[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
IJRR Information::
For Authors::
For Reviewers::
Subscription::
News & Events::
Web Mail::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
ISSN
Hard Copy 2322-3243
Online 2345-4229
..
Online Submission
Now you can send your articles to IJRR office using the article submission system.
..

AWT IMAGE

AWT IMAGE

:: Volume 16, Issue 3 (7-2018) ::
Int J Radiat Res 2018, 16(3): 269-278 Back to browse issues page
Comparison of six irradiation techniques for delivering hypofractionated whole-breast radiotherapy with a simultaneous integrated boost after breast-conserving surgery
J. Zhang , S.G. Wu , J.Y. Sun , F.Y. Li , X.X. Guan , Z.Y. He
Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou 510060, People’s Republic of China , hezhy@sysucc.org.cn
Abstract:   (5662 Views)
Background: To compare the following techniques for hypofractionated whole-breast irradiation (WBI) with simultaneous integrated boost (SIB) after breast-conserving surgery (BCS): three-dimensional conformal radiation therapy plus electron boost (3DCRT-EB), intensity-modulated radiation therapy (IMRT) plus EB (IMRT-EB), field-in-field IMRT plus EB (FIF-IMRT-EB), FIF-IMRT plus IMRT boost (FIF-IMRT-IB), IMRT plus IMRT boost (IMRT-IB), and volumetric-modulated arc therapy (VMAT) plus VMAT boost (VMAT-VB). Materials and Methods: Twenty patients with left breast cancer were enrolled. The prescribed dose was 40.05 Gy in 15 fractions to the whole breast and an SIB to the tumor bed of 3.2 Gy/fraction (total, 48 Gy). Target-volume coverage, dose-conformity index, homogeneity index (HI), doses to organs at risk (OAR), and costs were compared. Results: FIF-IMRT-EB performed the best, while FIF-IMRT-IB, IMRT-IB, and VMAT-VB performed the worst. The mean dose to the planning target volume for breast evaluation (PTV Eval-breast) was significantly lower for IMRT-EB and FIF-IMRT-EB than for the other plans. For both PTV Eval-breast and PTV Eval-boost, VMAT-VB had the lowest target-volume coverage for 95% of the prescription dose and the highest target-volume coverage for >105% of the prescription dose. Among the six plans, VMAT-VB had the best HI for PTV Eval-boost and the highest doses to all OAR, except the coronary artery. Plans with EBs had lower mean doses for the contralateral lung and contralateral breast than plans with IMRT boosts. FIF-IMRT-EB had a low cost; plans with IMRT boosts had the highest costs. Conclusion: FIF-IMRT-EB may be the most suitable irradiation technique for hypofractionated WBI with SIB after BCS.
 
Keywords: Breast cancer, breast-conserving surgery, hypofractionated whole-breast radiotherapy, radiotherapy, simultaneous integrated b, moost.
Full-Text [PDF 2038 kb]   (3154 Downloads)    
Type of Study: Original Research | Subject: Radiation Biology
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Zhang J, Wu S, Sun J, Li F, Guan X, He Z. Comparison of six irradiation techniques for delivering hypofractionated whole-breast radiotherapy with a simultaneous integrated boost after breast-conserving surgery . Int J Radiat Res 2018; 16 (3) :269-278
URL: http://ijrr.com/article-1-2275-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 16, Issue 3 (7-2018) Back to browse issues page
International Journal of Radiation Research
Persian site map - English site map - Created in 0.06 seconds with 50 queries by YEKTAWEB 4660