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For most of the patients, metrics of critical organs from ciency in terms of MUs and delivery accuracy was analyzed. For For doing so, the plans with 0. For all the cases, plan with 0. When compared with the index CI , conformity number CN and gradient index GI for reference plan, the mean reduction of total MUs for the plan three different optimization scenarios. Table 2 lists the statis- with 1. The maximum variation of MSW 1. Measured point doses for all the plans with 0.
Comparison of measured was 4. Maximum number of plans with 1. The mean and standard deviation of the passing dose were 3. Table 2 with 0. We compared the plan qual- point dose measurement. Most of the tumors undergoing SBRT are smaller and regular in dimension and require a very high dose per fraction. The plan optimization for all these micro-ion chamber results.
We investigated three patients i. The analysis of the Matrix 2. The results were The decrease a high dose to the target volumes and low dose to critical organ in MUs was seen with increasing minimum segment width and surrounding normal tissues.
The mean and standard deviation of percent- 0. On the other hand, the plan with 1. However, the plan quality was degraded with reduced MUs with a degradation in plan quality.
At the same increased MSW. Increasing segment width had a similar dose distribution as plans with the value of minimum segment width to an optimal value 0. Meanwhile with attempt of increasing the minimum required leaf motion during dynamic delivery thereby poten- segment width during plan optimization for irregular and con- tially reduced the delivery time.
Conclusion fere with the dosimetric plan objectives. Generally, in IMRT We planned stereotactic body radiotherapy with volumetric treatment planning, intensity distributions created by opti- modulated arc for extracranial lesions with three different mization systems are converted into trajectories of leaves to scenarios creating a change in minimum segment width dur- deliver desired dose distributions to produce two-dimensional ing plan optimization.
The beamlet intensity for range of tumors of the lung, liver and abdomen. In an restrictions, smoothing procedures, direct aperture optimiza- overall view among the calculated MUs, delivery accuracy tion, etc. Reducing MUs by controlling parameter of minimum segment width has the positive effect redundant modulation for VMAT SBRT plans with optimal val- of reducing the MUs needed for delivering very high dose of ues of minimum segment width will also increase the comfort uncomplicated intensity patterns.
Decreasing of MU for treatment Financial disclosure delivery will reduce the treatment time and increase the com- fort for patients, especially for patients undergoing treatment None declared. Furthermore, it is well known 1. Int J Radiat head scatter and leakage radiation are proportional to total Oncol Biol Phys ;— Volumetric modulated arc therapy for delivery of Roberts DA.
Penalization of aperture complexity in inversely hypofractionated stereotactic lung radiotherapy: a dosimetric planned volumetric modulated arc therapy. Radiother Oncol ;— Improving 3. Med Phys ;— Effects of the intensity levels and beam radiotherapy: a planning study and early clinical data. Med Phys Radiother Oncol ;—8. Dose as a function of Sun X, Xia P. A new smoothing procedure to reduce delivery lung volume and planned treatment volume in helical segments for static MLC-based IMRT planning.
Med Phys tomotherapy intensity-modulated radiation therapy-based ;— Int Phys Med Biol 5. Clinical outcomes of a ;— Smoothing intensity-modulated treatment delivery fractions for primary lung cancer using a stereotactic body under hardware constraints. Smoothing — Stereotactic body of delivery. The impact of JAMA ;—6. Promising clinical outcome of units and the quality and accuracy of intensity modulated stereotactic body radiation therapy for patients with radiotherapy.
Int J Radiat Volumetric penalties in the objective function.