction between HFRT and hypoxia, and how to optimize the regimen of HFRT to decrease the effect of hypoxia and improve the efficacy is discussed in detail.
缺氧是实体瘤中的一种常见现象,可促进功能失调的血管生长和上皮向间充质的转变,导致细胞迁移和转移。低氧肿瘤细胞对电离辐射的敏感性降低是影响常规放疗效果的主要因素之一。众所周知,常规放射治疗主要通过部分之间的复氧来降低低氧辐射抵抗的影响。随着放射治疗计划和实施的改进,越来越多的癌症患者接受了低分割放疗(HFRT)治疗,其疗效远高于常规放疗。考虑到HFRT是在一个或几个部分内递送的,肿瘤缺氧会影响其疗效吗?有什么方法可以进一步提高HFRT的效果吗?在这篇综述中,我们重点讨论了HFRT与缺氧之间的相互作用,并详细讨论了如何优化HFRT的方案以减少缺氧的影响并提高疗效。
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引用次数: 0
Chemoradiotherapy alone or in combination with Endostar for patients with advanced non-small cell lung cancer: A systematic review and meta-analysis 化疗单独或联合恩度治疗晚期非小细胞肺癌:系统回顾和荟萃分析
Q4 Health Professions Pub Date : 2021-01-10 DOI: 10.29252/IJRR.19.1.1
Zhen-chao Tao, J. Qiu, Yangyang Zhang, L. Qian, Jing Gao, Yan Zhou, Liping Yang, Jian He, Jing Yang, Rui Wang, Yifan Huang, Lingran Zhou, Bin Sun, Y. Cui
Previous studies show inconsistent effect estimates for the efficacy of Endostar in patients with advanced non-small cell lung cancer (NSCLC) undergoing chemoradiotherapy. Therefore, this meta-analysis aimed to determine the effectiveness and safety on the basis of data obtained from available randomized controlled trials (RTCs). We find relevant articles reporting the use of Endostar combined with chemoradiotherapy regimens in the treatment of advanced NSCLC. The retrieval period was from June 2008 to June 2018. A total of 11 RTCs that recruited a total of 735 patients were included. Overall, the results indicated that patients who received Endostar plus chemoradiotherapy showed a significantly increased incidence of objective response rate (ORR) (relative risk [RR] = 1.48; 95% confidence interval [CI] = 1.31–1.67; P < 0.00001) and disease control rate (DCR) (RR = 1.17; 95% CI = 1.09–1.25; P < 0.00001) compared with those who received chemoradiotherapy alone. However, no significant difference was noted between groups for 1-year survival rate (RR = 1.06; 95% CI = 0.91–1.23; P = 0.48). Furthermore, combined Endostar with chemoradiotherapy did not yield a high incidence of stable and elevated Karnofsky performance score (RR = 1.06; 95% CI = 0.91–1.23; P = 0.48). Moreover, no significant difference was noted in the incidence of total toxicity between the two groups. The findings of our study indicated that treatment with Endostar plus chemoradiotherapy yielded a high incidence of ORR or DCR, but did not trigger excess adverse events in patients with NSCLC.
先前的研究表明,Endostar对接受放化疗的晚期非小细胞肺癌癌症患者的疗效估计不一致。因此,本荟萃分析旨在根据从现有随机对照试验(RTCs)中获得的数据来确定有效性和安全性。我们发现相关文章报道Endostar联合放化疗方案治疗晚期NSCLC。检索期为2008年6月至2018年6月。共纳入11个RTC,共招募735名患者。总的来说,结果表明,与单独接受放化疗的患者相比,接受Endostar加放化疗的病人的客观有效率(ORR)(相对风险[RR]=1.48;95%置信区间[CI]=1.31-1.67;P<0.00001)和疾病控制率(DCR)(RR=1.17;95%可信区间=1.09-1.25;P<0.0001)的发生率显著增加。然而,两组之间的1年生存率没有显著差异(RR=1.06;95%CI=0.91-1.23;P=0.48)。此外,Endostar与放化疗联合使用不会产生稳定和升高的Karnofsky表现评分的高发生率(RR=1.06,95%CI=0.91-1.23;P=0.48%)。此外,两组的总毒性发生率没有显著差异。我们的研究结果表明,Endostar加放化疗治疗导致ORR或DCR的高发病率,但不会在NSCLC患者中引发过量的不良事件。
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引用次数: 0
Effects of particle size and weight percentage of heavy metal elements on photon shielding efficiency of reinforced polymer composites 重金属元素粒径和重量百分比对增强聚合物复合材料光子屏蔽效率的影响
Q4 Health Professions Pub Date : 2021-01-10 DOI: 10.29252/IJRR.19.1.55
