癌症患者放疗高科技治疗方案剂量学验证评价标准

A. Brynkevich, M. Piatkevich, E. Titovich
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引用次数: 0

摘要

为了测试治疗计划的剂量传递系统在调强放射治疗中的有效性,使用了质量保证系统。验证参考剂量分布与估计剂量分布是否对应的主要工具是y标度。在个体剂量分布的y分析过程中,评估了点剂量值和参考分布与交付分布之间的几何偏移。为了检查剂量分布的顺应性,使用了作用限值和容许量的概念。作用限值定义为在对患者造成最小伤害风险的情况下,允许质量保证体系检查的指标偏差占估计值的总百分比。公差被定义为幅度变化的边界,在此范围内,处理过程被认为是根据规定的条件进行的。
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CRITERIA FOR EVALUATION OF DOSIMETRIC VERIFICATION OF RADIOTHERAPY HIGH-TECH TREATMENT PLANS FOR CANCER PATIENTS
To test the effectiveness of the dose delivery system of the treatment plan in intensity modulated radiation therapy, quality assurance systems are used. The main tool for verifying the correspondence between the reference and the estimated dose distribution is Y—indexing. In the process of Y—analysis of individual dose distributions, both point dose values and geometrical offset between the reference and delivered distributions are evaluated. To check the compliance of dose distributions, the concepts of action limits and tolerances are used. The action limits are defined as the total percentage of the estimated value by which deviation of the indicators checked by the quality assurance system is allowed, with a minimal risk of harm to the patient. Tolerances are defined as the boundaries of the magnitude change within which the treatment process is considered to be performed according to the prescribed conditions.
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