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首页> 外文期刊>Radiotherapy and oncology: Journal of the European Society for Therapeutic Radiology and Oncology >Evaluation of the Sinmed Mastercouch as replacement for a standard couch.
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Evaluation of the Sinmed Mastercouch as replacement for a standard couch.

机译:评估Sinmed Mastercouch替代标准沙发。

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BACKGROUND AND PURPOSE: Introducing into practice a new carbon-fibre couch necessitates its evaluation with regard to the present clinical situation. MATERIALS AND METHODS: In this study, a geometric and dosimetric evaluation has been made for the Sinmed Mastercouch as a replacement for the Elekta C-arm couch with Mylar-tennis racket combination. Geometrically, feasible gantry angles with regard to collision and beam intersection were discriminated as function of isocentric table rotation for 10 treatment isocentres. Dosimetrically, the build-up distortion and attenuation by the aforementioned tabletops and a carbon-fibre tabletop of an Elekta Precise simulator was measured. Finally, the clinical implications of these influences were assessed for a 3-field prostate treatment in three configurations: Mastercouch, C-arm couch and no-intersection situation. RESULTS: With regard to collision, the largest advantages are observed for the Mastercouch with the Omega-shaped treatment module compared to the C-arm couch for isocentres located in the upper part of the body, thanks to its shape and the absence of any metal. Dosimetrically, one has to take into account the build-up loss and attenuation by beam intersection with Mastercouch and the carbon-fibre edges of the tennis racket (C-arm couch). The clinical relevance of these dosimetric aspects depends on the dose delivered by the compromised beams.
机译:背景与目的:将新的碳纤维沙发床投入实践需要对其当前的临床状况进行评估。材料与方法:在本研究中,对Sinmed Mastercouch进行了几何和剂量学评估,以替代Mylar网球拍组合的Elekta C臂沙发。在几何上,对于10个治疗等角点,根据等中心台旋转来区分关于碰撞和梁相交的可行龙门角度。剂量学上,测量了由上述桌面和Elekta Precise仿真器的碳纤维桌面造成的累积失真和衰减。最后,针对三种配置的3场前列腺治疗评估了这些影响的临床意义:万事达沙发,C型臂沙发床和无交叉口情况。结果:就碰撞而言,具有Omega形治疗模块的Mastercouch相对于C形臂躺椅而言具有最大的优势,因为它位于身体上部的等中心点,这要归功于其形状和不含任何金属。剂量学上,必须考虑到与Mastercouch的光束相交以及网球拍(C型臂沙发)的碳纤维边缘所产生的损耗和衰减。这些剂量学方面的临床相关性取决于受损光束所传递的剂量。

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