M. Asgari, H. Afarideh, H. Ghafoorifard, E. A. Amirabadi
Background: Polymer composites when reinforced with heavy metals in the form of micro/nano particles are efficient gammaand X-ray shielding materials providing such advantageous features as cost-effectiveness, lightweight factor, flexibility, non-toxicity, conformability over conventional shields. Materials and Methods: In this paper the influence of weight percentages and particle sizes of bismuth and tungsten contents of reinforced composites, i.e., bismuth/rubber (Bi/R) and tungsten/rubber (W/R) shields, in their photon absorption capabilities for photon energies, ranging from 40 to 350 keV, were investigated using both MCNPX simulations and measurements. The Bi/R and W/R polymer composites were prepared by mixing rubber with different weight percentages of bismuth and tungsten powders before exposing them to Eu gamma-rays. Then, the shielding efficiencies or photon transmission fractions, half-value layer (HVL) and tenthvalue layer (TVL) of the samples were determined. Results: The simulation results confirmed that the particle size of the heavy element plays an important role in the shielding efficiency, especially at low photon energies. The decrease in the particle size of shielding material in each weight percentage improved the radiation shielding features. Therefore, the results supported the feasibility of nano-sized composite applications for shielding against low-energy photons, especially in diagnostic studies such as mammography. Conclusions: At low photon energies, especially around 40 keV, a considerable decrease in photon flux was achieved by incorporating nano-sized heavy elements in a polymer matrix.
背景:以微米/纳米颗粒形式用重金属增强的聚合物复合材料是一种有效的γ和X射线屏蔽材料,与传统屏蔽相比,它具有成本效益、重量轻、灵活性、无毒性和适应性等优点。材料和方法:在本文中,使用MCNPX模拟和测量研究了增强复合材料(即铋/橡胶(Bi/R)和钨/橡胶(W/R)屏蔽)中铋和钨含量的重量百分比和颗粒尺寸对其对40至350keV光子能量的光子吸收能力的影响。通过将橡胶与不同重量百分比的铋和钨粉末混合,然后将其暴露于Euγ射线,制备了Bi/R和W/R聚合物复合材料。然后,测定了样品的屏蔽效率或光子透射分数、半值层(HVL)和tenthvale层(TVL)。结果:模拟结果证实,重元素的粒度对屏蔽效率起着重要作用,尤其是在低光子能量下。屏蔽材料的颗粒尺寸在每个重量百分比中的减小改善了辐射屏蔽特性。因此,研究结果支持了纳米复合材料应用于屏蔽低能量光子的可行性,特别是在乳腺X光检查等诊断研究中。结论:在低光子能量下,特别是在40keV左右,通过在聚合物基体中加入纳米重元素,可以显著降低光子通量。
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引用次数: 1
Measurement of exposure to radionuclides (40-K, 226-Ra, and 232-Th) in the oil and gas drilling industry 石油和天然气钻探行业放射性核素(40-K、226 Ra和232 Th)暴露量的测量
Q4 Health Professions Pub Date : 2021-01-10 DOI: 10.29252/IJRR.19.1.49
J. Deris, B. Dehaghi
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引用次数: 2
Dosimetric evaluation of field-in-field and sliding-window IMRT in endometrium cancer patients with a new approach for the conformity index 应用符合性指数新方法对癌症子宫内膜患者进行现场和滑动窗IMRT的剂量评估
Q4 Health Professions Pub Date : 2020-10-10 DOI: 10.52547/IJRR.18.4.853
Alper Ozseven, E. Ozkan
Background: Purpose of the study is to evaluate field-in-field (FIF) and slidingwindow intensity modulated radiation therapy (SW-IMRT) treatment plans in terms of homogeneity index (HI), conformity index (CI) and normal tissue doses for organs at risk (OAR) in patients with endometrial carcinoma along with deriving a new expression for CI. Materials and Methods: Four different FIF plans with different MLC (multi-leaf collimator) margins and SW-IMRT plan were compared in 20 endometrial cancer patients who