Dosimetric considerations for patients with HIP prostheses undergoing pelvic irradiation. Report of the AAPM Radiation Therapy Committee Task Group 63

This document is the report of a task group of the Radiation Therapy Committee of the AAPM and has been prepared primarily to advise hospital physicists involved in external beam treatment of patients with pelvic malignancies who have high atomic number (Z) hip prostheses. The purpose of the report...

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Bibliographic Details
Published in:Medical physics (Lancaster) 2003-06, Vol.30 (6), p.1162-1182
Main Authors: Reft, Chester, Alecu, Rodica, Das, Indra J., Gerbi, Bruce J., Keall, Paul, Lief, Eugene, Mijnheer, Ben J., Papanikolaou, Nikos, Sibata, Claudio, Van Dyk, Jake
Format: Article
Language:English
Subjects:
Advisory Committees
Algorithms
Atomic and molecular beams
Biomaterials
bone
cancer
Diseases
dose perturbation
dosimetry
Hip Prosthesis
Humans
Medical treatment planning
Pelvic Neoplasms - radiotherapy
Physicists
Practice Patterns, Physicians
prosthetics
Quality Control
Radiation Protection - methods
Radiation Protection - standards
radiation therapy
Radiation therapy equipment
Radiation treatment
Radiometry - methods
Radiometry - standards
Radiotherapy - methods
Radiotherapy - standards
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted - methods
Radiotherapy Planning, Computer-Assisted - standards
Societies
Therapeutics
Treatment strategy
United States
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Summary:This document is the report of a task group of the Radiation Therapy Committee of the AAPM and has been prepared primarily to advise hospital physicists involved in external beam treatment of patients with pelvic malignancies who have high atomic number (Z) hip prostheses. The purpose of the report is to make the radiation oncology community aware of the problems arising from the presence of these devices in the radiation beam, to quantify the dose perturbations they cause, and, finally, to provide recommendations for treatment planning and delivery. Some of the data and recommendations are also applicable to patients having implanted high-Z prosthetic devices such as pins, humeral head replacements. The scientific understanding and methodology of clinical dosimetry for these situations is still incomplete. This report is intended to reflect the current state of scientific understanding and technical methodology in clinical dosimetry for radiation oncology patients with high-Z hip prostheses.
ISSN:0094-2405
2473-4209
DOI:10.1118/1.1565113