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Redistributed versus homogenous radiotherapy dose for head and neck cancer; a treatment planning study
Author(s) -
Jolien Heukelom,
Emmy Lamers,
E. van Slooten,
Erik van Werkhoven,
C. Rasch,
JanJakob Sonke
Publication year - 2017
Publication title -
physics and imaging in radiation oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.777
H-Index - 12
ISSN - 2405-6316
DOI - 10.1016/j.phro.2017.07.002
Subject(s) - medicine , head and neck cancer , radiation therapy , head and neck squamous cell carcinoma , radiation treatment planning , nuclear medicine , positron emission tomography , radiology
Dose redistribution, where radio-resistant parts of the tumour are boosted while the border of the planning target volume receives a lower dose has the potential to increase local control in advanced head and neck squamous cell carcinoma (HNSCC). In this treatment planning study for 20 patients, standard radiotherapy (RT) of 70 Gy, was compared to redistributed RT following the ARTFORCE trial protocol (NCT01504815), i.e., a fluorodeoxyglucose-positron emission tomography (FDG-PET) based heterogeneous simultaneous-integrated-boost to a total dose of 64–84 Gy. Redistribution marginally increased the mean ipsilateral ⧹contralateral parotid dose by 1.55⧹0.55 Gy but not dose to other organs at risk

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