[1]戴宛庭,李向斌,全红,等.网格精度对肝癌立体定向放射治疗计划的剂量学影响[J].中国医学物理学杂志,2021,38(9):1057-1060.[doi:10.3969/j.issn.1005-202X.2021.09.002]
　DAI Wanting,LI Xiangbin,QUAN Hong,et al.Dosimetric effect of grid size on stereotactic radiotherapy for liver cancer[J].Chinese Journal of Medical Physics,2021,38(9):1057-1060.[doi:10.3969/j.issn.1005-202X.2021.09.002]
点击复制

网格精度对肝癌立体定向放射治疗计划的剂量学影响()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
38卷
期数:
2021年第9期
页码:
1057-1060
栏目:
生物材料与力学
出版日期:
2021-09-26

文章信息/Info

Title:
Dosimetric effect of grid size on stereotactic radiotherapy for liver cancer
文章编号:
1005-202X（2021）09-1057-04
作者:
戴宛庭1; 李向斌2; 全红1; 谭志杰1; 魏伟2
1. 武汉大学物理科学与技术学院，湖北武汉430072；2. 湖北省肿瘤医院放疗中心，湖北武汉430079
Author(s):
DAI Wanting1;  LI Xiangbin2;  QUAN Hong1;  TAN Zhijie1;  WEI Wei2
1. School of Physics and Technology, Wuhan University, Wuhan 430072, China 2. Radiotherapy Center, Hubei Cancer Hospital, Wuhan 430079, China
关键词:
肝癌; 立体定向放射治疗; 网格; 剂量学; Gamma验证通过率
Keywords:
liver cancer stereotactic radiotherapy grid dosimetry Gamma passing rate
分类号:
R730.55；R811.1
DOI:
10.3969/j.issn.1005-202X.2021.09.002
文献标志码:
A
摘要:
目的：研究不同网格精度对肝癌立体定向放射治疗（SBRT）计划的剂量学影响，为临床肝癌SBRT计划的设计提供 合适的网格精度。方法：回顾性分析湖北省肿瘤医院2017~2020年间采用VMAT-SBRT治疗方式的肝癌患者10例，在相 同函数配置和参数设置条件下，分别采用1.0、2.0、3.0、4.0、5.0 mm网格精度设计治疗计划。比较靶区D95%、Dmean、适形度指 数、梯度指数，危及器官中肝脏Dmean、正常肝脏的V10、V20、V30，脊髓的Dmax以及计划的计算时间，分析在3 %/3 mm和2%/2 mm标准下Gamma通过率。结果：采用Eclipse系统AAA算法下对网格大小进行更改，结果显示靶区D95%随着网格值增 大呈下降趋势，GI随着网格值增大呈增长趋势；在Dmean和适形度指数上，网格值对其产生的影响未见显著差异；在危及器 官保护方面，1.0 mm网格表现出更优异的计算结果；在计算时间方面，随着网格大小减小，剂量计算时间呈大幅度增长；在 计划验证通过率方面，随着网格大小增大，两种标准（2%/2 mm和3%/3 mm）下的通过率不断减小。结论：随着计算网格 大小的改变，靶区和危及器官的剂量受量以及计算时间和Gamma通过率都有不同程度的改变。综合计划剂量优化结果 以及计算时间和验证通过率，建议在肝癌SBRT计划设计中使用2.0 mm大小的计算网格。
Abstract:
Objective To study the dosimetric effect of different grid sizes on stereotactic radiotherapy (SBRT) for liver cancer, thereby providing an appropriate grid size for SBRT planning. Methods A retrospective analysis was performed on 10 cases of liver cancer patients treated with VMAT-SBRT in Hubei Cancer Hospital from 2017 to 2020.With the same function and parameter settings, treatment plans were designed with grid size of 1.0, 2.0, 3.0, 4.0 and 5.0 mm, respectively. The D95%, Dmean, conformity index and gradient index of the target area, the Dmean of the whole liver, the V10, V20, V30 of normal liver, the Dmax of spinal cord and calculation time for planning were compared. Moreover, the Gamma passing rates for the criteria of 3%/3 mm and 2%/2 mm were compared. Results The grid size was changed by theAAAalgorithmof Eclipse system, and the results showed that with the increase of grid size, the D95% of the target area had a downward trend, and gradient index tended to increase, but that the effects of grid size on Dmean and conformity index were trivial. In terms of organs-at-risk sparing, better calculation results were obtained with the grid size of 1.0 mm. The dose calculation time was increased greatly with the decrease of grid size and the Gamma passing rates for both two criteria (2%/2 mm and 3%/3 mm) were decreases as the grid size increases. Conclusion Computational grid size has different effects on the doses delivered to target areas and organs-at-risk, calculation time and Gamma passing rate. Based on the comprehensive consideration on dose optimization, calculation time and verification passing rate, the grid size of 2.0 mm is recommended in the clinical planning of VMAT-SBRT for liver cancer.

