Novel Radiobiological Gamma Index for Evaluation of 3-Dimensional Predicted Dose Distribution

Journal Article · Wed Jul 15 04:00:00 EDT 2015 · International Journal of Radiation Oncology, Biology and Physics

DOI:https://doi.org/10.1016/J.IJROBP.2015.02.041· OSTI ID:22462372

Sumida, Iori ^[1]; Yamaguchi, Hajime; Kizaki, Hisao; Aboshi, Keiko; Tsujii, Mari; Yoshikawa, Nobuhiko; Yamada, Yuji ^[2]; Suzuki, Osamu; Seo, Yuji ^[1]; Isohashi, Fumiaki ^[2]; Yoshioka, Yasuo ^[1]; Ogawa, Kazuhiko ^[2]

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1. Department of Radiation Oncology, Osaka University Graduate School of Medicine, Osaka (Japan)
2. Department of Radiation Oncology, NTT West Osaka Hospital, Osaka (Japan)

Purpose: To propose a gamma index-based dose evaluation index that integrates the radiobiological parameters of tumor control (TCP) and normal tissue complication probabilities (NTCP). Methods and Materials: Fifteen prostate and head and neck (H&N) cancer patients received intensity modulated radiation therapy. Before treatment, patient-specific quality assurance was conducted via beam-by-beam analysis, and beam-specific dose error distributions were generated. The predicted 3-dimensional (3D) dose distribution was calculated by back-projection of relative dose error distribution per beam. A 3D gamma analysis of different organs (prostate: clinical [CTV] and planned target volumes [PTV], rectum, bladder, femoral heads; H&N: gross tumor volume [GTV], CTV, spinal cord, brain stem, both parotids) was performed using predicted and planned dose distributions under 2%/2 mm tolerance and physical gamma passing rate was calculated. TCP and NTCP values were calculated for voxels with physical gamma indices (PGI) >1. We propose a new radiobiological gamma index (RGI) to quantify the radiobiological effects of TCP and NTCP and calculate radiobiological gamma passing rates. Results: The mean RGI gamma passing rates for prostate cases were significantly different compared with those of PGI (P<.03–.001). The mean RGI gamma passing rates for H&N cases (except for GTV) were significantly different compared with those of PGI (P<.001). Differences in gamma passing rates between PGI and RGI were due to dose differences between the planned and predicted dose distributions. Radiobiological gamma distribution was visualized to identify areas where the dose was radiobiologically important. Conclusions: RGI was proposed to integrate radiobiological effects into PGI. This index would assist physicians and medical physicists not only in physical evaluations of treatment delivery accuracy, but also in clinical evaluations of predicted dose distribution.

• OSTI ID: 22462372
• Journal Information: International Journal of Radiation Oncology, Biology and Physics, Journal Name: International Journal of Radiation Oncology, Biology and Physics Journal Issue: 4 Vol. 92; ISSN IOBPD3; ISSN 0360-3016
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ACCURACY
ANIMAL TISSUES
BIOLOGICAL RADIATION EFFECTS
BLADDER
BRAIN
COMPARATIVE EVALUATIONS
ERRORS
HEAD
NECK
NEOPLASMS
PATIENTS
PROBABILITY
PROSTATE
QUALITY ASSURANCE
RADIATION DOSE DISTRIBUTIONS
RADIATION DOSES
RADIOTHERAPY
RECTUM
SPINAL CORD