Single-Arc Volumetric Modulated Arc Therapy Planning for Left Breast Cancer and Regional Nodes
Author(s) -
A. Sakumi,
Kenshiro Shiraishi,
Tsuyoshi Onoe,
Kentaro Yamamoto,
Akihiro Haga,
Kiyoshi Yoda,
Kuni Ohtomo,
Keiichi Nakagawa
Publication year - 2012
Publication title -
journal of radiation research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.643
H-Index - 60
eISSN - 1349-9157
pISSN - 0449-3060
DOI - 10.1269/jrr.11159
Subject(s) - multileaf collimator , arc (geometry) , collimator , nuclear medicine , radiation treatment planning , medical physics , medicine , radiation therapy , computer science , mathematics , radiology , physics , optics , geometry
We have successfully created a single arc volumetric modulated arc therapy (VMAT) plan for treating post-surgical left breast/chest wall and regional nodes using Elekta multileaf collimator (MLC). Dose volume histograms (DVHs) were compared between the VMAT plans and conventional tangential beam plans using a field-in-field technique, leading to significant DVH advantages in the VMAT plans. The difference between Elekta VMAT and Varian RapidArc due to different MLC designs was discussed in terms of the number of arcs required to cover a large target, highlighting a single arc capability of Elekta VMAT for a large target volume which may be less sensitive to unexpected organ motion during dose delivery.
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