中国医学装备2025，Vol.22Issue(3)：5-9,5.DOI:10.3969/j.issn.1672-8270.2025.03.002
碳纤维治疗床板联合固定底板对宫颈癌放射治疗计划PD剂量验证的影响
Influence of bed board of carbon fiber for treatment combined with fixed bottom board on PD dose verification of radiotherapy plans for cervical cancer
摘要
Abstract
Objective:To investigate the effect of bed board of carbon fiber for treatment combined with fixed bottom board on verification results of Portal Dosimetry(PD)dose of intensity-modulated radiation therapy(IMRT)plan of fixed field for cervical cancer.Methods:A total of 15 patients with cervical cancer who admitted to Nanjing First Hospital from January 2019 to January 2020 were retrospectively selected,and the IMRT plans of fixed field for all patients were designed.The radiation field with 180° gantry angle was selected for each case to make the corresponding PD dose verification plan,and each verification plan included two subfields:AA180_0 and AA180_1.Three types of materials were placed between the accelerator head and the electronic portal imaging device(EPID),which included material without carbon fiber,bed board with carbon fiber for treatment,and the combination of the bed board with carbon fiber for treatment and the fixed bottom board with carbon fiber,when the Clinac iX accelerator was used to conduct verification plan for each case.The γ passing rates of the subfields(AA180_0 and AA180_1)and the total field(AA180)among three kinds of conditions,which included material without carbon fiber,bed board with carbon fiber for treatment,and the combination of the bed board with carbon fiber for treatment and the fixed bottom board with carbon fiber,were compared and analyzed.Results:For the subfield AA180_0,the γ passing rates under three different material conditions were respectively(96.09±1.38)%,(90.48±2.24)%and(81.85±2.46)%.For the subfield AA180_1,the γ passing rates under the above conditions were respectively(96.05±1.06)%,(91.86±2.22)%and(86.26±2.74)%.For the total field AA180,the γ passing rates were respectively(90.78±1.40)%,(84.82±2.56)%and(78.49±3.18)%.The γ passing rates of the subfield AA180_0,subfield AA180_1,and the total field AA180 showed statistically significant differences among the three different material conditions(F=177.80,80.00,91.42,P<0.01).Compared with materials without carbon fiber,the γ passing rate of the total field AA180 of the combination of the bed board with carbon fiber for treatment and the fixed bottom board with carbon fiber significantly decreased by 12.29%.Conclusion:In the PD dose verification of IMRT for cervical cancer,the bed board with carbon fiber for treatment combined with the fixed bottom board will produce adverse effect for the verification results.The effect of the single use of bed board for treatment is relatively small.The combined use of the bed board with carbon fiber for treatment and the fixed bottom board will lead to a significant deterioration in the verification result of PD dose.关键词
宫颈癌/调强放射治疗(IMRT)/碳纤维/剂量验证/γ通过率Key words
Cervical carcinoma/Intensity modulated radiation therapy(IMRT)/Carbon fiber/Dose verification/γ passing rate分类
医药卫生引用本文复制引用
王敏,吕懂霞,刘叶红,时飞跃,秦伟,赵环宇,魏晓为..碳纤维治疗床板联合固定底板对宫颈癌放射治疗计划PD剂量验证的影响[J].中国医学装备,2025,22(3):5-9,5.基金项目
国家自然科学基金面上项目(81773240) （81773240）
江苏省自然科学基金面上项目(BK20181118) General Program of National Natural Science Foundation of China(81773240) （BK20181118）
General Program of National Natural Science Foundation of Jiangsu Province(BK20181118) （BK20181118）
