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서지반출
Parotid gland sparing effect by computed tomography-based modified lower field margin in whole brain radiotherapy
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  • Parotid gland sparing effect by computed tomography-based modified lower field margin in whole brain radiotherapy
  • Parotid gland sparing effect by computed tomography-based modified lower field margin in whole brain radiotherapy
저자명
Cho. Oyeon,Chun. Mison,Park. Sung Ho,Oh. Young-Taek,Kim. Mi-Hwa,Park. Hae-Jin,Nam. Sang Soo,Heo. Jaesung,Noh. O Kyu
간행물명
Radiation oncology journal : ROJ
권/호정보
2013년|31권 1호|pp.12-17 (6 pages)
발행정보
대한방사선종양학회
파일정보
정기간행물|ENG|
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기타
이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Purpose: Parotid gland can be considered as a risk organ in whole brain radiotherapy (WBRT). The purpose of this study is to evaluate the parotid gland sparing effect of computed tomography (CT)-based WBRT compared to 2-dimensional plan with conventional field margin. Materials and Methods: From January 2008 to April 2011, 53 patients underwent WBRT using CT-based simulation. Bilateral two-field arrangement was used and the prescribed dose was 30 Gy in 10 fractions. We compared the parotid dose between 2 radiotherapy plans using different lower field margins: conventional field to the lower level of the atlas (CF) and modified field fitted to the brain tissue (MF). Results: Averages of mean parotid dose of the 2 protocols with CF and MF were 17.4 Gy and 8.7 Gy, respectively (p < 0.001). Mean parotid dose of both glands ${geq}20$ Gy were observed in 15 (28.3%) for CF and in 0 (0.0%) for MF. The whole brain percentage volumes receiving >98% of prescribed dose were 99.7% for CF and 99.5% for MF. Conclusion: Compared to WBRT with CF, CT-based lower field margin modification is a simple and effective technique for sparing the parotid gland, while providing similar dose coverage of the whole brain.