
On the use of virtual simulation in radiotherapy of the intact breast
Author(s) -
Tomé Wolfgang A.,
Steeves Richard A.,
Paliwal Bhudatt P.
Publication year - 2000
Publication title -
journal of applied clinical medical physics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.83
H-Index - 48
ISSN - 1526-9914
DOI - 10.1120/jacmp.v1i2.2646
Subject(s) - breast cancer , medicine , radiation treatment planning , radiology , medical physics , scanner , lung cancer , radiation therapy , nuclear medicine , computer science , cancer , oncology , artificial intelligence
In this paper a method of breast cancer treatment planning using virtual simulation implemented at the Department of Human Oncology at the University of Wisconsin is described. All patients in this procedure are placed in a custom vacuum mold in treatment position with both arms up to avoid collision with the CT scanner aperture. For all patients a CT scan of 5‐mm‐slice thickness is acquired. The ipsilateral and contralateral breast, the ipsilateral lung and the heart are delineated and a three‐dimensional plan is generated that tries to minimize the dose to the ipsilateral lung and heart while ensuring adequate coverage of the affected breast. Digitally reconstructed radiographs are used to verify the patient setup on the treatment machine. © 2000 American College of Medical Physics. PACS number(s): 87.53.–j