Optimal Matching of 3D Film-Measured and Planned Doses for Intensity-Modulated Radiation Therapy Quality Assurance

Dongho Shin, Myonggeun Yoon, Sung Yong Park, Dong Hyun Park, Se Byeong Lee, Dae Yong Kim, Kwan Ho Cho

Research output: Contribution to journalArticle

Abstract

Intensity-modulated radiation therapy (IMRT) is one of the most complex applications of radiotherapy that requires patient-specific quality assurance (QA). Here, we describe a novel method of 3-dimensional (3D) dose-verification using 12 acrylic slabs in a 3D phantom (30 × 30 × 12 cm3) with extended dose rate (EDR2) films, which is both faster than conventionally used methods, and clinically useful. With custom-written software modules written in Microsoft Excel Visual Basic Application, the measured and planned dose distributions for the axial, coronal, and sagittal planes were superimposed by matching their origins, and the point doses were compared at all matched positions. Then, an optimization algorithm was used to correct the detected setup errors. The results show that this optimization method significantly reduces the average maximum dose difference by 7.73% and the number of points showing dose differences of more than 5% by 8.82% relative to the dose differences without an optimization. Our results indicate that the dose difference was significantly decreased with optimization and this optimization method is statistically reliable and effective. The results of 3D optimization are discussed in terms of various patient-specific QA data obtained from statistical analyses.

Original languageEnglish
Pages (from-to)316-324
Number of pages9
JournalMedical Dosimetry
Volume32
Issue number4
DOIs
Publication statusPublished - 2007 Dec 1
Externally publishedYes

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assurance
Motion Pictures
radiation therapy
Radiotherapy
dosage
optimization
Statistical Data Interpretation
Software
slabs
modules
computer programs

Keywords

  • 3D dose distribution
  • 3D phantom
  • IMRT
  • Optimal matching method

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Health Professions(all)
  • Radiation

Cite this

Optimal Matching of 3D Film-Measured and Planned Doses for Intensity-Modulated Radiation Therapy Quality Assurance. / Shin, Dongho; Yoon, Myonggeun; Park, Sung Yong; Park, Dong Hyun; Lee, Se Byeong; Kim, Dae Yong; Cho, Kwan Ho.

In: Medical Dosimetry, Vol. 32, No. 4, 01.12.2007, p. 316-324.

Research output: Contribution to journalArticle

Shin, Dongho ; Yoon, Myonggeun ; Park, Sung Yong ; Park, Dong Hyun ; Lee, Se Byeong ; Kim, Dae Yong ; Cho, Kwan Ho. / Optimal Matching of 3D Film-Measured and Planned Doses for Intensity-Modulated Radiation Therapy Quality Assurance. In: Medical Dosimetry. 2007 ; Vol. 32, No. 4. pp. 316-324.
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