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Mechanical Performance Separation of Cardiac by Nonlinear Processing of Ultrasound B-Mode Images 基于b超图像非线性处理的心脏力学性能分离
Q3 Health Professions Pub Date : 2022-12-31 DOI: 10.18502/fbt.v10i1.11514
Hamidreza Fazilatnezhad, P. Rangraz, Fereidon Noshirvan Rahatabad
Purpose: Accurate measurement of Left Ventricular Ejection Fraction (LVEF) is critical for diagnosis of and predicting Left Ventricular (LV) arrhythmias. This study aims to estimate LVEF using nonlinear and statistical analysis in echocardiography images. Materials and Methods: The Cardiac Acquisition for Multi-Structure Ultrasound Segmentation (CAMUS) dataset is used to estimate LVEF. This dataset includes ultrasound images of 60 patients in two different groups (LVEF > 55%, LVEF < 45%). Region growing technique and Anatomical markers were used for segmentation of LV in images to measure region changes. LV region changes were investigated using nonlinear and statistical analysis. To facilitate estimating LVEF, feature extraction and Artificial Neural Networks (ANN) have been used. Results: The results show that the changes in the LV region in LVEF < 45% have a mean value of 3.254 while LVEF > 55% has a lower mean value of 3.071, but the mean of variance is 3.818 while for LVEF < 45% is 3.471 which can be concluded that the data scatter in LVEF > 55% was higher than the mean and indicates more significant changes in the LV region. Conclusion: LVEF estimated using nonlinear and statistical analysis shows a Mean Square Error (MSE) of 5.15.
目的:准确测定左室射血分数(LVEF)对左室心律失常的诊断和预测至关重要。本研究的目的是利用非线性和统计分析来估计超声心动图图像的LVEF。材料与方法:利用CAMUS数据集对LVEF进行估计。该数据集包括60例患者的超声图像,分为两组(LVEF > 55%, LVEF < 45%)。采用区域生长技术和解剖标记对图像中的左室进行分割,测量区域变化。利用非线性分析和统计分析研究了LV区域的变化。为了方便估计LVEF,使用了特征提取和人工神经网络(ANN)。结果:结果表明,LVEF < 45%时,LV区域变化的均值为3.254,LVEF > 55%时,其均值较低,为3.071,但方差均值为3.818,而LVEF < 45%时,方差均值为3.471,可见LVEF > 55%时数据散点高于均值,LV区域变化更为显著。结论:采用非线性和统计分析估计的LVEF均方误差(MSE)为5.15。
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引用次数: 0
Digital Twins for Personalized Healthcare: Application to Radiopharmaceutical Therapies 个性化医疗保健的数字孪生:在放射性药物治疗中的应用
Q3 Health Professions Pub Date : 2022-12-31 DOI: 10.18502/fbt.v10i1.11505
H. Abdollahi, A. Rahmim
There is significant interest and value in utilizing Digital Twins (DTs) to extend healthcare from ‘one-size-fits-all’ to personalized therapies. Radiopharmaceutical Therapies (RPTs), which represent very powerful developments in the battle against cancer, are no exceptions to this. In fact, Theranostic Digital Twins (TDTs), which we elaborate in this work, present viable and feasible approaches to personalize RPTs. TDTs are computational representations of the human body that, unlike images, are operable; i.e. virtual trials can be conducted on them to propose optimal therapies for individual patients. TDTs can be built using Physiologically Based Pharmacokinetic (PBPK) models. This work elaborates that TDTs can be developed in static, dynamic and interactive modes towards routine use in future clinical settings. TDTs will open a new area of theranostics research and development in terms of new radiopharmaceutical designs, synthesis and enabling of more optimal therapies.
