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Treatment robustness of total body irradiation with volumetric modulated arc therapy

  • Enrica Seravalli*
  • , Mirjam Willemsen-Bosman
  • , Annelies Zoetelief
  • , Sanne Roosenboom
  • , Tessa Harderwijk
  • , Lean Krikke
  • , Gijsbert Bol
  • , Alexis Kotte
  • , Eline Huijboom
  • , Karel van Loon
  • , Bianca Hoeben
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

This study evaluated the robustness of multi-isocenter Volumetric Modulated Arc Therapy Total Body Irradiation dose distribution in the overlapping region between the head-first and feet-first computed tomography scans, considering the longitudinal isocenter shifts recorded during treatment delivery. For 15 out of 22 patients, the dose distribution in the overlapping region fulfilled all three the robustness criteria. The overlapping region dose distribution of the remaining 7 cases fulfilled two robustness criteria. The dose distribution was found to be robust against daily recorded longitudinal isocenter shifts, as a consequence of the patient position verification procedure, of up to 16 mm.

Original languageEnglish
Article number100537
Number of pages4
JournalPhysics and Imaging in Radiation Oncology
Volume29
DOIs
Publication statusPublished - Jan 2024

Keywords

  • Conformal radiotherapy techniques
  • Junction
  • Patient position verification
  • Robustness
  • TBI
  • Total body irradiation
  • VMAT

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