underwent adjuvant pelvic radiotherapy with 50.4 Gy in 28 fractions. Normal tissue doses were assessed for OAR from dose volume histograms (DVHs). HI and CI values were calculated according to the reports of International Commission on Radiation Units and Measurements (ICRU)-83, Radiation Therapy Oncology Group (RTOG) 1993 and ICRU-62. A new CI was developed and named CIOPT standing for optimized conformity index. Results: SW-IMRT provided a significantly better CI in comparison to other FIF plans (p< 0.001). Conventional-FIF (C-FIF) was the most homogeneous plan compared to all other FIF plans and SW-IMRT (p≤0.001). The absolute volume of small intestine that received ≥45 Gy (V45) and doses received by a 30% volume of rectum (D30) were dramatically reduced in SW-IMRT (p < 0.001). Conclusion: MLC margins had a substantial influence on OAR doses, HI and CI. A close proximity of CIOPT to 1 indicated that this formulation of CI was a useful plan evaluation tool, which was also compatible with the RTOG 1993 and ICRU-62
背景:本研究的目的是评价场内场(field-in-field, FIF)和滑动窗调强放疗(sww - imrt)治疗方案在子宫内膜癌患者危险器官(OAR)的均匀性指数(HI)、符合性指数(CI)和正常组织剂量方面的差异,并得出CI的新表达。材料与方法:对20例子宫内膜癌患者行28次50.4 Gy辅助盆腔放疗的患者进行4种不同MLC(多叶准直器)边缘的FIF方案和SW-IMRT方案进行比较。通过剂量体积直方图(DVHs)评估正常组织剂量的OAR。HI和CI值根据国际放射单位和测量委员会(ICRU)-83、放射治疗肿瘤小组(RTOG) 1993和ICRU-62的报告计算。开发了一种新的CI,并将其命名为CIOPT,即优化合格指数。结果:与其他FIF计划相比,SW-IMRT提供了明显更好的CI (p< 0.001)。与所有其他FIF计划和SW-IMRT相比,常规FIF (C-FIF)是最均匀的计划(p≤0.001)。在SW-IMRT中,接受≥45 Gy (V45)和30%直肠剂量(D30)的小肠绝对体积显著减少(p < 0.001)。结论:MLC边缘对OAR剂量、HI和CI有实质性影响。CIOPT与1的接近表明,CI的这种表述是一种有用的计划评估工具,它也与RTOG 1993和ICRU-62兼容
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引用次数: 3
Radiometric properties of virgin and cultivated soil around the Shazand Refinery Complex in Iran 伊朗沙赞德炼油厂周围处女地和耕地土壤的辐射特性
Q4 Health Professions Pub Date : 2020-10-10 DOI: 10.52547/IJRR.18.4.723
M. Mohebian, R. Pourimani
Background: One of the main sources of exposure to radiation is terrestrial radionuclides in the environment. These radioisotopes are present in the Earth's crust and can be increased by human activity such as mining of coal, oil, and minerals. Materials and Methods: In this study, 39 soil samples including virgin and cultivated were collected from around of the Shazand Refinery Complex(SRC) using a template and experimental method. The gamma spectrometry method was used to measure the specific activity of the Ra, Th, K and Cs radionuclides. Results: The average concentrations of Ra, Th, K and Cs in the cultivated (virgin) soil samples were 21.95 ± 0.27 (23.99 ± 0.37), 25.37 ± 0.29 (31.74 ± 0. 38), 416.72 ± 1.88 (461.09 ± 2.68) and 5.13 ± 0.08 (5.51 ± 0.14) in Bq kg. Excess lifetime cancer risk (ELCR) was obtained for cultivated (virgin) soil as 0.19 × 10 (0.22 × 10), which is close to the world average (0.29 × 10) and lowers than the maximum acceptable value (10). Conclusion: The specific activities of natural radionuclides were in the global range and are lower than the maximum allowable value. The distribution map of Ra and Cs indicated some part of Ra, distributed as fly ash from a chimney, caused by the incineration of refinery waste. The radiological parameters calculated for both types of soil were lower than the maximum admissible values, and therefore there is no radiological hazard for people living in this area.
