Margin estimation and disturbances of irradiation field in layer-stacking carbon-ion beams for respiratory moving targets.

Abstract:

:Carbon-ion therapy by layer-stacking irradiation for static targets has been practised in clinical treatments. In order to apply this technique to a moving target, disturbances of carbon-ion dose distributions due to respiratory motion have been studied based on the measurement using a respiratory motion phantom, and the margin estimation given by the square root of the summation Internal margin2+Setup margin2 has been assessed. We assessed the volume in which the variation in the ratio of the dose for a target moving due to respiration relative to the dose for a static target was within 5%. The margins were insufficient for use with layer-stacking irradiation of a moving target, and an additional margin was required. The lateral movement of a target converts to the range variation, as the thickness of the range compensator changes with the movement of the target. Although the additional margin changes according to the shape of the ridge filter, dose uniformity of 5% can be achieved for a spherical target 93 mm in diameter when the upward range variation is limited to 5 mm and the additional margin of 2.5 mm is applied in case of our ridge filter. Dose uniformity in a clinical target largely depends on the shape of the mini-peak as well as on the bolus shape. We have shown the relationship between range variation and dose uniformity. In actual therapy, the upper limit of target movement should be considered by assessing the bolus shape.

journal_name

J Radiat Res

authors

Tajiri S,Tashiro M,Mizukami T,Tsukishima C,Torikoshi M,Kanai T

doi

10.1093/jrr/rrx001

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

840-848

issue

6

eissn

0449-3060

issn

1349-9157

pii

3045807

journal_volume

58

pub_type

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