Feasibility study of volumetric modulated arc therapy with Halcyon™ linac for total body irradiation

Radiation Oncology

Masakazu Otsuka¹  Hajime Monzen¹  Kenji Matsumoto¹  Mikoto Tamura¹  Hiroshi Doi²  Yasumasa Nishimura²  Takuya Uehara²  Masahiro Inada² 

[1] Department of Medical Physics, Graduate School of Medical Science, Kindai University, 377-2 Ohno-Higashi, 589-8511, Osaka-Sayama, Osaka, Japan;Department of Radiation Oncology, Faculty of Medicine, Kindai University, Osaka, Japan;

关键词: Total body irradiation;    Halcyon™ linac;    Volumetric modulated arc therapy;    Feasibility study;    Radiotherapy;   

DOI  :  10.1186/s13014-021-01959-3

来源: Springer

【 摘 要 】

BackgroundThe use of total body irradiation (TBI) with linac-based volumetric modulated arc therapy (VMAT) has been steadily increasing. Helical tomotherapy has been applied in TBI and total marrow irradiation to reduce the dose to critical organs, especially the lungs. However, the methodology of TBI with Halcyon™ linac remains unclear. This study aimed to evaluate whether VMAT with Halcyon™ linac can be clinically used for TBI.MethodsVMAT planning with Halcyon™ linac was conducted using a whole-body computed tomography data set. The planning target volume (PTV) included the body cropped 3 mm from the source. A dose of 12 Gy in six fractions was prescribed for 50% of the PTV. The organs at risk (OARs) included the lens, lungs, kidneys, and testes.ResultsThe PTV D98%, D95%, D50%, and D2% were 8.9 (74.2%), 10.1 (84.2%), 12.6 (105%), and 14.2 Gy (118%), respectively. The homogeneity index was 0.42. For OARs, the Dmean of the lungs, kidneys, lens, and testes were 9.6, 8.5, 8.9, and 4.4 Gy, respectively. The V12Gy of the lungs and kidneys were 4.5% and 0%, respectively. The Dmax of the testes was 5.8 Gy. Contouring took 1–2 h. Dose calculation and optimization was performed for 3–4 h. Quality assurance (QA) took 2–3 h. The treatment duration was 23 min.ConclusionsA planning study of TBI with Halcyon™ to set up VMAT-TBI, dosimetric evaluation, and pretreatment QA, was established.

【 授权许可】

CC BY