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Dosimetric comparison between VMAT with different dose calculation algorithms and protons for soft-tissue sarcoma radiotherapy

Abstract Background. To appraise the potential of volumetric modulated arc therapy (VMAT, RapidArc) and proton beams to simultaneously achieve target coverage and enhanced sparing of bone tissue in the treatment of soft-tissue sarcoma with adequate target coverage. Material and methods. Ten patients...

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Published in:Acta oncologica 2013-04, Vol.52 (3), p.545-552
Main Authors: Fogliata, Antonella, Scorsetti, Marta, Navarria, Piera, Catalano, Maddalena, Clivio, Alessandro, Cozzi, Luca, Lobefalo, Francesca, Nicolini, Giorgia, Palumbo, Valentina, Pellegrini, Chiara, Reggiori, Giacomo, Roggio, Antonella, Vanetti, Eugenio, Alongi, Filippo, Pentimalli, Sara, Mancosu, Pietro
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cited_by cdi_FETCH-LOGICAL-c408t-3237a17cbe4104496d132cb1bec543df91bd0b5f72d89f8ae22ea071bf703a6f3
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container_issue 3
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container_title Acta oncologica
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creator Fogliata, Antonella
Scorsetti, Marta
Navarria, Piera
Catalano, Maddalena
Clivio, Alessandro
Cozzi, Luca
Lobefalo, Francesca
Nicolini, Giorgia
Palumbo, Valentina
Pellegrini, Chiara
Reggiori, Giacomo
Roggio, Antonella
Vanetti, Eugenio
Alongi, Filippo
Pentimalli, Sara
Mancosu, Pietro
description Abstract Background. To appraise the potential of volumetric modulated arc therapy (VMAT, RapidArc) and proton beams to simultaneously achieve target coverage and enhanced sparing of bone tissue in the treatment of soft-tissue sarcoma with adequate target coverage. Material and methods. Ten patients presenting with soft-tissue sarcoma of the leg were collected for the study. Dose was prescribed to 66.5 Gy in 25 fractions to the planning target volume (PTV) while significant maximum dose to the bone was constrained to 50 Gy. Plans were optimised according to the RapidArc technique with 6 MV photon beams or for intensity modulated protons. RapidArc photon plans were computed with: 1) AAA; 2) Acuros XB as dose to medium; and 3) Acuros XB as dose to water. Results. All plans acceptably met the criteria of target coverage (V95% >90-95%) and bone sparing (D1cm3
doi_str_mv 10.3109/0284186X.2012.689853
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To appraise the potential of volumetric modulated arc therapy (VMAT, RapidArc) and proton beams to simultaneously achieve target coverage and enhanced sparing of bone tissue in the treatment of soft-tissue sarcoma with adequate target coverage. Material and methods. Ten patients presenting with soft-tissue sarcoma of the leg were collected for the study. Dose was prescribed to 66.5 Gy in 25 fractions to the planning target volume (PTV) while significant maximum dose to the bone was constrained to 50 Gy. Plans were optimised according to the RapidArc technique with 6 MV photon beams or for intensity modulated protons. RapidArc photon plans were computed with: 1) AAA; 2) Acuros XB as dose to medium; and 3) Acuros XB as dose to water. Results. All plans acceptably met the criteria of target coverage (V95% &gt;90-95%) and bone sparing (D1cm3 &lt;50 Gy). Significantly higher PTV dose homogeneity was found for proton plans. Near-to-maximum dose to bone was similar for RapidArc and protons, while volume receiving medium/low dose levels was minimised with protons. Similar results were obtained for the remaining normal tissue. Dose distributions calculated with the dose to water option resulted ∼5% higher than corresponding ones computed as dose to medium. Conclusion. High plan quality was demonstrated for both VMAT and proton techniques when applied to soft-tissue sarcoma.