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Dobler, Barbara ; Weidner, Karin ; Koelbl, Oliver

Application of volumetric modulated arc therapy (VMAT) in a dual-vendor environment

Article

Dobler, Barbara, Weidner, Karin and Koelbl, Oliver (2010) Application of volumetric modulated arc therapy (VMAT) in a dual-vendor environment. Radiation oncology 5, p. 95.

DOI to cite this document: 10.5283/epub.20985


Abstract

Background and Purpose: The purpose of this study was to assess plan quality and treatment time achievable with the new VMAT optimization tool implemented in the treatment planning system Oncentra MasterPlan (R) as compared to IMRT for Elekta SynergyS (R) linear accelerators. Materials and methods: VMAT was implemented on a SynergyS (R) linear accelerator (Elekta Ltd., Crawley, UK) with Mosaiq ...

Background and Purpose: The purpose of this study was to assess plan quality and treatment time achievable with the new VMAT optimization tool implemented in the treatment planning system Oncentra MasterPlan (R) as compared to IMRT for Elekta SynergyS (R) linear accelerators. Materials and methods: VMAT was implemented on a SynergyS (R) linear accelerator (Elekta Ltd., Crawley, UK) with Mosaiq (R) record and verify system (IMPAC Medical Systems, Sunnyvale, CA) and the treatment planning system Oncentra MasterPlan (R) (Nucletron BV, Veenendaal, the Netherlands). VMAT planning was conducted for three typical target types of prostate cancer, hypopharynx/larynx cancer and vertebral metastases, and compared to standard IMRT with respect to plan quality, number of monitor units (MU), and treatment time. Results: For prostate cancer and vertebral metastases single arc VMAT led to similar plan quality as compared to IMRT. For treatment of the hypopharynx/larynx cancer, a second arc was necessary to achieve sufficient plan quality. Treatment time was reduced in all cases to 35% to 43% as compared to IMRT. Times required for optimization and dose calculation, however, increased by a factor of 5.0 to 6.8. Conclusion: Similar or improved plan quality can be achieved with VMAT as compared to IMRT at reduced treatment times but increased calculation times.



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Details

Item typeArticle
Journal or Publication TitleRadiation oncology
PublisherBMC
Open Access TypeGold (with APC)
Place of PublicationLONDON
Volume5
Page Rangep. 95
Date2010
Date of publication25 May 2011 09:57
InstitutionsMedicine > Lehrstuhl für Strahlentherapie
Identification Number
ValueType
20973977PubMed ID
10.1186/1748-717X-5-95DOI
Classification
NotationType
AgedMESH
Bone Neoplasms/secondaryMESH
FemaleMESH
HumansMESH
Hypopharyngeal Neoplasms/radiotherapyMESH
Laryngeal Neoplasms/radiotherapyMESH
MaleMESH
Middle AgedMESH
Prostatic Neoplasms/radiotherapyMESH
RadiometryMESH
Radiotherapy/methodsMESH
Radiotherapy Planning, Computer-Assisted/methodsMESH
KeywordsPROSTATE-CANCER; NECK-CANCER; SINGLE-ARC; RADIOTHERAPY; IMRT; RAPIDARC; OPTIMIZATION; DELIVERY; HEAD;
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-209851
Item ID20985

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