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    Treatment Planning Photons & Electrons: Karen P. Doppke 3/20/2007

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    Edis Đedović
    This document discusses various methods for calculating radiation dose distributions during treatment planning, including factors that influence dose such as photon attenuation and scatter. It describes correction-based and model-based dose calculation methods, and the general equation used to calculate dose at depth in a patient. Examples are provided of isodose curves, dose variations for different beam energies, and comparisons of Monte Carlo dose calculations in lung tissue. The conformal treatment planning process is outlined, including defining target volumes and dose limits to nearby organs-at-risk. Examples of treatment plans using opposed fields, four fields, and five fields are shown along with corresponding dose-volume histograms. Stereotactic radiosurgery and fractionated stereotactic radiation therapy are also

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    Treatment Planning Photons & Electrons: Karen P. Doppke 3/20/2007

    Uploaded by

    Edis Đedović
    26 views39 pages
    This document discusses various methods for calculating radiation dose distributions during treatment planning, including factors that influence dose such as photon attenuation and scatter. It describes correction-based and model-based dose calculation methods, and the general equation used to calculate dose at depth in a patient. Examples are provided of isodose curves, dose variations for different beam energies, and comparisons of Monte Carlo dose calculations in lung tissue. The conformal treatment planning process is outlined, including defining target volumes and dose limits to nearby organs-at-risk. Examples of treatment plans using opposed fields, four fields, and five fields are shown along with corresponding dose-volume histograms. Stereotactic radiosurgery and fractionated stereotactic radiation therapy are also

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    Treatment Planning Protons and Electrons

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    4825008

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    This document discusses various methods for calculating radiation dose distributions during treatment planning, including factors that influence dose such as photon attenuation and scatter. It describes correction-based and model-based dose calculation methods, and the general equation used to calculate dose at depth in a patient. Examples are provided of isodose curves, dose variations for different beam energies, and comparisons of Monte Carlo dose calculations in lung tissue. The conformal treatment planning process is outlined, including defining target volumes and dose limits to nearby organs-at-risk. Examples of treatment plans using opposed fields, four fields, and five fields are shown along with corresponding dose-volume histograms. Stereotactic radiosurgery and fractionated stereotactic radiation therapy are also

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    26 views39 pages

    Treatment Planning Photons & Electrons: Karen P. Doppke 3/20/2007

    Uploaded by

    Edis Đedović
    This document discusses various methods for calculating radiation dose distributions during treatment planning, including factors that influence dose such as photon attenuation and scatter. It describes correction-based and model-based dose calculation methods, and the general equation used to calculate dose at depth in a patient. Examples are provided of isodose curves, dose variations for different beam energies, and comparisons of Monte Carlo dose calculations in lung tissue. The conformal treatment planning process is outlined, including defining target volumes and dose limits to nearby organs-at-risk. Examples of treatment plans using opposed fields, four fields, and five fields are shown along with corresponding dose-volume histograms. Stereotactic radiosurgery and fractionated stereotactic radiation therapy are also

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    TREATMENT PLANNING PHOTONS

    & ELECTRONS

    Karen P. Doppke
    3/20/2007
    Regions of Radiation Field Considered in Dose Calculations
    DOSE TO A POINT IN TISSUE

    Major Processes that Effect Dose in


    Tissue from Photon Beams

    Inverse Square Law

    Photon Attenuation

    Photon Scatter
    Dose Calculation Methods Used to Determine
    Dose at a Point in a Patient

    Correction Based Methods Model Based Methods

    % Depth Dose Calculations Pencil Beam Methods

    Tissue Maximum/Phantom Ratios Convolution Superposition

    Tissue-Air Ratios Monte Carlo Calculations


    The General Form of Equation Used to Calculate Dose at
    Depth in the Patient

    TPR (d, r, h) = Dose at Depth / Dose at Reference/Max


    10 Mv X-ray Beam
    Isodose Curves High Energy
    Variation in Dose for Various Energy Beams
    COMPARE MONTE CARLO DOSES IN LUNG
    Comparison Dose Distribution 6 MV X-Rays
    Conformal Planning Process

    PATIENT DATA SET/S


    CT, MRI, PET

    DEFINATION OF TARGET AND


    NORMAL TISSUES

    PRESCRIPTION DOSE and FRACTIONATION


    TOTAL DOSE TO VOLUMES
    DOSE TO NORMAL TISSUES
    EXAMPLE OF A CONFORMAL PLAN

    The prescription should include the total dose to the


    target volumes, the fractionation, a statement of the
    expansion of the GTV to the CTV and PTV.

    The dose limits to the normal tissues that are near the
    site of treatment need to be defined.
    ICRU 62
    EXAMPLE OF TREATMENT VOLUMES
    TREATMENT VOLUMES

    GTV
    CTV
    ITV
    PTV
    NORMAN TISSUES NEAR TREATMENT SITE

    SPINAL CORD < ~45 Gy

    LIVER <~25Gy/100%, 30Gy/35%, 35Gy/25%

    KIDNEYS <~23Gy/66%

    LUNG <~30Gy/40%, 60Gy/20%

    HEART <~30Gy/100% LV, 45Gy/100% (atrium)


    AP/PA OPPOSED FIELDS
    DVH FOR TISSUES AP/PA

    CTV
    PTV
    Liver
    Lung RT
    Kidney RT
    Heart
    FOUR FIELD PLAN AP/PA/RLAT/LLAT
    DVH 4 FIELD PLAN

    CTV
    PTV
    Liver
    Heart
    Kidney RT
    Lung RT
    5 FIELD PLANE AP/RA/RP/LP/LA
    DVH 5 FIELD PLAN

    CTV
    PTV
    Liver
    Lung RT
    Heart
    Kidney RT
    CTV
    Lung RT
    Kidney RT
    Stereotactic Radiosurgery
     1905: Introduction of stereotactic
    equipment
     1908: Mapping of brain in 3 planes
     1918: First stereotactic frame for humans
    in London
     1940: Greatest strides in intracranial
    applications began
    Stereotactic Radiosurgery
    1982: Modified Linear Accelerator
    Stereotactic Radiosurgery
    SRS Frame Placement
    STEROTACTIC RADIATION THERAPY SRT
    Fractionated Stereotactic
    Radiation Therapy
    Fractionated Stereotactic Radiation
    Therapy(SRT) combines the target and
    dose localization characteristics of SRS
    with the biologic advantages of dose
    fractionization
    STEROTACTIC RADIATION SURGERY SRS
    Fractionated Stereotactic
    Radiation Therapy
    Fractionated Stereotactic
    Radiation Therapy

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