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Radiation Induced Injury of Hepatocellular Carcinoma, IMRT vs SBRT

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Date Issued:
2022
Abstract/Description:
Hepatocellular carcinoma is currently one of the most fatal cancers in the world. The routine treatment for this type of cancer consists of surgery, chemotherapy, and finally radiation therapy. Recent advancements in technology have enabled us to deliver highly conformed dose to planning target volume. Two of these methods are Intensity modulated Radiation Therapy (IMRT) and Stereotactic Body Radiation Therapy (SBRT). The difference between these two methods is that in the SBRT high radiation dose per fraction is delivered, but smaller number of fractions which renders better tumor control probability. However, better tumor control comes at the price of complications and radiation induced liver damage. In this work, we compare the outcome of radiation with regards to the probability of radiation damage to the liver after IMRT and SBRT. For this purpose, we analyzed 10 anonymized patients’ data with liver cancer, and we made two similar treatment plans for them. The difference in two plans is dose per fraction and total dose. After optimizing the treatments and calculating the dose volume histogram, we found the effective volume of the liver being irradiated. Finally, this effective volume and the corresponding dose were used to show that SBRT has the advantage of better tumor control probability at the cost of higher probability of complications.
Title: Radiation Induced Injury of Hepatocellular Carcinoma, IMRT vs SBRT.
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Name(s): Feghhi, Touhid , author
Pella, Silvia , Thesis advisor
Florida Atlantic University, Degree grantor
Department of Physics
Charles E. Schmidt College of Science
Type of Resource: text
Genre: Electronic Thesis Or Dissertation
Date Created: 2022
Date Issued: 2022
Publisher: Florida Atlantic University
Place of Publication: Boca Raton, Fla.
Physical Form: application/pdf
Extent: 71 p.
Language(s): English
Abstract/Description: Hepatocellular carcinoma is currently one of the most fatal cancers in the world. The routine treatment for this type of cancer consists of surgery, chemotherapy, and finally radiation therapy. Recent advancements in technology have enabled us to deliver highly conformed dose to planning target volume. Two of these methods are Intensity modulated Radiation Therapy (IMRT) and Stereotactic Body Radiation Therapy (SBRT). The difference between these two methods is that in the SBRT high radiation dose per fraction is delivered, but smaller number of fractions which renders better tumor control probability. However, better tumor control comes at the price of complications and radiation induced liver damage. In this work, we compare the outcome of radiation with regards to the probability of radiation damage to the liver after IMRT and SBRT. For this purpose, we analyzed 10 anonymized patients’ data with liver cancer, and we made two similar treatment plans for them. The difference in two plans is dose per fraction and total dose. After optimizing the treatments and calculating the dose volume histogram, we found the effective volume of the liver being irradiated. Finally, this effective volume and the corresponding dose were used to show that SBRT has the advantage of better tumor control probability at the cost of higher probability of complications.
Identifier: FA00014070 (IID)
Degree granted: Thesis (PSM)--Florida Atlantic University, 2021.
Collection: FAU Electronic Theses and Dissertations Collection
Note(s): Includes bibliography.
Subject(s): Carcinoma, Hepatocellular
Radiotherapy--Adverse effects
Radiotherapy, Intensity-Modulated
Stereotactic Body Radiation Therapy
Persistent Link to This Record: http://purl.flvc.org/fau/fd/FA00014070
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Host Institution: FAU
Is Part of Series: Florida Atlantic University Digital Library Collections.