相似文献/References:

[1]张淑慧,杨敬贤,贾飞,等.肿瘤立体定向放射治疗摆位误差分析与质量控制[J].中国医学物理学杂志,2013,30(02):3988.[doi:10.3969/j.issn.1005-202X.2013.02.006]
[2]张基永,张武哲,陆佳扬,等.Truebeam加速器无均整滤过器6MV X射线SBRT治疗计划的剂量验证评估[J].中国医学物理学杂志,2015,32(04):510.[doi:10.3969/j.issn.1005-202X.2015.04.013]
　[J].Chinese Journal of Medical Physics,2015,32(9):510.[doi:10.3969/j.issn.1005-202X.2015.04.013]
[3]林拥华,章宝燕,李新丰,等.肝癌介入治疗中旋转数字减影血管造影三维重建技术的应用价值[J].中国医学物理学杂志,2015,32(06):851.[doi:doi:10.3969/j.issn.1005-202X.2015.06.019]
　[J].Chinese Journal of Medical Physics,2015,32(9):851.[doi:doi:10.3969/j.issn.1005-202X.2015.06.019]
[4]岳海振,张艺宝,胡俏俏,等.PTW 1000SRS与729矩阵在非均整模式下剂量验证对比[J].中国医学物理学杂志,2016,33(1):19.[doi:DOI:10.3969/j.issn.1005-202X.2016.01.005]
　[J].Chinese Journal of Medical Physics,2016,33(9):19.[doi:DOI:10.3969/j.issn.1005-202X.2016.01.005]
[5]王小深,鞠忠建,解传滨,等.射波刀准直器个数对脊柱转移瘤放疗计划的影响[J].中国医学物理学杂志,2016,33(2):195.[doi:10.3969/j.issn.1005-202X.2016.02.018]
[6]黄啸天,张俊,周云峰,等. 方差分析法在肺癌立体定向放射治疗摆位误差及计划靶区外放边界中的应用[J].中国医学物理学杂志,2017,34(6):579.[doi:DOI:10.3969/j.issn.1005-202X.2017.06.008]
　[J].Chinese Journal of Medical Physics,2017,34(9):579.[doi:DOI:10.3969/j.issn.1005-202X.2017.06.008]
[7]朴俊杰,徐寿平,段学章,等.CyberKnife中Fixed/Iris准直器对肝癌患者治疗计划的影响及评价[J].中国医学物理学杂志,2017,34(8):762.[doi:DOI:10.3969/j.issn.1005-202X.2017.08.002]
[8]李柱,乔安意,王翀,等. 超声引导下射频消融术治疗肝癌疗效及预后影响因素分析[J].中国医学物理学杂志,2017,34(10):1058.[doi:DOI:10.3969/j.issn.1005-202X.2017.10.018]
　[J].Chinese Journal of Medical Physics,2017,34(9):1058.[doi:DOI:10.3969/j.issn.1005-202X.2017.10.018]
[9]裴宇. 多层螺旋CT灌注参数评价肝癌经动脉化疗栓塞术后疗效[J].中国医学物理学杂志,2018,35(2):191.[doi:DOI:10.3969/j.issn.1005-202X.2018.02.014]
　PEI Yu. Application of multi-slice spiral CT perfusion parameters in the evaluation of curative effect of TACE for hepatocellular carcinoma[J].Chinese Journal of Medical Physics,2018,35(9):191.[doi:DOI:10.3969/j.issn.1005-202X.2018.02.014]
[10]李雅宁,陆世培,彭应林,等. BodyFIX联合腹压板在肝癌大剂量放射治疗中的应用[J].中国医学物理学杂志,2018,35(3):265.[doi:DOI:10.3969/j.issn.1005-202X.2018.03.004]
　LI Yaning,LU Shipei,PENG Yinglin,et al. Application of BodyFIX combined with abdominal pressure plate in stereotactic body radiotherapy for liver cancer[J].Chinese Journal of Medical Physics,2018,35(9):265.[doi:DOI:10.3969/j.issn.1005-202X.2018.03.004]
[11]陆世培,陈昱汐,盘茵琳,等.摆位误差对肝癌立体定向放射治疗剂量学的影响[J].中国医学物理学杂志,2020,37(11):1360.[doi:DOI:10.3969/j.issn.1005-202X.2020.11.004]
　LU Shipei,CHEN Yuxi,PAN Yinlin,et al.Effects of setup error on the dosimetry of stereotactic body radiotherapy for liver cancer[J].Chinese Journal of Medical Physics,2020,37(9):1360.[doi:DOI:10.3969/j.issn.1005-202X.2020.11.004]
[12]邵剑辉,杨鑫,李雅宁.腹压板不同压腹位置对肝癌立体定向放射治疗精度的影响[J].中国医学物理学杂志,2023,40(9):1064.
　SHAO Jianhui,YANG Xin,LI Yaning.Effects of different abdominal compression plate positions on accuracy in stereotactic body radiotherapy for liver cancer[J].Chinese Journal of Medical Physics,2023,40(9):1064.
[13]万福莺,周凌宏.基于LQ模型的原发性肝癌立体定向放射治疗剂量学实验[J].中国医学物理学杂志,2024,41(6):673.[doi:DOI:10.3969/j.issn.1005-202X.2024.06.003]
　WAN Fuying,ZHOU Linghong.Experimental study of stereotactic body radiotherapy dosimetry for primary hepatic carcinoma based on LQ model[J].Chinese Journal of Medical Physics,2024,41(9):673.[doi:DOI:10.3969/j.issn.1005-202X.2024.06.003]

备注/Memo

备注/Memo:
【收稿日期】2020-10-05 【基金项目】国家自然科学基金（12075095） 【作者简介】戴宛庭，硕士研究生在读，研究方向：医学物理，E-mail: dwtaaiinng@163.com 【通信作者】魏伟，博士，放疗中心主任，研究方向：肿瘤放射物理，Email: ww_hbch@163.com
更新日期/Last Update: 2021-09-27