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Should we use RapidArc (VMAT) for breast radiotherapy? A Dosimetric comparison of IMRT versus VMAT optimization

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Date Issued:
2015
Summary:
Purpose: The purpose of this study is to compare the dose-volumetric results of intensity modulated radiation therapy (IMRT) with RapidArc (RA Varian Medical Systems, Palo Alto, CA) for whole breast irradiation. Methods: 25 patients previously treated for whole left breast (either RapidArc plan or IMRT) were the subjects of this planning study. Eclipse v 11.0.47 was used to make all retrospective plans using the same contours, energy, machine and normalization. Prescription dose to the planning target volume was 5000 Gy in 25 fractions. All plans were normalized such that 100% covered 95% of planning target volume (PTV). Results: V10, V20 and Dmean Gy of left lung significantly differed between the two plans (p-value <0.0001, =0.0473 and <0.0001 respectively), but V30 Gy did not (p-value 0.463). V25, D33 and Dmean Gy of heart significantly differed between the two plans (p-value =0.034, <0.0001 and 0.01 respectively), but V10 Gy did not (p-value 0.058). V5 of both right breast and right lung significantly differed between the two plans (p-value <0.0007 and =0.0112, respectively). Also Dmean of both right breast and right lung significantly differed between the two plans (p-value <0.0001 for both). The mean conformity index did not significantly differ, p-value 0.142. There was a significant difference between the mean MUs of the two plans as well, p-value <0.0001.
Title: Should we use RapidArc (VMAT) for breast radiotherapy? A Dosimetric comparison of IMRT versus VMAT optimization.
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Name(s): Moshiri Sedeh, Nader
Pella, Silvia
Leventouri, Theodora
Graduate College
Type of Resource: text
Genre: Poster
Date Created: 2015
Date Issued: 2015
Publisher: Florida Atlantic University
Place of Publication: Boca Raton, Fla.
Physical Form: application/pdf
Extent: 1 p.
Language(s): English
Summary: Purpose: The purpose of this study is to compare the dose-volumetric results of intensity modulated radiation therapy (IMRT) with RapidArc (RA Varian Medical Systems, Palo Alto, CA) for whole breast irradiation. Methods: 25 patients previously treated for whole left breast (either RapidArc plan or IMRT) were the subjects of this planning study. Eclipse v 11.0.47 was used to make all retrospective plans using the same contours, energy, machine and normalization. Prescription dose to the planning target volume was 5000 Gy in 25 fractions. All plans were normalized such that 100% covered 95% of planning target volume (PTV). Results: V10, V20 and Dmean Gy of left lung significantly differed between the two plans (p-value <0.0001, =0.0473 and <0.0001 respectively), but V30 Gy did not (p-value 0.463). V25, D33 and Dmean Gy of heart significantly differed between the two plans (p-value =0.034, <0.0001 and 0.01 respectively), but V10 Gy did not (p-value 0.058). V5 of both right breast and right lung significantly differed between the two plans (p-value <0.0007 and =0.0112, respectively). Also Dmean of both right breast and right lung significantly differed between the two plans (p-value <0.0001 for both). The mean conformity index did not significantly differ, p-value 0.142. There was a significant difference between the mean MUs of the two plans as well, p-value <0.0001.
Identifier: FA00005901 (IID)
Collection: FAU Student Research Digital Collection
Note(s): The Sixth Annual Graduate Research Day was organized by Florida Atlantic University’s Graduate Student Association. Graduate students from FAU Colleges present abstracts of original research and posters in a competition for monetary prizes, awards, and recognition.
Held by: Florida Atlantic University Libraries
Sublocation: Digital Library
Persistent Link to This Record: http://purl.flvc.org/fau/fd/FA00005901
Use and Reproduction: Copyright © is held by the author with permission granted to Florida Atlantic University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Host Institution: FAU
Is Part of Series: Florida Atlantic University Digital Library Collections.