利用数字双胞胎(DTs)将医疗保健从“一刀切”扩展到个性化治疗,这是非常有兴趣和价值的。放射性药物疗法(RPTs)在对抗癌症的战斗中代表着非常强大的发展,也不例外。事实上,我们在这项工作中详细阐述的治疗学数字双胞胎(TDTs)提出了可行和可行的方法来个性化rpt。tdt是人体的计算表示,与图像不同,它是可操作的;也就是说,可以对它们进行虚拟试验,为个别患者提出最佳治疗方案。tdt可以使用基于生理的药代动力学(PBPK)模型来构建。这项工作阐述了tdt可以在静态、动态和互动模式下发展,以在未来的临床环境中常规使用。tdt将在新的放射性药物设计、合成和实现更优疗法方面开辟治疗学研究和开发的新领域。
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引用次数: 1
Identifying the Factors Affecting the Survival Rate of Kidney Transplant Patients in Isfahan Using Classification Techniques 利用分类技术确定伊斯法罕肾移植患者存活率的影响因素
Q3 Health Professions Pub Date : 2022-12-31 DOI: 10.18502/fbt.v10i1.11506
A. Atapour, M. Sattari, M. Mortazavi
Purpose: 10% of the world's population suffers from chronic kidney disease and millions of deaths occur annually due to lack of access to appropriate treatment in the world. Kidney transplantation is associated with several problems. These problems, including kidney rejection, the consequences of surgery, drug poisoning, and infectious diseases can reduce the chances of survival of these patients. The science of classification has been proposed in recent years to reduce medical errors due to inexperience, reduce the workload of physicians and provide a suitable model for making better decisions. Materials and Methods: The data set includes information about patients for whom kidney transplantation was performed in Isfahan. The data set includes 2554 patients and 38 attributes. The techniques used in this study will include random forest, Principal Component Analysis (PCA), and Support Vector Machine (SVM). Results: Among the studied techniques, PCA technique in three classes out of four classes had better performance than other techniques. The syndrome has the highest recurrence among traits. Five attributes include syndrome, blood type, dialysis time, weight, and age. Conclusion: The results showed that the PCA method in the case of non-numerical data has a good performance in identifying attributes. Also, five attributes that affect the survival rate of kidney transplant patients were identified.
目的:世界上10%的人口患有慢性肾脏疾病,每年有数百万人因无法获得适当治疗而死亡。肾移植有几个问题。这些问题,包括肾脏排斥反应、手术后果、药物中毒和传染病,都会降低这些患者的生存机会。近年来,为了减少因缺乏经验而导致的医疗差错,减少医生的工作量,并为做出更好的决策提供合适的模型,分类科学被提出。材料和方法:数据集包括在伊斯法罕进行肾移植的患者的信息。该数据集包括2554名患者和38个属性。本研究使用的技术包括随机森林、主成分分析(PCA)和支持向量机(SVM)。结果:在所研究的技术中,PCA技术在4个类别中有3个类别的表现优于其他技术。该综合征在性状中复发率最高。五个属性包括综合征、血型、透析时间、体重和年龄。结论:结果表明,PCA方法在非数值数据情况下具有较好的属性识别性能。此外,还确定了影响肾移植患者存活率的五个属性。
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引用次数: 0
A New Approach for Lie Detection Using Non-Linear and Dynamic Analysis of Video-Based Eye Movement 基于视频的眼动非线性动态分析的测谎新方法
Q3 Health Professions Pub Date : 2022-12-31 DOI: 10.18502/fbt.v10i1.11516
M. A. Younessi Heravi, M. Pishghadam, Emad Khoshdel, Sajad Zibaei
Purpose: This study aimed to evaluate a lie-detection system by non-linear analysis of video-based eye movement. Materials and Methods: The physiological signals, as well as video-based eye movement in horizontal and vertical channels, were recorded based on a Control Question Test (CQT). The dynamics of eye movement signals were then analyzed by Recurrence Quantification Analysis (RQA). Statistical analysis was performed by ANOVA and Linear Discriminate Analysis (LDA). Results: In this study, 40 subjects participated. The statistical analysis results of vertical eye movement indicated that ENT measures increased significantly for relevant questions in comparison to other questions. Moreover, a significant increase was observed in all RQA parameters except Lmax and DET for horizontal eye movement. The results of LDA using psychophysiology features. The accuracy percentage of 78.4% and 81.86% were obtained for lie detection using physiological signals and optimal RQA parameters of video-based eye movements, respectively. Conclusion: The accuracy of lie detection by significant RQA parameters was more than the accuracy of physiological signals. So, the results of this study illustrate that the dynamic technique is well suited to analyze eye movement signals under stress and it could be recommended as a useful method in lie detection.