</description><identifier>ISSN: 0284-186X</identifier><identifier>EISSN: 1651-226X</identifier><identifier>DOI: 10.3109/0284186X.2012.689853</identifier><identifier>PMID: 22671576</identifier><language>eng</language><publisher>England: Informa Healthcare</publisher><subject>Algorithms ; Humans ; Leg - pathology ; Leg Bones - pathology ; Muscle Neoplasms - pathology ; Muscle Neoplasms - radiotherapy ; Organ Size ; Organs at Risk - pathology ; Photons - adverse effects ; Photons - therapeutic use ; Proton Therapy - adverse effects ; Proton Therapy - methods ; Protons - adverse effects ; Protons - therapeutic use ; Radiation Injuries - prevention &amp; control ; Radiotherapy Dosage ; Radiotherapy Planning, Computer-Assisted - methods ; Radiotherapy, Intensity-Modulated - adverse effects ; Radiotherapy, Intensity-Modulated - methods ; Sarcoma - pathology ; Sarcoma - radiotherapy ; Tumor Burden</subject><ispartof>Acta oncologica, 2013-04, Vol.52 (3), p.545-552</ispartof><rights>2013 Informa Healthcare 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-3237a17cbe4104496d132cb1bec543df91bd0b5f72d89f8ae22ea071bf703a6f3</citedby><cites>FETCH-LOGICAL-c408t-3237a17cbe4104496d132cb1bec543df91bd0b5f72d89f8ae22ea071bf703a6f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22671576$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fogliata, Antonella</creatorcontrib><creatorcontrib>Scorsetti, Marta</creatorcontrib><creatorcontrib>Navarria, Piera</creatorcontrib><creatorcontrib>Catalano, Maddalena</creatorcontrib><creatorcontrib>Clivio, Alessandro</creatorcontrib><creatorcontrib>Cozzi, Luca</creatorcontrib><creatorcontrib>Lobefalo, Francesca</creatorcontrib><creatorcontrib>Nicolini, Giorgia</creatorcontrib><creatorcontrib>Palumbo, Valentina</creatorcontrib><creatorcontrib>Pellegrini, Chiara</creatorcontrib><creatorcontrib>Reggiori, Giacomo</creatorcontrib><creatorcontrib>Roggio, Antonella</creatorcontrib><creatorcontrib>Vanetti, Eugenio</creatorcontrib><creatorcontrib>Alongi, Filippo</creatorcontrib><creatorcontrib>Pentimalli, Sara</creatorcontrib><creatorcontrib>Mancosu, Pietro</creatorcontrib><title>Dosimetric comparison between VMAT with different dose calculation algorithms and protons for soft-tissue sarcoma radiotherapy</title><title>Acta oncologica</title><addtitle>Acta Oncol</addtitle><description>Abstract Background. To appraise the potential of volumetric modulated arc therapy (VMAT, RapidArc) and proton beams to simultaneously achieve target coverage and enhanced sparing of bone tissue in the treatment of soft-tissue sarcoma with adequate target coverage. Material and methods. Ten patients presenting with soft-tissue sarcoma of the leg were collected for the study. Dose was prescribed to 66.5 Gy in 25 fractions to the planning target volume (PTV) while significant maximum dose to the bone was constrained to 50 Gy. Plans were optimised according to the RapidArc technique with 6 MV photon beams or for intensity modulated protons. RapidArc photon plans were computed with: 1) AAA; 2) Acuros XB as dose to medium; and 3) Acuros XB as dose to water. Results. All plans acceptably met the criteria of target coverage (V95% &gt;90-95%) and bone sparing (D1cm3 &lt;50 Gy). Significantly higher PTV dose homogeneity was found for proton plans. Near-to-maximum dose to bone was similar for RapidArc and protons, while volume receiving medium/low dose levels was minimised with protons. Similar results were obtained for the remaining normal tissue. Dose distributions calculated with the dose to water option resulted ∼5% higher than corresponding ones computed as dose to medium. Conclusion. High plan quality was demonstrated for both VMAT and proton techniques when applied to soft-tissue sarcoma.</description><subject>Algorithms</subject><subject>Humans</subject><subject>Leg - pathology</subject><subject>Leg Bones - pathology</subject><subject>Muscle Neoplasms - pathology</subject><subject>Muscle Neoplasms - radiotherapy</subject><subject>Organ Size</subject><subject>Organs at Risk - pathology</subject><subject>Photons - adverse effects</subject><subject>Photons - therapeutic use</subject><subject>Proton Therapy - adverse effects</subject><subject>Proton Therapy - methods</subject><subject>Protons - adverse effects</subject><subject>Protons - therapeutic use</subject><subject>Radiation Injuries - prevention &amp; control</subject><subject>Radiotherapy