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首页> 外文期刊>Journal of Medical Physics/Association of Medical Physicists of India >Establishment of a New Three-Dimensional Dose Evaluation Method Considering Variable Relative Biological Effectiveness and Dose Fractionation in Proton Therapy Combined with High-Dose-Rate Brachytherapy
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Establishment of a New Three-Dimensional Dose Evaluation Method Considering Variable Relative Biological Effectiveness and Dose Fractionation in Proton Therapy Combined with High-Dose-Rate Brachytherapy

机译:建立一种新的三维剂量评价方法,其考虑变量相对生物效果和剂量分馏与高剂量速率近距离放射治疗

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Purpose: The purpose of this study is to evaluate the influence of variable relative biological effectiveness (RBE) of proton beam and dose fractionation has on dose distribution and to establish a new three-dimensional dose evaluation method for proton therapy combined with high-dose-rate (HDR) brachytherapy. Materials and Methods: To evaluate the influence of variable RBE and dose fractionation on dose distribution in proton beam therapy, the depth-dose distribution of proton therapy was compared with clinical dose, RBE-weighted dose, and equivalent dose in 2 Gy fractions using a linear-quadratic-linear model (EQD2subLQL/sub). The clinical dose was calculated by multiplying the physical dose by RBE of 1.1. The RBE-weighted dose is a biological dose that takes into account RBE variation calculated by microdosimetric kinetic model implemented in Monte Carlo code. The EQD2subLQL/sub is a biological dose that makes the RBE-weighted dose equivalent to 2 Gy using a linear-quadratic-linear (LQL) model. Finally, we evaluated the three-dimensional dose by taking into account RBE variation and LQL model for proton therapy combined with HDR brachytherapy. Results: The RBE-weighted dose increased at the distal of the spread-out Bragg peak (SOBP). With the difference in the dose fractionation taken into account, the EQD2subLQL/sub at the distal of the SOBP increased more than the RBE-weighted dose. In proton therapy combined with HDR brachytherapy, a divergence of 103% or more was observed between the conventional dose estimation method and the dose estimation method we propose. Conclusions: Our dose evaluation method can evaluate the EQD2subLQL/sub considering RBE changes in the dose distribution.
机译:目的:本研究的目的是评估质子梁和剂量分馏的可变相对生物效果(RBE)对剂量分布的影响,并建立一种新的三维剂量评价方法,用于质子疗法与高剂量相结合速率(HDR)近距离放射治疗。材料和方法:为了评价变量RBE和剂量分馏对质子束治疗中剂量分布的影响,将质子疗法的深度剂量分布与临床剂量,RBE加权剂量和2 GY级分中的等效剂量进行比较线性 - 二次线性模型(EQD2 LQL )。通过将物理剂量乘以1.1的rbe来计算临床剂量。 RBE加权剂量是一种生物剂量,其考虑了通过在蒙特卡罗代码中实施的微量微量动力学模型计算的RBE变化。 EQD2 LQL 是一种生物剂量,其使用线性 - 二次线性(LQL)模型使RBE加权剂量相当于2GY。最后,我们通过考虑RBE变异和LQL模型来评估三维剂量,用于质子疗法与HDR近距离放射治疗相结合。结果:RBE加权剂量在扩散布拉格峰(SOBP)的远端增加。随着考虑剂量分馏的差异,SOBP远端的EQD2 <亚> LQL 比RBE加权剂量增加。在质子疗法结合HDR近距离放射治疗中,在常规剂量估计方法和我们提出的剂量估计方法之间观察到103%或更多的分歧。结论:我们的剂量评价方法可以考虑rbe在剂量分布中的变化来评估EQD2 Lql

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