目的:本研究旨在通过基于视频的眼动非线性分析来评估测谎系统。材料与方法:采用对照问题测试(Control Question Test, CQT),记录受试者的生理信号以及水平和垂直通道的视频眼动。然后用递归量化分析(RQA)分析眼动信号的动态。统计学分析采用方差分析(ANOVA)和线性判别分析(LDA)。结果:本研究共纳入40名受试者。垂直眼动的统计分析结果表明,耳鼻喉科在相关问题上的测量值明显高于其他问题。此外,除了水平眼动的Lmax和DET外,所有RQA参数均显著增加。LDA的结果利用心理生理特征。基于生理信号的测谎准确率为78.4%,基于视频眼动的最佳RQA参数测谎准确率为81.86%。结论:显著RQA参数测谎准确率高于生理信号测谎准确率。因此,本研究的结果表明,动态技术非常适合分析压力下的眼动信号,可以作为一种有用的测谎方法。
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引用次数: 0
An Investigation into the Surface Dose Using Eclipse Treatment Planning System and Film Dosimetry for Treatment of Breast Cancer 应用Eclipse治疗计划系统和膜剂量法治疗乳腺癌表面剂量的探讨
Q3 Health Professions Pub Date : 2022-12-31 DOI: 10.18502/fbt.v10i1.11509
Nooshin Sheykholeslami, Wrya Parwaie, M. Farzin, V. Vaezzadeh, G. Geraily
Purpose: Accurate knowledge about surface dose distribution is a critical issue in skin irradiation. This study was conducted to investigate the surface dose using the Eclipse Treatment Planning System (TPS) calculation and GAF chromic film measurement for breast cancer treatment. Materials and Methods: An inhomogeneous chest phantom was used in the present study. Irradiations were done with a 6 MV energy beam of a linear accelerator (Varian 2100C/D). TPS calculations and film measurements were compared for surface dose estimations. Results: The average difference between film measurements and TPS calculations was 7.1%. Surface doses were lower in TPS calculations in comparison with film measurements. Conclusion: TPS plays a significant role in radiotherapy. However, they have many errors in measuring surface doses. Because of the inaccuracy of the majority of treatment planning systems in calculating the surface dose, the need for practical measurements is essential.
