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6MV与15MVX线在肺癌调强放疗中的剂量学比较
引用本文:张富利,郑明民,高军茂,王平,陈建平,孔庆阳.6MV与15MVX线在肺癌调强放疗中的剂量学比较[J].中国医学物理学杂志,2008,25(5):801-803.
作者姓名:张富利  郑明民  高军茂  王平  陈建平  孔庆阳
作者单位:1. 北京军区总医院放疗科,北京,100700
2. 吉林大学,生命科学学院,吉林,长春,130012
摘    要:目的:分析、比较用于治疗非小细胞肺癌(NSCLC)的6MV和15MVX线调强放疗(IMRT)计划。方法:随机选择10例NSCLC患者,采用6MV和15MVX射线对每例NSCLC进行IMRT的计划设计,并用ADAC Pinnacle3计划系统提供的卷积/迭加(convolution/superposition)算法对两种能量条件下相同布野方案的IMRT计划进行剂量计算,比较靶区及危及器官的剂量分布、DVH等指标。结果:6MV与15MV放疗计划的等剂量线和DVH相近,6MV计划的靶区剂量均匀性优于15MV计划.而15MV计划高剂量覆盖靶区的程度略优于6MV计划,食管、心脏、脊髓等危及器官的受量基本相同。结论:对于NSCLC,剂量计算应采用能够精确修正组织不均匀性影响的卷积/迭加等算法,调强放疗时应首选6MV X射线。

关 键 词:调强放射治疗  非小细胞肺癌  侧向电子失衡

Dosimetric Comparison of 6MV and 15MV Photons for IMRT Treatment of Lung Cancer
ZHANG Fu-li,ZHENG Ming-min,GAO Jun-mao,WANG Ping,CHEN Jian-ping,KONG Qing-yan.Dosimetric Comparison of 6MV and 15MV Photons for IMRT Treatment of Lung Cancer[J].Chinese Journal of Medical Physics,2008,25(5):801-803.
Authors:ZHANG Fu-li  ZHENG Ming-min  GAO Jun-mao  WANG Ping  CHEN Jian-ping  KONG Qing-yan
Institution:ZHANG Fu-li1,ZHENG Ming-min1,GAO Jun-mao1,WANG Ping1,CHEN Jian-ping1,KONG Qing-yang2 (1.Department of Radiation Therapy,General Hospital of Beijing Military Comm,,PLA,Beijing 100700,China,2.Department of life science,Jilin University,Changchun Jilin 130012,China)
Abstract:Objective: To compare 6 MV and 15 MV photons intensity modulated radiotherapy(IMRT) for non-small cell lung cancer.Materials and methods: For a cohort of 10 patients,6 and 15 MV IMRT planning was performed using identical planning objective and dose constraint.Doses were computed with a commercially available TPS by using convolution/superposition(CS) algorithm.Plans were compared according to dose-volume histogram(DVH) analysis in terms of PTV homogeneity and conformity indices(HI and CI) as well as OARs d...
Keywords:intensity modulated radiotherapy  non-small-cell lung cancer  lateral loss of electronic equilibrium  
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