背景:暴露于辐射的主要来源之一是环境中的地面放射性核素。这些放射性同位素存在于地壳中,可以通过人类活动(如开采煤炭、石油和矿物)而增加。材料和方法:本研究采用模板法和实验方法,从沙赞炼油厂周围采集了39份土壤样品,包括原始和栽培土壤。γ能谱法用于测定Ra、Th、K和Cs放射性核素的比活度。结果:栽培(原始)土壤样品中Ra、Th、K和Cs的平均浓度分别为21.95±0.27(23.99±0.37)、25.37±0.29(31.74±0。38)、416.72±1.88(461.09±2.68)和5.13±0.08(5.51±0.14)。栽培(原始)土壤的癌症超额寿命风险(ELCR)为0.19×10(0.22×10),接近世界平均水平(0.29×10)并低于最大可接受值(10)。结论:天然放射性核素比活度在全球范围内,低于最大允许值。Ra和Cs的分布图显示,Ra的一部分以烟囱飞灰的形式分布,是由焚烧炼油厂废物引起的。为这两种类型的土壤计算的放射性参数都低于最大容许值,因此对生活在该地区的人们没有放射性危害。
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引用次数: 1
Estimating the cancer risk and mortalities induced by routine digital radiography examinations on patient of different ages in Mazandaran province 马赞德兰省不同年龄患者常规数字放射检查诱发癌症风险和死亡率的评估
Q4 Health Professions Pub Date : 2020-10-10 DOI: 10.52547/IJRR.18.4.875
S. Hosseini, A. Banaei, Z. H. Motlagh, R. Abedi-Firouzjah, F. Falahati, H. Zamani, Y. Moghimi
Background: The aim of this study was to estimate the cancer risks and mortalities of different types induced by routine examinations of digital radiography for one year in Mazandaran province, Iran. Materials and Methods: Radiation parameters and calculated entrance skin dose (ESD) values of 13 digital radiographic examinations were collected from 2340 patients at 18 high-patient-load radiography centers. Organ mean doses were estimated based on the collected parameters applying PCXMC software. The BEIR VII-Phase 2 model was used to calculate the induced cancer risks and mortalities of various cancer types at different ages. Results: The average ± standard deviation (SD) lifetime risks (incidence probability in 100,000 people) induced by radiations from radiography examinations for one year was 51.29±4.73 and 99.62±7.36 for new-born males and females, respectively. The lifetime cancer risk decreased with age and reached 3.77±0.62 and 4.88±0.07 for 80-year men and women, respectively. The average lifetime risks of mortality due to cancers induced by annual radiographies were obtained at 14.18±1.62 and 22.83±2.55 for new-born males and females, respectively. This risk reduced with age and was reached 1.97±0.27 and 2.45±0.38 for men and women at the age of 80 years, respectively. Conclusion: Our results showed that there are low but significant risks of cancer incidence for patients undergoing digital radiography, which included a large percentage of the population in Mazandaran province, especially for children and newborns. Therefore, further efforts like appropriate patient setup and beam geometry should be carried out to decrease patient doses.
背景:本研究的目的是评估伊朗马赞德兰省一年来数字化放射常规检查诱发的不同类型癌症风险和死亡率。材料和方法:收集来自18个高患者负荷放射照相中心2340名患者的13次数字放射照相检查的放射参数和计算的入射皮肤剂量(ESD)值。应用PCXMC软件根据收集的参数估计器官平均剂量。BEIR VII-2期模型用于计算不同年龄的各种癌症类型的诱发癌症风险和死亡率。结果:新生儿男性和女性一年内放射检查诱发的平均±标准差(SD)寿命风险(10万人中的发病概率)分别为51.29±4.73和99.62±7.36。癌症的终生风险随着年龄的增长而降低,80岁男性和女性分别达到3.77±0.62和4.88±0.07。新生儿男性和女性因年度射线照片诱发的癌症死亡的平均终生风险分别为14.18±1.62和22.83±2.55。这种风险随着年龄的增长而降低,80岁时男性和女性分别达到1.97±0.27和2.45±0.38。结论:我们的研究结果表明,接受数字化放疗的患者癌症发病率较低,但风险显著,其中包括马赞达兰省的大部分人口,尤其是儿童和新生儿。因此,应进一步努力,如适当的患者设置和波束几何形状,以减少患者剂量。
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引用次数: 6
Ameliorative role of melatonin against cypermethrin or gamma irradiation induced testicular damage in male rats 褪黑素对氯氰菊酯或γ射线所致雄性大鼠睾丸损伤的改善作用
Q4 Health Professions Pub Date : 2020-10-10 DOI: 10.52547/IJRR.18.4.765
E. M Kamal El-Dein, Lobna M. Anees
