Academic Journal
Preliminary Simulation Study of Carotid Artery and Pharyngeal Constrictor Muscle Sparing-Radiotherapy in Glottic Carcinoma
العنوان: | Preliminary Simulation Study of Carotid Artery and Pharyngeal Constrictor Muscle Sparing-Radiotherapy in Glottic Carcinoma |
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المؤلفون: | Yurday Ozdemir MD, Ibrahim Acibuci PhD, Ugur Selek MD, Erkan Topkan MD |
المصدر: | Technology in Cancer Research & Treatment, Vol 19 (2020) |
بيانات النشر: | SAGE Publishing, 2020. |
سنة النشر: | 2020 |
المجموعة: | LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
مصطلحات موضوعية: | Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
الوصف: | Background: This preliminary simulation study aimed to compare the dosimetric outcomes of carotid arteries (CAs) and pharyngeal constrictor muscle (PCM) in patients with T1N0M0 glottic carcinoma undergoing helical tomotherapy-intensity modulated radiotherapy (HT-IMRT) and 3-dimensional conformal radiotherapy (3D-CRT) plans. Methods: In addition to the clinical target volume (CTV) which was defined as the entire larynx, the CAs and PCM of 11 glottic carcinoma patients were delineated. The CTV was uniformly expanded 5 mm to create a planning target volume (PTV) relative to the PCM and at a distance of 2 mm from the CA. The dosimetric characteristics in HT-IMRT and lateral opposed fields-based 3D-CRT plans were analyzed. Results: Median D 95% and V 100% of PTV were significantly higher in HT-IMRT (p < 0.001) compared to 3D-CRT. The right/left CA dosimetric outcomes, including the mean doses (20.7/21.5 Gy versus 48.7/50.5 Gy), D max (53.6/52.0 Gy versus 67.4/67.7 Gy), V 30 (25.0/27.1% versus 77.6/80.3%), V 40 (8.0/7.9% versus 74.6/71.9%), and V 50 (2.0/1.2% versus 70.0/71.6%) were also significantly lower in HT-IMRT (p < 0.05), similar to the mean PCM doses (49.6 Gy versus 62.6 Gy for 3D-CRT;p < 0.001), respectively. Conclusions: Our present results demonstrated the feasibility of simultaneous sparing of the CAs and PCM in HT-IMRT- compared to 3D-CRT plans in glottic carcinoma patients undergoing definitive radiotherapy. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1533-0338 15330338 |
Relation: | https://doaj.org/toc/1533-0338 |
DOI: | 10.1177/1533033820956989 |
URL الوصول: | https://doaj.org/article/df52b4b6f31a465c8a52d9acc3d4d8f3 |
رقم الانضمام: | edsdoj.f52b4b6f31a465c8a52d9acc3d4d8f3 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 15330338 |
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DOI: | 10.1177/1533033820956989 |