目的:准确了解皮肤辐照的表面剂量分布是皮肤辐照的关键问题。本研究采用Eclipse治疗计划系统(TPS)计算和GAF变色膜测量方法探讨表面剂量对乳腺癌治疗的影响。材料和方法:本研究采用非均匀胸模。用线性加速器(瓦里安2100C/D)的6 MV能量束辐照。比较TPS计算和膜测量的表面剂量估计。结果:薄膜测量值与TPS计算值的平均差异为7.1%。TPS计算中的表面剂量比薄膜测量中的低。结论:TPS在放疗中有重要作用。然而,它们在测量表面剂量时存在许多误差。由于大多数处理计划系统在计算表面剂量方面的不准确性,需要实际测量是必不可少的。
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引用次数: 1
Comparison of Average Absorbed Dose Distributions of Organs in SPECT-CT Imaging Using Monte Carlo Simulation 蒙特卡罗模拟SPECT-CT成像中器官平均吸收剂量分布的比较
Q3 Health Professions Pub Date : 2022-12-31 DOI: 10.18502/fbt.v10i1.11513
Shamim Bagheri, H. Rajabi, A. Bitarafan-rajabi
Purpose: The use of ionizing radiation in medical research, treatment, and diagnosis is inevitable and expanding day by day. Meanwhile, in two modes of Computed Tomography (CT) and Single Photon Emission Computed Tomography (SPECT) imaging, the dose received by the organs is featured with limitations and problems, which are often referred to as the CT Dose Index volume (CTDIvol.) and the Dose Length Product (DLP). This study aimed to estimate the average dose of organs and compare them in each of these two modalities. Materials and Methods: Using the GATE code to simulate the SPECT-CT system and the International Commission on Radiological Protection (ICRP) voxelized phantom as the patient was investigated. The mean dose distribution in three groups of children, adults, and obese people with different body thicknesses was estimated. The dose received by each of the two systems was evaluated separately and results were discussed and analyzed comparatively. Results: In the kidney, bladder, intestine, colon, liver, and gallbladder, the dose received in CT is at least 10% more than nuclear medicine. For example, the ratio of the dose received in CT to the dose received in nuclear medicine in the lung was about 1.08 and in the esophagus was about 1.24. Subsequently, the ratio increased to 0.25 in the bladder and 0.19 in the colon and intestine. Moreover, the major organs that received the maximum dose, result in CT at least 10% more than nuclear medicine. Conclusion: The dose received in organs such as the esophagus, breast, and lung during CT imaging protocol and also maximum dose were at least ten percent more than nuclear medicine.
目的:电离辐射在医学研究、治疗和诊断中的应用是不可避免的,并且日益扩大。同时,在计算机断层扫描(CT)和单光子发射计算机断层扫描(SPECT)两种成像方式中,器官所接受的剂量存在局限性和问题,通常称为CT剂量指数体积(CTDIvol)和剂量长度积(DLP)。本研究旨在估计器官的平均剂量,并在这两种模式下进行比较。材料和方法:在对患者进行调查时,使用GATE代码模拟SPECT-CT系统和国际放射防护委员会(ICRP)体素化幻象。估计了三组不同体重的儿童、成人和肥胖者的平均剂量分布。分别对两种体系所接受的剂量进行了评价,并对结果进行了比较讨论和分析。结果:在肾、膀胱、肠、结肠、肝、胆囊,CT上接受的剂量比核医学至少高出10%。例如,CT所接受的剂量与核医学所接受的剂量在肺部的比值约为1.08,在食道的比值约为1.24。随后,该比例在膀胱中增加到0.25,在结肠和肠道中增加到0.19。此外,接受最大剂量的主要器官的CT结果至少比核医学多10%。结论:CT成像过程中食道、乳腺、肺等脏器所受剂量及最大剂量均比核医学高10%以上。
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引用次数: 0
Capture γ-Ray Dose Equivalent at Double-Bend Maze Entrance; Monte Carlo Simulation and Analytical Methods and Measurements 双弯迷宫入口捕获γ射线剂量当量蒙特卡罗模拟与分析方法与测量
Q3 Health Professions Pub Date : 2022-12-31 DOI: 10.18502/fbt.v10i1.11508
Reza Eghdam-Zamiri, Hosein Ghiasi
Purpose: The production of the secondary neutron in the high-energy megavoltage medical accelerator machines has been extensively studied. In this study, MCNP5 MC code and two analytical methods, the proposed method and International Atomic Energy Agency (IAEA) 47 proposed method were used to capture γ-ray dose equivalent calculation. Materials and Methods: MCNP5 code of the MC simulation method was used for code calculation in this study. The main components of a Varian 2100Clinac were simulated as well as a 30×30×30 cm3 water phantom, in a Source to Surface Distance (SSD) of 100cm. Apparent neutron source strength (QN) was obtained using F1, *F8 tallies, and a small scoring cell at the isocenter with a mass equal to 0.625g. Results: QN was obtained as 1.25 n/Gy X for the simulated Linear Accelerators )linac( head and was used in the other calculations. In the simulated double-bend maze treatment room with first and second lengths of the maze as 7m and 3m, the proposed method calculated capture γ-ray dose with 6.2% and 60% differences compared with MC simulation and IAEA 47 methods, respectively. Conclusion: We concluded that Ghiasi and Mesbahi's proposed method performed better in capturing γ-ray dose equivalent calculation compared to IAEA 47 report. The proposed method reduced the difference from 60% to 6.2%.
