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Dosimetric comparison of simultaneous integrated boost versus concomitant electron boost in radiotherapy treatment of breast cancer

Published online by Cambridge University Press:  11 April 2017

C. Y. Yuen ,
W. L. Au ,
W. L. Chan ,
Y. T. Yiu ,
Y. Y. Law  and
T. L. Wong
C. Y. Yuen*
Affiliation:
Tung Wah College, Homantin, Kowloon, Hong Kong
W. L. Au
Affiliation:
Tung Wah College, Homantin, Kowloon, Hong Kong
W. L. Chan
Affiliation:
Tung Wah College, Homantin, Kowloon, Hong Kong
Y. T. Yiu
Affiliation:
Tung Wah College, Homantin, Kowloon, Hong Kong
Y. Y. Law
Affiliation:
Hong Kong Sanitorium and Hospital (HKSH), Happy Valley, Hong Kong
T. L. Wong
Affiliation:
Hong Kong Sanitorium and Hospital (HKSH), Happy Valley, Hong Kong
*
Correspondence to: Chun Yat Yuen, Tung Wah College, 31 Wylie Road, Homantin, Kowloon, Hong Kong, Tel: +852 9440 6937. E-mail: 12001124@twc.edu.hk
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Abstract

Background

The aim of this study was to compare the dosimetric parameters and effects of simultaneous integrated boost (SIB) and traditional sequential electron boost, after helical tomotherapy, because of the lack of studies in this field in the current literature.

Methods

Computed tomographic data of 14 patients who received SIB in 2012–2015 were collected from Hong Kong Sanatorium & Hospital. New tomotherapy with SIB plans and tomotherapy with sequential boost plans were generated for each patient, and results were compared.

Results

Conformation number, mean dose, dose received by 95% volume (both sides), ipsilateral lung volume receiving 20 Gy (V20) and skin dose (right side) were found to be significantly better for SIB (p<0·05), however coverage index and gross target volume dose showed no significant difference, and heart dose was significantly higher for SIB on the right side.

Conclusion

Tomotherapy with SIB may be able to offer less organ at risk dose (except for the heart), while maintaining the ability to deliver adequate dose coverage.

Keywords

breast cancerdosimetric comparisonelectron boostsimultaneous integrated boosttomotherapy
Type
Technical Note
Information
Journal of Radiotherapy in Practice , Volume 16 , Issue 3 , September 2017 , pp. 334 - 341
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Copyright
© Cambridge University Press 2017 

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