scholarly journals Technical note: The effect of the 4-mm-collimator output factor on gamma knife dose distributions

2003 ◽  
Vol 4 (4) ◽  
pp. 386-389
Author(s):  
John P. Gibbons ◽  
Dimitris Mihailidis ◽  
Curtis Worthington ◽  
Hassaan Alkhatib ◽  
Raleigh Boulware ◽  
...  
1994 ◽  
Vol 4 (4) ◽  
pp. 215-219
Author(s):  
P. Kindl ◽  
B. Obenaus ◽  
Kh. Feichtinger ◽  
G. Stuecklschweiger

2006 ◽  
Vol 84 (2-3) ◽  
pp. 97-102 ◽  
Author(s):  
Yong-Seok Im ◽  
Do-Hyun Nam ◽  
Jong-Soo Kim ◽  
Sang-Gyu Ju ◽  
Do-Hoon Lim ◽  
...  

2014 ◽  
Vol 41 (6Part10) ◽  
pp. 213-213
Author(s):  
H Benmakhlouf ◽  
T Wangerid ◽  
T Kraepelien ◽  
P Forander

2001 ◽  
Vol 143 (1) ◽  
pp. 83-88 ◽  
Author(s):  
T. Kamiryo ◽  
K. Han ◽  
J. Golfinos ◽  
P. Kim Nelson

Neurosurgery ◽  
2002 ◽  
Vol 51 (6) ◽  
pp. 1512-1519 ◽  
Author(s):  
Nicolas Massager ◽  
Jean R??gis ◽  
Denis Porcheron ◽  
Daniel Devriendt ◽  
Fran??oise Desmedt ◽  
...  

2021 ◽  
Vol 27 (1) ◽  
pp. 1-9
Author(s):  
Krzysztof Buliński ◽  
Tomasz Kuszewski ◽  
Katarzyna Wnuk ◽  
Janusz Braziewicz ◽  
Krzysztof Ślosarek

Abstract Both the measurement of the dose and the measurement of its distribution, like any other measurements, are subject to measurement uncertainties. These uncertainties affect all dose calculations and dose distributions in a patient’s body during treatment planning in radiotherapy. Measurement uncertainty is not a medical physicist’s error, but an inevitable element of their work. Planning the dose distribution in a patient’s body, we often try to reduce it in the volume of critical organs (OaR - Organ at Risk) or increase the minimum dose in the PTV region by a few percent. It is believed that the measurement uncertainty should be taken into account in these calculations at the stage of treatment planning. The paper presents the method of calculating the measurement uncertainty for different physical quantities in radiotherapy as percentage depth dose, profile function and output factor, due to the fact that these quantities have a particular impact on the calculated dose distributions in a patient’s body. The uncertainties that must be taken into account in planning treatment the planned dose per fraction and real in PTV, maybe different up to 4%.


2018 ◽  
Vol 129 (Suppl1) ◽  
pp. 140-146
Author(s):  
Joshua Chiu ◽  
Steve Braunstein ◽  
Jean Nakamura ◽  
Philip Theodosopoulos ◽  
Penny Sneed ◽  
...  

OBJECTIVEInterfractional residual patient shifts are often observed during the delivery of hypofractionated brain radiosurgery. In this study, the authors developed a robustness treatment planning check procedure to assess the dosimetric effects of residual target shifts on hypofractionated Gamma Knife radiosurgery (GKRS).METHODSThe residual patient shifts were determined during the simulation process immediately after patient immobilization. To mimic incorporation of residual target shifts during treatment delivery, a quality assurance procedure was developed to sample and shift individual shots according to the residual uncertainties in the prescribed treatment plan. This procedure was tested and demonstrated for 10 hypofractionated GKRS cases.RESULTSThe maximum residual target shifts were less than 1 mm for the studied cases. When incorporating such shifts, the target coverage varied by 1.9% ± 2.2% (range 0.0%–7.1%) and selectivity varied by 3.6% ± 2.5% (range 1.1%–9.3%). Furthermore, when incorporating extra random shifts on the order of 0.5 mm, the target coverage decreased by as much as 7%, and nonisocentric variation in the dose distributions was noted for the studied cases.CONCLUSIONSA pretreatment robustness check procedure was developed and demonstrated for hypofractionated GKRS. Further studies are underway to implement this procedure to assess maximum tolerance levels for individual patient cases.


2021 ◽  
Vol 16 (2) ◽  
pp. 307
Author(s):  
SushantaKumar Sahoo ◽  
ChiragKamal Ahuja ◽  
Sivashanmugam Dhandapani ◽  
Renu Madan ◽  
Parsee Tomar ◽  
...  

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