Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 27 · Issue 4 · 2012 pp. 189–201

The effect of different calculation algorithms in non-small-cell lung cancer 3-dimensional conformal radiotherapy planning on lung dose-volume parameters

Mehmet Şükrü ADIGÜL, Ayşe Nur DEMİRAL, Zafer KARAGÜLER
1 Dokuz Eylül Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, İzmir
Published: 2012 Article ID: 846
Abstract
OBJECTIVES

It was aimed to compare two different planning algorithms
(Pencil Beam and Convolution Superposition) with regard to
lung dose-volume parameters obtained from the created 3-D
conformal radiotherapy plans of lung cancer patients who
had lobectomy/bilobectomy surgery.


METHODS

The treatment plans of 10 lung cancer patients administered
adjuvant 3-D conformal radiotherapy were evaluated in this
study. Using two different algorithms, calculations were performed
for 6 and 18 MV-X photon beams, respectively. The
differences on the relevant lung dose-volume parameters were
analyzed.


RESULTS

In terms of lung dose-volume parameters, the difference between
the algorithms was statistically significant in V5, V13
and V30 obtained from plans for 6 MV-X photon beam energy
(p=0.005; p=0.005; p=0.008, respectively).


CONCLUSION

Higher values were found especially in parameters expressing
“low dose area of lungs” for Convolution/Superposition algorithm
in radiotherapy planning. Convolution/Superposition
algorithm should be preferred to Pencil Beam algorithm due
to its increased accuracy in dose calculation in radiotherapy
planning.

Keywords: Convolution/superposition; pencil beam; lung cancer; lung dose-volume parameters

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