A conformal index (COIN) to evaluate implant quality and dose specification in brachytherapy

 
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A conformal index (COIN) to evaluate implant quality and dose specification in brachytherapy (EN)

Kolotas, C (EN)
Mould, RF (EN)
Baltas, D (EN)
Geramani, K (EN)
Zamboglou, N (EN)
Ioannidis, G (EN)
Kekchidi, M (EN)

N/A (EN)

Purpose: To propose a new index (COIN) that can be easily understood and computed to assess high dose rate (HDR) brachytherapy interstitial implant quality and dose specification and is an improvement on existing indexes, Methods and Materials: The COIN index is based on an extension of dose-volume histograms and employs an analogous concept to that of cost-benefit analysis, which has already been applied to quality-of-life assessments for two alternative treatment protocols, The COIN index calculation methodology is shown for two cases: with and without critical structures. An analysis is given of dose distributions for two planning treatment volumes (PTV) of simple geometrical shape, applying both the rules of the Paris system and that of the "Offenbach" system. 40 patients who have received interstitial implants form the clinical material, With current HDR brachytherapy technology both for dose delivery, using remote afterloaders, and for three-dimensional (3D) treatment planning, it is now possible to relatively easily plan conformal brachytherapy treatments that would have been impossible with manual afterloading techniques and two-dimensional (2D) treatment planning, Results: Examples of the use of the COIN index are presented for experimental and clinical data, Conclusions: The results show that COIN is a useful and practical index to improve the quality of treatment of interstitial brachytherapy implants, Further work will be undertaken with a larger population of implanted cancer patients and a subdivision of the results by treatment site. (C) 1998 Elsevier Science Inc. (EN)

journalArticle

Radiotherapy Dosage (EN)
dosimetry (EN)
interstitial radiation (EN)
Humans (EN)
dose calculation (EN)
Tomography, X-Ray Computed (EN)
cost benefit analysis (EN)
health care quality (EN)
cancer grading (EN)
article (EN)
Neoplasms (EN)
treatment planning (EN)
Algorithms (EN)
Quality index (EN)
Brachytherapy (EN)
priority journal (EN)
radiation dose (EN)
Dose-volume histogram (EN)
Radiotherapy Planning, Computer-Assisted (EN)
Conformal treatment (EN)
Interstitial brachytherapy (EN)
Catheters, Indwelling (EN)

Εθνικό Μετσόβιο Πολυτεχνείο (EL)
National Technical University of Athens (EN)

International Journal of Radiation Oncology Biology Physics (EN)

1998


PERGAMON-ELSEVIER SCIENCE LTD (EN)



*Η εύρυθμη και αδιάλειπτη λειτουργία των διαδικτυακών διευθύνσεων των συλλογών (ψηφιακό αρχείο, καρτέλα τεκμηρίου στο αποθετήριο) είναι αποκλειστική ευθύνη των αντίστοιχων Φορέων περιεχομένου.