Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 29 · Issue 2 · 2014 pp. 046–052

A comparative planning study of step -and -shoot IMRT versus helical tomotherapy IMRT in the treatment of craniospinal tumor

Özgehan ONAY1
1 İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, İstanbul
2 Kocaeli Devlet Hastanesi, Radyoterapi Ünitesi, Kocaeli
3 Kocaeli Üniversitesi Tıp Fakültesi, Radyasyon Onkolojisi Anabilim Dalı, Kocaeli
Published: 2014 Article ID: 884
Abstract
OBJECTIVES

In this study, we compared the plan qualities of craniospinal
IMRT plans created in the Prowess Panther, Eclipse and tomotherapy
treatment planning systems, and analyzed the doses
received by critical organs.


METHODS

IMRT plans created in tomotherapy treatment plannin stations
of the previously treated patients using Prowess Panther DAO
(V5.01, Prowess Inc., USA) planning system were compared.
The prescription dose of 36Gy was delivered in 20 fractions to
the target volume planned. The optimization was performed
so as to deliver at least the 95% of the predetermined dose
(V95%) to the total volume of each PTV. DHI (dose homogeneity
index) values of all planesare comparable.


RESULTS

Although a significant difference was not observed between
planning systems as for conformity indices tomotherapy has
a relatively better conformity index is relatively better. Whole
body integral dose was found to be much higher in the tomotherapy
planning.


CONCLUSION

Although tomoterapy IMRT plan is easy to perform when
compared with eclipse, and prowess IMRT plans, treatment
time is longer. Prolonged radiation time in tomotherapy can
induce intrafraction motion.

Keywords: IMRT; craniospinal; tomotherapy

Article information

9,920 Views
1,944 Downloads
View / Download PDF

Current Issue Vol 29 · Iss 2

Submit manuscript
Most read & early access
Click an article to open abstract.
No early access articles.
View all articles