Journal of Medical Physics
TECHNICAL NOTE
Year
: 2014  |  Volume : 39  |  Issue : 2  |  Page : 121--126

Comparative analysis of volumetric-modulated arc therapy and intensity-modulated radiotherapy for base of tongue cancer


L Nithya1, N Arunai Nambi Raj2, Arulraj Kumar1, Sasikumar Rathinamuthu1, Manish Bhushan Pandey1 
1 Department of Radiation Oncology, Dharamshila Hospital and Research Centre, Vasundhara Enclave, Delhi, India
2 School of Advanced Sciences, VIT University, Vellore, Tamil Nadu, India

Correspondence Address:
L Nithya
Chief Medical Physicist and RSO, Dharamshila Hospital and Research Centre, Vasundhara Enclave, Delhi 110 096
India

The aim of this study was to compare the various dosimetric parameters of dynamic multileaf collimator (MLC) intensity modulated radiation therapy (IMRT) plans with volumetric modulated arc therapy (VMAT) plans for base of tongue cases. All plans were done in Monaco planning system for Elekta synergy linear accelerator with 80 MLC. IMRT plans were planned with nine stationary beams, and VMAT plans were done for 360° arc with single arc or dual arc. The dose to the planning target volumes (PTV) for 70, 63, and 56 Gy was compared. The dose to 95, 98, and 50% volume of PTV were analyzed. The homogeneity index (HI) and the conformity index (CI) of the PTV 70 were also analyzed. IMRT and VMAT plan showed similar dose coverage, HI, and CI. Maximum dose and dose to 1-cc volume of spinal cord, planning risk volume (PRV) cord, and brain stem were compared. IMRT plan and VMAT plan showed similar results except for the 1 cc of PRV cord that received slightly higher dose in VMAT plan. Mean dose and dose to 50% volume of right and left parotid glands were analyzed. VMAT plan gave better sparing of parotid glands than IMRT. In normal tissue dose analyses VMAT was better than IMRT. The number of monitor units (MU) required for delivering the good quality of the plan and the time required to deliver the plan for IMRT and VMAT were compared. The number of MUs for VMAT was higher than that of IMRT plans. However, the delivery time was reduced by a factor of two for VMAT compared with IMRT. VMAT plans yielded good quality of the plan compared with IMRT, resulting in reduced treatment time and improved efficiency for base of tongue cases.


How to cite this article:
Nithya L, Raj N A, Kumar A, Rathinamuthu S, Pandey MB. Comparative analysis of volumetric-modulated arc therapy and intensity-modulated radiotherapy for base of tongue cancer.J Med Phys 2014;39:121-126


How to cite this URL:
Nithya L, Raj N A, Kumar A, Rathinamuthu S, Pandey MB. Comparative analysis of volumetric-modulated arc therapy and intensity-modulated radiotherapy for base of tongue cancer. J Med Phys [serial online] 2014 [cited 2021 Jan 23 ];39:121-126
Available from: https://www.jmp.org.in/article.asp?issn=0971-6203;year=2014;volume=39;issue=2;spage=121;epage=126;aulast=Nithya;type=0