The impact of the difference between Anisotropic Analytical Algorithm (AAA) and Acuros XB (AXB) in breast radiotherapy is not clearly due to different uses and further research is required to explain this effect. The ...The impact of the difference between Anisotropic Analytical Algorithm (AAA) and Acuros XB (AXB) in breast radiotherapy is not clearly due to different uses and further research is required to explain this effect. The aim of this study is to investigate the contribution of calculation differences between AAA and AXB to the integral radiation dose (ID) on critical organs. Seven field intensity modulated radiotherapy (IMRT) plans were generated using with AAA and AXB algorithms for twenty patients with early stage left breast cancer after breast conserving surgery. Volumetric and dosimetric differences, as well as, the Dmean, V5, V20 doses of the left and right-sided lung, the Dmean, V10, V20, V30 doses of heart and the Dmean, V5, V10 doses of the contralateral breast were investigated. The mean dose (Dmean), V5, V20 doses of the left-sided lung, the Dmean, V5, V10 doses of right-sided lung, the Dmean, V10, V20, V30 doses of heart and the Dmean, V5, V10 doses of the contralateral breast were found to be significantly higher with AAA. In this research integral dose was also higher in the AAA recalculated plan and the AXB plan with the average dose as follows left lung 2%, heart 2%, contralateral breast 8%, contralateral lung 4% respectively. Our study revealed that the calculation differences between Acuros XB (AXB) and Anisotropic Analytical Algorithm (AAA) in breast radiotherapy caused serious differences on the stored integral doses on critical organs. In addition, AXB plans showed significantly dosimetric improvements in multiple dosimetric parameters.展开更多
文摘目的对比分析非均整(FFF)模式下Acuros XB(AXB)算法与各向异性解析算法(AAA)在宫颈癌容积旋转调强放射治疗(VMAT)中的剂量学差异,探讨其临床适用性。方法选取15例宫颈癌术后患者,年龄46~75岁,中位年龄62岁;病理类型为13例鳞状细胞癌,2例腺癌。在Eclipse16.1计划系统设计VMAT-FFF计划,分别应用AXB算法与AAA计算剂量,对比靶区剂量、适形度(CI)、均匀性(HI)、危及器官(OAR)受量及正常组织低剂量暴露(V_(1)~V_(40))。结果AXB算法与AAA的靶区D_(max)、D_(mean)、D_(2%)、D_(50%)差异有统计学意义[(5377.07±21.84)cGy vs(5322.22±23.91)cGy、(5086.07±5.22)cGy vs(5077.49±7.34)cGy、(5191.01±10.47)cGy vs(5169.13±14.30)cGy、(5087.33±5.62)cGy vs(5079.59±7.67)cGy。P<0.05],AXB算法所得CI(0.9200±0.0034 vs 0.9172±0.0022。P<0.05)及OAR的V_(50)预测值显著高于AAA[膀胱:(22.63±7.33)%vs(22.11±7.05)%;直肠:(24.33±5.55)%vs(23.24±5.39)%。P<0.05],但HI较差(0.0450±0.0029 vs 0.0409±0.0034。P<0.001)。AAA计算的正常组织V_(1)和V_(5)较AXB算法显著更高[(73.70±7.02)%vs(72.37±7.06)%、(53.47±6.68)%vs(53.27±6.71)%。P<0.05],其余V_(10)~V_(40)差异无统计学意义(P>0.05)。结论AXB算法更适用于需精准保护OAR的宫颈癌VMAT-FFF计划,而AAA在靶区HI上更具优势。临床应根据治疗需求优化算法选择。
文摘The impact of the difference between Anisotropic Analytical Algorithm (AAA) and Acuros XB (AXB) in breast radiotherapy is not clearly due to different uses and further research is required to explain this effect. The aim of this study is to investigate the contribution of calculation differences between AAA and AXB to the integral radiation dose (ID) on critical organs. Seven field intensity modulated radiotherapy (IMRT) plans were generated using with AAA and AXB algorithms for twenty patients with early stage left breast cancer after breast conserving surgery. Volumetric and dosimetric differences, as well as, the Dmean, V5, V20 doses of the left and right-sided lung, the Dmean, V10, V20, V30 doses of heart and the Dmean, V5, V10 doses of the contralateral breast were investigated. The mean dose (Dmean), V5, V20 doses of the left-sided lung, the Dmean, V5, V10 doses of right-sided lung, the Dmean, V10, V20, V30 doses of heart and the Dmean, V5, V10 doses of the contralateral breast were found to be significantly higher with AAA. In this research integral dose was also higher in the AAA recalculated plan and the AXB plan with the average dose as follows left lung 2%, heart 2%, contralateral breast 8%, contralateral lung 4% respectively. Our study revealed that the calculation differences between Acuros XB (AXB) and Anisotropic Analytical Algorithm (AAA) in breast radiotherapy caused serious differences on the stored integral doses on critical organs. In addition, AXB plans showed significantly dosimetric improvements in multiple dosimetric parameters.
