Dosimetric Comparison in Breast Radiotherapy of 4 MV and 6 MV on Physical Chest Simulator
- Nuclear Engineering Department, Federal University of Minas Gerais, Belo Horizonte (Brazil)
- Anatomy and Imaging Department, Federal University of Minas Gerais, Belo Horizonte (Brazil)
- Cancer Hospital in Uberlandia, Uberlandia (Brazil)
According to the World Health Organization (2014) breast cancer is the main cause of death by cancer in women worldwide. The biggest challenge of radiotherapy in the treatment of cancer is to deposit the entire prescribed dose homogeneously in the breast, sparing the surrounding tissue. In this context, this paper aimed at evaluating and comparing internal dose distribution in the mammary gland based on experimental procedures submitted to two distinct energy spectra produced in breast cancer radiotherapy. The methodology consisted of reproducing opposite parallel fields used in the treatment of breast tumors in a chest phantom. This simulator with synthetic breast, composed of equivalent tissue material (TE), was previously developed by the NRI Research Group (UFMG). The computer tomography (CT) scan of the simulator was obtained antecedently. The radiotherapy planning systems (TPS) in the chest phantom were performed in the ECLIPSE system from Varian Medical Systems and CAT 3D system from MEVIS. The irradiations were reproduced in the Varian linear accelerator, model SL- 20 Precise, 6 MV energy and Varian linear accelerator, 4 MV Clinac 6x SN11 model. Calibrations of the absorbed dose versus optical density from radiochromic films were generated in order to obtain experimental dosimetric distribution at the films positioned within the glandular and skin equivalent tissues of the chest phantom. The spatial dose distribution showed equivalence with the TPS on measurement data performed in the 6 MV spectrum. The average dose found in radiochromic films placed on the skin ranged from 49 to 79%, and from 39 to 49% in the mammary areola, for the prescribed dose. Dosimetric comparisons between the spectra of 4 and 6 MV, keeping the constant geometry of the fields applied in the same phantom, will be presented showing their equivalence in breast radiotherapy, as well as the variations will be discussed. To sum up, the dose distribution has reached the value expected in the breast dose of the 180 cGy in a wide range of the film in the glandular TE in both spectra. (authors)
- Research Organization:
- Institute of Electrical and Electronics Engineers - IEEE, 3 Park Avenue, 17th Floor, New York, N.Y. 10016-5997 (United States)
- OSTI ID:
- 22531296
- Report Number(s):
- ANIMMA-2015-IO-246; TRN: US16V0407102237
- Resource Relation:
- Conference: ANIMMA 2015: 4. International Conference on Advancements in Nuclear Instrumentation Measurement Methods and their Applications, Lisboa (Portugal), 20-24 Apr 2015; Other Information: Country of input: France
- Country of Publication:
- United States
- Language:
- English
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Related Subjects
62 RADIOLOGY AND NUCLEAR MEDICINE
ABSORBED RADIATION DOSES
ANIMAL TISSUES
CAT SCANNING
CHEST
COMPARATIVE EVALUATIONS
DOSIMETRY
ENERGY SPECTRA
FILM DOSIMETRY
LINEAR ACCELERATORS
MAMMARY GLANDS
NEOPLASMS
PHANTOMS
PHOTOGRAPHIC FILM DOSEMETERS
RADIOTHERAPY
SIMULATORS
SKIN
SPATIAL DOSE DISTRIBUTIONS
WOMEN