Abstract
Purpose: Designing a wedge shaped midline block (WMLB) for teletherapy treatments in early cervical cancers, its dosimetric verification and clinical implementation. Methods: The method of designing a WMLB is discussed based on the dose distribution in coronal plane obtained from treatment planning system (TPS) for manual afterloading intracavitary brachytherapy (ICBT). Horizontal profiles are taken with Kodak EDR2 film and 0.6cc ionization chamber (IC) under water equivalent slab & water phantom respectively at isocenter of telecobalt machine with WMLB at tray level. Using these measurements, WMLB was configured in the unit modeling of TPS. Clinical plans (AP/PA; Three fields, Box field techniques) related to the treatment were created with central shielding by conventional rectangular midline block (RMLB) and WMLB in TPS for a field size of 15cm × 15cm in AP/PA & 8cm × 15cm for Lateral field portals under simulated phantom geometry. Dose calculations (3D) were done at isocenter and were verified with IC (absolute & relative) dosimetric measurements. Results: Wedge shaped MLB was found to be symmetrical within 1.5% accuracy which was confirmed through horizontal profiles generated by Film, IC & TPS. The calculated doses from TPS were verified with ionometric measurements (Central and Off Axis) taken at isocenter and were found to be well within +/−3.3%. Conclusions: The use of a RMLB results in in‐homogeneity of dose around the target and should be avoided. A WMLB on the other hand would certainly improve the dose homogeneity around the target thereby minimizing the dose to the critical structures (bladder and rectum).
| Original language | English |
|---|---|
| Number of pages | 1 |
| Journal | Medical Physics |
| Volume | 38 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2011 |
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All Science Journal Classification (ASJC) codes
- Biophysics
- Radiology Nuclear Medicine and imaging
Cite this
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SU‐E‐T‐341 : Dosimetric Verification of a Wedge Shaped Midline Block for Teletherapy in Cervical Cancers. / Shenoy, K.; Srinivas, C.; Kulal, B.
In: Medical Physics, Vol. 38, No. 6, 2011.Research output: Contribution to journal › Article
TY - JOUR
T1 - SU‐E‐T‐341
T2 - Dosimetric Verification of a Wedge Shaped Midline Block for Teletherapy in Cervical Cancers
AU - Shenoy, K.
AU - Srinivas, C.
AU - Kulal, B.
PY - 2011
Y1 - 2011
N2 - Purpose: Designing a wedge shaped midline block (WMLB) for teletherapy treatments in early cervical cancers, its dosimetric verification and clinical implementation. Methods: The method of designing a WMLB is discussed based on the dose distribution in coronal plane obtained from treatment planning system (TPS) for manual afterloading intracavitary brachytherapy (ICBT). Horizontal profiles are taken with Kodak EDR2 film and 0.6cc ionization chamber (IC) under water equivalent slab & water phantom respectively at isocenter of telecobalt machine with WMLB at tray level. Using these measurements, WMLB was configured in the unit modeling of TPS. Clinical plans (AP/PA; Three fields, Box field techniques) related to the treatment were created with central shielding by conventional rectangular midline block (RMLB) and WMLB in TPS for a field size of 15cm × 15cm in AP/PA & 8cm × 15cm for Lateral field portals under simulated phantom geometry. Dose calculations (3D) were done at isocenter and were verified with IC (absolute & relative) dosimetric measurements. Results: Wedge shaped MLB was found to be symmetrical within 1.5% accuracy which was confirmed through horizontal profiles generated by Film, IC & TPS. The calculated doses from TPS were verified with ionometric measurements (Central and Off Axis) taken at isocenter and were found to be well within +/−3.3%. Conclusions: The use of a RMLB results in in‐homogeneity of dose around the target and should be avoided. A WMLB on the other hand would certainly improve the dose homogeneity around the target thereby minimizing the dose to the critical structures (bladder and rectum).
AB - Purpose: Designing a wedge shaped midline block (WMLB) for teletherapy treatments in early cervical cancers, its dosimetric verification and clinical implementation. Methods: The method of designing a WMLB is discussed based on the dose distribution in coronal plane obtained from treatment planning system (TPS) for manual afterloading intracavitary brachytherapy (ICBT). Horizontal profiles are taken with Kodak EDR2 film and 0.6cc ionization chamber (IC) under water equivalent slab & water phantom respectively at isocenter of telecobalt machine with WMLB at tray level. Using these measurements, WMLB was configured in the unit modeling of TPS. Clinical plans (AP/PA; Three fields, Box field techniques) related to the treatment were created with central shielding by conventional rectangular midline block (RMLB) and WMLB in TPS for a field size of 15cm × 15cm in AP/PA & 8cm × 15cm for Lateral field portals under simulated phantom geometry. Dose calculations (3D) were done at isocenter and were verified with IC (absolute & relative) dosimetric measurements. Results: Wedge shaped MLB was found to be symmetrical within 1.5% accuracy which was confirmed through horizontal profiles generated by Film, IC & TPS. The calculated doses from TPS were verified with ionometric measurements (Central and Off Axis) taken at isocenter and were found to be well within +/−3.3%. Conclusions: The use of a RMLB results in in‐homogeneity of dose around the target and should be avoided. A WMLB on the other hand would certainly improve the dose homogeneity around the target thereby minimizing the dose to the critical structures (bladder and rectum).
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U2 - 10.1118/1.3612295
DO - 10.1118/1.3612295
M3 - Article
VL - 38
JO - Medical Physics
JF - Medical Physics
SN - 0094-2405
IS - 6
ER -