Background: This work aimed at studying the protective effect of melatonin (MLT) against cypermethrin or γ-radiation induced testicular damage. Material and Methods: Thirty six Male rats were randomly divided into 6 groups. Control group, group treated with MLT (10 mg/Kg b. wt.), group administered cypermethrin (25 mg/ kg. b. wt.), group 4 was exposed to fractionated whole body γ-radiation (the sum=8 Gy), group 5 was coadministered with MLT (10 mg/Kg .b. wt.) and cypermethrin (25 mg/kg b. wt.) and finally group 6 rats were supplemented with MLT (10 mg/Kg .b. wt.) and subsequently administered fractionated γ-radiation(the sum=8 Gy). After treatment for 29 successive days, all animals groups were investigated for hormonal assay, sperm quality, oxidative indices and histological examination of testicular tissues. Results: Rat’s treatment with -radiation or Cypermethrin showed a significant decrease in body weight, testis, epididymis, ventral prostate and seminal-vesicles weights. Also, a significant increase was observed in the levels of TBARS and H2O2, while a significant reduction occurred in the activity of SOD, CAT and GSH content in testis tissues, in addition to a significant decrease in testosterone hormone. On the other hand, a significant increase occurred in FSH and prolactin hormones .moreover, a significant decrease in sperm count and motility occured beside a significant increase in abnormal forms. Pretreatment of rats with MLT improved the disturbances induced in the tested parameters of rats either received cypermethrin or γ-irradiation. Conclusion: According to the present findings, the ameliorative role of MLT is obvious against cypermethrin or γ-irradiation induced testicular damage probably, due to its antioxidative properties.
背景:研究褪黑素(MLT)对氯氰菊酯或γ辐射致睾丸损伤的保护作用。材料与方法:36只雄性大鼠随机分为6组。对照组、MLT组(10 mg/Kg b. wt.)、氯氰菊酯组(25 mg/Kg)。b. wt.),第4组接受分次全身γ-辐射(和=8 Gy),第5组与MLT (10 mg/Kg .b.)联合给药。最后,6组大鼠在对照组基础上添加MLT (10 mg/kg .b)和氯氰菊酯(25 mg/kg .b)。wt.),随后给予分次γ辐射(和=8 Gy)。连续治疗29 d后,对各组动物进行激素测定、精子质量、氧化指标及睾丸组织组织学检查。结果:-辐射或氯氰菊酯处理大鼠体重、睾丸、附睾、前列腺腹侧及精囊重量均显著降低。睾丸组织中TBARS和H2O2水平显著升高,SOD、CAT和GSH含量显著降低,睾丸激素显著降低。另一方面,卵泡刺激素和催乳素激素显著增加。此外,精子数量和活力显著减少,异常形式显著增加。MLT预处理大鼠对氯氰菊酯和γ辐照大鼠的实验参数均有改善作用。结论:MLT对氯氰菊酯或γ辐照致睾丸损伤有明显的改善作用,可能与其抗氧化作用有关。
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引用次数: 2
Geometric distortion evaluation of magnetic resonance images by a new large field of view phantom for magnetic resonance based radiotherapy purposes 基于磁共振放射治疗的新型大视场体对磁共振图像几何畸变的评价
Q4 Health Professions Pub Date : 2020-10-10 DOI: 10.52547/IJRR.18.4.733
A. Rostami, S. Naseri, M. Momennezhad, H. Zare, K. Anvari, H. R. S. Badkhor
Background: The magnetic resonance imaging (MRI)-based radiotherapy planning method have been considered in recent years because of the advantages of MRI and the problems of planning with two images modality. The first step in MRI-based radiotherapy is to evaluate magnetic resonance (MR) images geometric distortion. Therefore, the present study aimed to evaluate system related geometric distortion by a new large field of view phantom. Materials and Methods: A homemade phantom with Perspex sheets and plastic pipes containing water was built for evaluating MR images distortion. The phantom size is 48×48×37 cm and includes 325 water pipes. The study evaluated four different protocols from a 60 cm bore MAGNETOM® Symphony Syngo 1.5 T (Siemens). Results: It was found that the amount of distortion for all protocols is under 2 mm for the radial distances less than 10 cm (field of view (FOV) = 20 cm), but distortion increased in radial distances greater than 10 cm, and reached about 5 cm for radial distances greater than 25 cm. Conclusion: Geometric distortion of each MR scanner has been shown to be dependent on the radio frequency (RF) sequence pulse (Spin echo or Gradient echo) and image parameters (echo time (TE), repetition time (TR), and receiver band-width)). The geometric distortion could be ignored for the FOV<20 cm (for the head region), and must be evaluated and corrected for more FOVs before the MR only radiotherapy.
