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Impact of different treatment plans on EQD2 for intracavitary brachytherapy of cervical cancer
Journal of the Egyptian National Cancer Institute 2021 Cilt 33 Sayı 28
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33
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Özet
Background: Cancer is one of the leading causes of death worldwide. According to GLOBOCAN estimates, there were 341,831 deaths from cervical cancer in 185 countries in 2020. The aim of this study was to compare equieffective dose (EQD2) at 2 Gy per fraction by using dose volume histograms (DVHs) derived from external beam radiotherapy (EBRT) and high-dose rate brachytherapy (HDR-BRT) treatment plans used in cervical cancer radiotherapy. Methods: Fifteen patients with stage IIB-IIIB cervical cancer were included in this retrospective study. Treatment with three-dimensional conformal radiotherapy (3D-CRT) or intensity-modulated radiotherapy (IMRT) was planned for all patients in 28 fractions, with a total of 50.4 Gy to be delivered to the whole pelvic region. After EBRT, manual optimization (MO) or inverse optimization (IO) HDR-BRT plans were created in 4 fractions with a total of 28 Gy. The plans obtained were grouped as IMRT + IO, IMRT + MO, 3DCRT + IO, and 3DCRT + MO by calculating EQD2s among these plans. D90, D95, and D98 values were compared in all plans for CTVHR total EQD2. In addition, EQD2 values ​for critical organs at risk (OARs) such as rectum, bladder, small intestine, and sigmoid were compared in all plans for volumes of 2 cm3, 1 cm3, and 0.1 cm3, respectively. Results: There was no significant difference between the treatment groups in terms of CTVHR D90 and CTVIR D90 values; However, CTVHR D95 (p = 0.000) and CTVHR D98 (p = 0.000) values ​were found to be better in IMRT + IO technique. The IMRT + IO technique provided better protection for 2 cm3, 1 cm3, and 0.1 cm3 volumes of OARs compared to other techniques. Conclusions: Considering all parameters such as CTVHR, CTVIR, rectum, bladder, small intestine, and sigmoid, combination of IMRT + IO treatment option was found to be significantly superior in total EQD2 calculations compared to other plans.
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Kaynak: JOURNAL OF THE EGYPTIAN NATIONAL CANCER INSTITUTE
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Scimago Dergi Bilgisi Otomatik ISSN Eşleştirmesi 2021 yılı verileri
Journal of the Egyptian National Cancer Institute
Q3
SJR Quartile
0,336
SJR Skoru
30
H-Index
🔓
Açık Erişim
Kategoriler: Oncology (Q3) · Cancer Research (Q4)
Alanlar: Biochemistry, Genetics and Molecular Biology · Medicine
Ülke: Germany · Springer Science and Business Media Deutschland GmbH
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Makale Bilgileri

Dergi Journal of the Egyptian National Cancer Institute
ISSN 2589-0409
Yıl 2021 / 10. ay
Cilt / Sayı 33 / 28
Sayfalar 1 – 8
Makale Türü Özgün Makale
Hakemlik Hakemli
Endeks ESCI
Teşvik Puanı 36,00 · YÖKSİS Akademik Teşvik
Yayın Dili İngilizce
Kapsam Uluslararası
Toplam Yazar 3 kişi
Erişim Türü Elektronik
Alan Sağlık Bilimleri Temel Alanı Sağlık Fiziği

YÖKSİS Yazar Kaydı

Yazar Adı GÜL OSMAN VEFA, İNAN GÖKÇEN, BAŞARAN HAMİT
YÖKSİS ID 5740353

Metrikler

Scopus Atıf 3
Havuz Atıfları 0
Teşvik Puanı 36,00
Yazar Sayısı 3