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논문 기본 정보

자료유형
학술저널
저자정보
백태성 (국민건강보험공단 일산병원) 정은지 (국민건강보험공단 일산병원) 손재만 (고려대학교) 윤명근 (고려대학교)
저널정보
한국의학물리학회 의학물리 의학물리 제28권 제2호
발행연도
2017.6
수록면
54 - 60 (7page)
DOI
https://doi.org/10.14316/pmp.2017.28.2.54

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초록· 키워드

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This study was designed to measure transit dose with an electronic portal imaging device (EPID) in eight patients treated with intensity modulated radiotherapy (IMRT), and to verify the accuracy of dose delivery to patients. The calculated dose map of the treatment planning system (TPS) was compared with the EPID based dose measured on the same plane with a gamma index method. The plan for each patient was verified prior to treatment with a diode array (MapCHECK) and portal dose image prediction (PDIP). To simulate possible patient positioning errors during treatment, outcomes were evaluated after an anthropomorphic phantom was displaced 5 and 10 mm in various directions. Based on 3%/3 mm criteria, the mean±SD passing rates of MapCHECK, PDIP (pre-treatment QA) for 47 IMRT were 99.8±0.1%, 99.0±0.7%, and, respectively. Besides, passing rates using transit dosimetry was 90.0±1.5% for the same condition. Setup errors of 5 and 10 mm reduced the mean passing rates by 1.3% and 3.0% (inferior to superior), 2.2% and 4.3% (superior to inferior), 5.9% and 10.9% (left to right), and 8.9% and 16.3% (right to left), respectively. These findings suggest that the transit dose-based IMRT verification method using EPID, in which the transit dose from patients is compared with the dose map calculated from the TPS, may be useful in verifying various errors including setup and/or patient positioning error, inhomogeneity and target motions.

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