目的:对高能超高电压医用加速器中二次中子的产生进行了广泛的研究。在本研究中,MCNP5 MC代码和两种解析方法,即国际原子能机构(IAEA) 47提出的方法分别用于捕获γ射线剂量当量的计算。材料与方法:本研究采用MC模拟法的MCNP5代码进行代码计算。模拟了瓦里安2100Clinac的主要部件以及30×30×30 cm3水模体,源到表面距离(SSD)为100cm。利用F1, *F8计数和质量为0.625g的等中心小记分池获得中子源的表观强度(QN)。结果:模拟直线加速器直线头的QN为1.25 n/Gy X,并用于其他计算。在第一段和第二段迷宫长度分别为7m和3m的模拟双弯迷宫治疗室中,与MC模拟和IAEA 47方法相比,本文方法计算的捕获γ射线剂量分别相差6.2%和60%。结论:Ghiasi和Mesbahi提出的方法在捕获γ射线剂量当量计算方面优于IAEA 47报告。该方法将差异从60%减小到6.2%。
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引用次数: 0
Critical Organ Dose Estimation from Tc-99m-MIBI in Nuclear Medicine Cardiology Based on Distribution Data in Rats 基于大鼠分布数据的核医学心脏病学Tc-99m-MIBI关键器官剂量估算
Q3 Health Professions Pub Date : 2022-12-31 DOI: 10.18502/fbt.v10i1.11518
Gholamreza Fallah Mohammadi, Alireza Khorrami Moghadam, Fariba Abaszadeh, Mohammad Mahdavi
Purpose: Calculating the organs' radiation dosage in cardiac nuclear medicine procedures is essential in order to identify critical organs, radiation risk assessment and optimization dose value in the injection of radiopharmaceutical drugs. In this study, the biological distribution of 99mTc-2-Methoxyisobutylisonitrile) 99mTc-MIBI as the most common radiopharmaceutical in a cardiac study in human organs based on animal samples was investigated. Materials and Methods: After 99mTc-MIBI preparation, radiopharmaceutical was injected into 15 rats. After sacrificing rats, the uptake of radiopharmaceuticals in critical organs at 15, 30, and 45 minutes was measured using an High Purity Germanium (HPGE) detector and the percentage of injected dose per gram of organs was calculated. The cumulative activity was calculated from the radiopharmaceutical transformation diagram with time. The absorption of a radioactive complex in human organs based on animal data was calculated by applying a correction factor. The organs dose was calculated using S factor and the effective dose was calculated using tissue weighting factors. Results: The mean effective dose per unit of activity was 0.0062 mSv/MBq. The mean effective dose of 27.5 mCi radiopharmaceutical injection was 6.3 mSv. In this study, the absorbed dose in blood, heart, lung, thyroid, liver, spleen, stomach wall, muscle, and bone was calculated as 0.28, 2.92, 1.85, 24.82, 11.13, 7.03, 20.95, 1.11, 4.97, and 22.22 mGy, respectively. Conclusion: The effective dose of human organs based on the animal model in the study of cardiac nuclear medicine was evaluated by injection of 99mTc-MIBI radiopharmaceutical. The kidneys, salivary glands, thyroid, and spleen were the most critical organs that should be considered in dose optimization studies. The effective dose limit was 28% lower than the values reported in international references.
