Journal of Medical Physics
ORIGINAL ARTICLE
Year
: 2008  |  Volume : 33  |  Issue : 2  |  Page : 60--63

Optimization of dose distribution with multi-leaf collimator using field-in-field technique for parallel opposing tangential beams of breast cancers


K Krishna Murthy, SS Sivakumar, CA Davis, R Ravichandran, Kamal El Ghamrawy 
 Department of Radiotherapy, National Oncology Center, The Royal Hospital, Muscat, Oman

Correspondence Address:
R Ravichandran
Department of Radiotherapy, National Oncology Center, The Royal Hospital, P.O. Box: 1331, Postal Code:111, Muscat
Oman

3 Dimensional Conformal Radiotherapy (3D-CRT) planning software helps in displaying the 3D dose distribution at different levels in the planned target volume (PTV). Physical or dynamic wedges are commonly applied to obtain homogeneous dose distribution in the PTV. Despite all these planning efforts, there are about 10% increased dose hot spots encountered in final plans. To overcome the effect of formation of hot spots, a manual forward planning method has been used. In this method, two more beams with multi-leaf collimator (MLC) of different weights are added in addition to medial and lateral wedged tangent beams. Fifteen patient treatment plans were taken up to check and compare the validity of using additional MLC fields to achieve better homogeneity in dose distributions. The resultant dose distributions with and without presence of MLC were compared objectively. The dose volume histogram (DVH) of each plan for the PTV was evaluated. The 3D dose distributions and homogeneity index (HI) values were compared. The 3D dose maximum values were reduced by 4% to 7%, and hot spots assumed point size. Optimizations of 3D-CRT plans with MLC fields improved the homogeneity and conformability of dose distribution in the PTV. This paper outlines a method of obtaining optimal 3D dose distribution within the PTV in the 3D-CRT planning of breast cases.


How to cite this article:
Murthy K K, Sivakumar S S, Davis C A, Ravichandran R, El Ghamrawy K. Optimization of dose distribution with multi-leaf collimator using field-in-field technique for parallel opposing tangential beams of breast cancers.J Med Phys 2008;33:60-63


How to cite this URL:
Murthy K K, Sivakumar S S, Davis C A, Ravichandran R, El Ghamrawy K. Optimization of dose distribution with multi-leaf collimator using field-in-field technique for parallel opposing tangential beams of breast cancers. J Med Phys [serial online] 2008 [cited 2020 Mar 30 ];33:60-63
Available from: http://www.jmp.org.in/article.asp?issn=0971-6203;year=2008;volume=33;issue=2;spage=60;epage=63;aulast=Murthy;type=0