Dosage</subject><subject>Radiotherapy Planning, Computer-Assisted - methods</subject><subject>Radiotherapy, Intensity-Modulated - adverse effects</subject><subject>Radiotherapy, Intensity-Modulated - methods</subject><subject>Sarcoma - pathology</subject><subject>Sarcoma - radiotherapy</subject><subject>Tumor Burden</subject><issn>0284-186X</issn><issn>1651-226X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9kE1v1DAQhi0EokvhHyDkI5cs_kgc54JUlU-pFZe26s2a2GPWVRIvtqOqF347Xm3Lsac5zDPzzjyEvOdsKzkbPjGhW67V7VYwLrZKD7qTL8iGq443Qqjbl2RzQJoDc0Le5HzHGBOy716Tk9rvederDfn7JeYwY0nBUhvnPaSQ40JHLPeIC725PLui96HsqAveY8KlUBczUguTXScoocIw_Y6pMnOmsDi6T7HEJVMfE83Rl6aEnFekGVJNAJrAhVh2mGD_8Ja88jBlfPdYT8n1t69X5z-ai1_ff56fXTS2Zbo0st4NvLcjtpy17aAcl8KOfETbtdL5gY-OjZ3vhdOD14BCILCej75nEpSXp-TjcW897s-KuZg5ZIvTBAvGNRsuuZK91kpWtD2iNsWcE3qzT2GG9GA4Mwfz5sm8OZg3R_N17MNjwjrO6P4PPamuwOcjEJZqZoYdwlR2FhKau7impb7_fMI_QYuV2Q</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Fogliata, Antonella</creator><creator>Scorsetti, Marta</creator><creator>Navarria, Piera</creator><creator>Catalano, Maddalena</creator><creator>Clivio, Alessandro</creator><creator>Cozzi, Luca</creator><creator>Lobefalo, Francesca</creator><creator>Nicolini, Giorgia</creator><creator>Palumbo, Valentina</creator><creator>Pellegrini, Chiara</creator><creator>Reggiori, Giacomo</creator><creator>Roggio, Antonella</creator><creator>Vanetti, Eugenio</creator><creator>Alongi, Filippo</creator><creator>Pentimalli, Sara</creator><creator>Mancosu, Pietro</creator><general>Informa Healthcare</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Dosimetric comparison between VMAT with different dose calculation algorithms and protons for soft-tissue sarcoma radiotherapy</title><author>Fogliata, Antonella ; 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To appraise the potential of volumetric modulated arc therapy (VMAT, RapidArc) and proton beams to simultaneously achieve target coverage and enhanced sparing of bone tissue in the treatment of soft-tissue sarcoma with adequate target coverage. Material and methods. Ten patients presenting with soft-tissue sarcoma of the leg were collected for the study. Dose was prescribed to 66.5 Gy in 25 fractions to the planning target volume (PTV) while significant maximum dose to the bone was constrained to 50 Gy. Plans were optimised according to the RapidArc technique with 6 MV photon beams or for intensity modulated protons. RapidArc photon plans were computed with: 1) AAA; 2) Acuros XB as dose to medium; and 3) Acuros XB as dose to water. Results. All plans acceptably met the criteria of target coverage (V95% &gt;90-95%) and bone sparing (D1cm3 &lt;50 Gy). Significantly higher PTV dose homogeneity was found for proton plans. Near-to-maximum dose to bone was similar for RapidArc and protons, while volume receiving medium/low dose levels was minimised with protons. Similar results were obtained for the remaining normal tissue. Dose distributions calculated with the dose to water option resulted ∼5% higher than corresponding ones computed as dose to medium. Conclusion. High plan quality was demonstrated for both VMAT and proton techniques when applied to soft-tissue sarcoma.</abstract><cop>England</cop><pub>Informa Healthcare</pub><pmid>22671576</pmid><doi>10.3109/0284186X.2012.689853</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)
subjects Algorithms
Humans
Leg - pathology
Leg Bones - pathology
Muscle Neoplasms - pathology
Muscle Neoplasms - radiotherapy
Organ Size
Organs at Risk - pathology
Photons - adverse effects
Photons - therapeutic use
Proton Therapy - adverse effects
Proton Therapy - methods
Protons - adverse effects
Protons - therapeutic use
Radiation Injuries - prevention & control
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted - methods
Radiotherapy, Intensity-Modulated - adverse effects
Radiotherapy, Intensity-Modulated - methods
Sarcoma - pathology
Sarcoma - radiotherapy
Tumor Burden
title Dosimetric comparison between VMAT with different dose calculation algorithms and protons for soft-tissue sarcoma radiotherapy
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