目的:计算心脏核医学手术过程中器官的辐射剂量,是确定关键器官、进行辐射风险评估和优化放射性药物注射剂量的重要依据。在这项研究中,99mtc -2-甲氧基异丁基异硝基腈99mTc-MIBI作为心脏研究中最常见的放射性药物,在基于动物样本的人体器官中的生物分布进行了研究。材料与方法:制备99mTc-MIBI后,对15只大鼠进行放射性药物注射。用高纯度锗(High Purity Germanium, HPGE)检测器测定各组大鼠在15、30和45分钟时关键器官对放射性药物的摄取,并计算每克器官注射剂量的百分比。根据放射性药物随时间的转化图计算累积活性。在动物实验数据的基础上,通过应用校正因子计算了人体器官对放射性复合体的吸收。器官剂量采用S因子计算,有效剂量采用组织加权因子计算。结果:单位活度平均有效剂量为0.0062 mSv/MBq。27.5 mCi放射性药物注射的平均有效剂量为6.3 mSv。在本研究中,血液、心脏、肺、甲状腺、肝脏、脾脏、胃壁、肌肉和骨骼的吸收剂量分别为0.28、2.92、1.85、24.82、11.13、7.03、20.95、1.11、4.97和22.22 mGy。结论:99mTc-MIBI放射性药物可用于心脏核医学研究中人体器官的有效剂量。肾脏、唾液腺、甲状腺和脾脏是剂量优化研究中应考虑的最关键器官。有效剂量限值比国际参考文献中报告的值低28%。
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引用次数: 0
Gamma Knife Icon™ Single Sector Characterization Based on Monte Carlo Simulation 基于蒙特卡罗模拟的伽玛刀图标™单扇区表征
Q3 Health Professions Pub Date : 2022-12-31 DOI: 10.18502/fbt.v10i1.11507
A. Ameri, G. Geraily
Purpose: Gamma Knife Radiosurgery refers to surgery using radiation to destroy intracranial tissues or lesions elusive or unsuitable for open surgery. This study aimed to simulate the Gamma Knife Icon™ (GKI™) single sector to assess various attributes of the output beam and evaluate the EGSnrc C++ Monte Carlo code capabilities to perform a complete simulation of GKI™ for more investigations. Materials and Methods: The single source is simulated, and the geometries of the 4 and 16 mm collimators are defined based on the manufacturer data. The phase space files (PSFs) are recorded at the end of each collimator, and dose distributions are saved for the final analysis process in the last step. Results: The beam spectrum has two energy peaks g1 =1.17 MeV and g2 = 1.33 MeV, and low energy photons from scattering are also evident. The Gamma Index (GI) values are less than 1 in comparing the dose profiles generated in simulation with reference data. The Full Width at Half Maximum (FWHM) is 4.55, 10.9, 5.13 (mm) and 16.7, 35.1, 17.65 (mm) for 4mm and 16 mm collimators along x, y, and z axes, respectively. The penumbra width (80%-20%) is also 1.48, 5.5, 1.54 (mm) and 3.76, 10.1, 2.78 (mm) for 4mm and 16 mm collimators along x, y, and z axes, respectively. Conclusion: Results are in good agreement with what is expected, and it is possible to perform a complete simulation of the GKI™ system using egs++ for more investigations in phantoms and patients.