背景:基于磁共振成像(MRI)的放疗计划方法,由于MRI的优势和两种图像模式规划的问题,近年来得到了广泛的研究。核磁共振放射治疗的第一步是评估磁共振图像的几何畸变。因此,本研究旨在利用一种新的大视场幻像来评估系统相关的几何畸变。材料与方法:用自制的有机玻璃片和含水的塑料管制作假体,用于评估MR图像失真。幻影尺寸为48×48×37 cm,包括325根水管。该研究评估了60厘米孔径MAGNETOM®Symphony Syngo 1.5 T (Siemens)的四种不同方案。结果:当视场距离小于10 cm(视场距离为20 cm)时,所有方案的畸变量均在2 mm以下,但当视场距离大于10 cm时畸变量增加,当视场距离大于25 cm时畸变量达到5 cm左右。结论:每个磁共振扫描仪的几何畸变已被证明依赖于射频(RF)序列脉冲(自旋回波或梯度回波)和图像参数(回波时间(TE),重复时间(TR)和接收器带宽)。对于视场<20 cm(头部区域)的几何畸变可以忽略不计,在MR放疗前必须对更多视场进行评估和校正。
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引用次数: 0
Systematic and comprehensive analysis of the dose-response characteristics of a morning quality check of a linear accelerator and an important application of accelerator performance prediction 线性加速器早晨质量检查的剂量反应特性的系统综合分析及加速器性能预测的重要应用
Q4 Health Professions Pub Date : 2020-10-10 DOI: 10.52547/IJRR.18.4.841
D. Jiang, Xinghuan Wang, Z. Dai, Jiuling Shen, Dajiang Wang, Z. Bao, Chen Chen, Hongli Zhao, Jun Chen, C. Xie, Junhong Zhang, Hui Liu
Background: This paper aimed to analyze the output constancy of a medical linear accelerator using PTW QUICKCHECK and studied the sensitivity of the PTW QUICKCHECK. Materials and Methods: The paper statistically analyzed the output doses of 6 MV and 10 MV of photons and 6 MeV, 9 MeV, and 12 MeV of electrons from a medical linear accelerator measured before the daily treatment to assess the output stability of a medical linear accelerator. Some modifications were introduced by artificially altering the external irradiation conditions, and the percent variations from baseline values were noted. The gantry angle was changed and some deviations were established in the vertical, longitudinal and lateral directions to study the sensitivity of the PTW QUICKCHECK. The beam flatness, symmetry, radiation quality and output energy of 6 MV of photon energy were statistically analyzed. Results: Among the measurements, no parameters exceeded the tolerance of ±3%. QUICKCHECK was capable of detecting the variations in the central axis dose, flatness, symmetry and radiation quality under the testing conditions. Similar to the photon energy, electron energy measurements also confirmed that the detector was sensitive to a small variation in output introduced by the testing conditions. An important application of accelerator performance prediction in this study confirms the irreplaceable and important function of morning quality checks of a linear accelerator. Conclusions: The output dose measured before daily treatment using PTW QUICKCHECK to analyze the linear accelerator output constancy helps to decrease the system error, effectively reduces the errors of the accelerator system, and avoids serious mistakes.
背景:本文旨在利用PTW QUICKCHECK对医用直线加速器的输出常数进行分析,并研究PTW QUICKCHECK的灵敏度。材料与方法:对医用直线加速器每日处理前测量的6 MV、10 MV光子输出剂量和6 MeV、9 MeV、12 MeV电子输出剂量进行统计分析,评估医用直线加速器的输出稳定性。通过人为改变外部照射条件引入了一些修改,并记录了与基线值的百分比变化。改变龙门角度,在垂直、纵向和横向上建立一定的偏差,研究PTW QUICKCHECK的灵敏度。统计分析了光束的平整度、对称性、辐射质量和6 MV光子能量的输出能量。结果:所有测量参数均未超过±3%的公差。QUICKCHECK能够检测检测条件下中心轴剂量、平整度、对称性和辐射质量的变化。与光子能量类似,电子能量测量也证实了探测器对测试条件引入的输出的微小变化很敏感。本研究中加速器性能预测的一个重要应用,证实了直线加速器晨检的不可替代的重要作用。结论:采用PTW QUICKCHECK在每日治疗前测量输出剂量,分析直线加速器输出常数,有助于减少系统误差,有效减少加速器系统误差,避免严重错误。
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引用次数: 2
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Iranian Journal of Radiation Research
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