학술논문

Transformation of Physical DVHs to Radiobiologically Equivalent Ones in Hypofractionated Radiotherapy Analyzing Dosimetric and Clinical Parameters: A Practical Approach for Routine Clinical Practice in Radiation Oncology.
Document Type
Article
Source
Computational & Mathematical Methods in Medicine. Jan2013, p1-8. 8p. 1 Color Photograph, 1 Black and White Photograph, 6 Charts, 1 Graph.
Subject
Language
ISSN
1748-670X
Abstract
The purpose of this study was to transform DVHs from physical to radiobiological ones as well as to evaluate their reliability by correlations of dosimetric and clinical parameters for 50 patients with prostate cancer and 50 patients with breast cancer, who were submitted to Hypofractionated Radiotherapy. Methods and Materials. To achieve this transformation, we used both the linear-quadratic model (LQ model) and the Niemierko model.The outcome of radiobiological DVHs was correlated with acute toxicity score according to EORTC/RTOG criteria. Results. Concerning the prostate radiotherapy, there was a significant correlation between RTOG acute rectal toxicity and 𝐷50 (𝑃 < 0.001) and 𝑉60 (𝑃 = 0.001) dosimetric parameters, calculated for 𝛼/𝛽 = 10Gy. Moreover, concerning the breast radiotherapy there was a significant correlation between RTOG skin toxicity and 𝑉≥60 dosimetric parameter, calculated for both 𝛼/𝛽 = 2.3 Gy (𝑃 < 0.001) and 𝛼/𝛽 = 10 Gy (𝑃 < 0.001). The new tool seems reliable and user-friendly. Conclusions. Our proposed model seems user-friendly. Its reliability in terms of agreement with the presented acute radiation induced toxicity was satisfactory. However, more patients are needed to extract safe conclusions. [ABSTRACT FROM AUTHOR]