目的:伽玛刀放射外科是指利用辐射破坏颅内难以捉摸或不适合开腹手术的组织或病变的手术。本研究旨在模拟伽玛刀图标™(GKI™)单扇区,以评估输出光束的各种属性,并评估EGSnrc c++蒙特卡罗代码的能力,以执行GKI™的完整模拟,以进行更多的研究。材料和方法:模拟单源,根据制造商数据定义4和16 mm准直器的几何形状。在每个准直器末端记录相空间文件(psf),并保存剂量分布以供最后一步的最终分析过程使用。结果:束谱有两个能量峰g1 =1.17 MeV和g2 = 1.33 MeV,且有明显的低能量散射光子。在将模拟产生的剂量曲线与参考数据进行比较时,伽马指数(GI)值小于1。在x、y和z轴上,4mm和16mm准直器的全宽度分别为4.55、10.9、5.13 (mm)和16.7、35.1、17.65 (mm)。在x、y和z轴上,4mm和16mm准直器的半影宽度(80%-20%)分别为1.48、5.5、1.54 (mm)和3.76、10.1、2.78 (mm)。结论:结果与预期的很好地一致,并且可以使用egg++对GKI™系统进行完整的模拟,以便在幽灵和患者中进行更多的研究。
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引用次数: 0
Dosimetric Parameters Comparison of Four-Field and Field-in-Field Radiotherapy Planning in Treatment of Prostate Cancer 前列腺癌四场与场内放疗计划剂量学参数比较
Q3 Health Professions Pub Date : 2022-08-30 DOI: 10.18502/fbt.v9i4.10427
Gholamreza Fallah Mohammadi, F. Falahati, Fatemeh Zakeri, Seyyed Mohammad Motevalli, Ehsan Mihandoost
Purpose: Prostate cancer is one of the most common malignant cancers. Several radiotherapy planning methods have been suggested for the treatment of prostate cancer. In this study, four-field, and Field-In-Field (FIF) planning methods were compared based on dosimetric parameters. Materials and Methods: In the radiotherapy Treatment Planning System (TPS) for 10 patients who were treated with the common four-field method, the planning was also performed by the FIF method. Dosimetric parameters were measured for Planning Target Volume (PTV), rectum, and bladder. These parameters included maximum dose, minimum dose, mean dose, V15%, V25%, V30%, and V35%, as well as Homogeneity Index (HI) and Conformity Index (CI). Two treatment planning methods based on dosimetric parameters were compared using paired t-test. Results: Maximum, minimum and mean dose in PTV, rectum, and bladder were significantly different for the two techniques.  There was no significant difference between the two planning techniques in dosimetric parameters of V15%, V25%, V30%, and V35% for rectum and bladder. The FIF technique delivers more doses to the tumor. HI was better in the FIF method than in the four-field method, but CI was not significantly different. In both techniques, the rectum and bladder did not receive doses above 60 Gy. Conclusion: In the treatment of prostate cancer in both Four-field and FIF planning methods, the dose to the rectum and bladder is less than the tolerance dose. FIF technique is recommended to better control the tumor. Based on dosimetric parameters, no significant findings were obtained that prove the superiority of FIF over the four-field technique in the treatment of prostate cancer.
目的:前列腺癌是最常见的恶性肿瘤之一。几种放疗计划方法已被建议用于治疗前列腺癌。在本研究中,比较了基于剂量学参数的四场规划和场中规划(FIF)方法。材料与方法:采用常规四场法治疗的10例患者的放疗计划系统(TPS)也采用FIF法进行计划。测量计划靶体积(PTV)、直肠和膀胱的剂量学参数。这些参数包括最大剂量、最小剂量、平均剂量、V15%、V25%、V30%和V35%,以及均匀性指数(HI)和符合性指数(CI)。采用配对t检验比较两种基于剂量学参数的治疗方案。结果:两种方法在PTV、直肠和膀胱的最大、最小和平均剂量有显著差异。两种计划技术在直肠和膀胱V15%、V25%、V30%和V35%的剂量学参数上无显著差异。FIF技术向肿瘤提供更多的剂量。FIF法的HI优于四场法,但CI无显著差异。在这两种技术中,直肠和膀胱接受的剂量都没有超过60戈瑞。结论:四场法和FIF法治疗前列腺癌时,对直肠和膀胱的剂量均小于耐受剂量。建议采用FIF技术更好地控制肿瘤。根据剂量学参数,没有明显的发现证明FIF在治疗前列腺癌方面优于四场技术。
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Frontiers in Biomedical Technologies
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