左乳腺癌保乳术后放疗不同外照射技术所致皮肤受照剂量的比较.pdfVIP

现代肿瘤医学 2016 年 10 月 第 24 卷第20 期 MODERN ONCOLOGY ,Oct. 2016 ,VOL 24 ,NO. 2o .3213 . 左乳腺癌保乳术后放疗不同外照射技术所致皮肤受照剂量的比较 张旭，李凯，李娜，贾明轩 Dosimetric comparison of skin dose for different 阳chniques in left - side breast cancer ra- diotherapv after breast - conserving surgery Zhang Xu , Li Kai , Li Na ,Jia Mingxuan Center of Radiation Oncology ,Shengjing Hospital Affiliated to China Medical University ,Liaoning Shenyang 110022 , China. [ Abstract] Objective: To compare the difference of skin dose for three dimensional conformal radiotherapy ( 3 D - CRT) , intensity - modulated radiotherapy (IMRT) and volumetric modulated arc therapy( VMAT) in left - side breast cancer radiotherapy after breast - conserving surgeη. Methods: Ten patients with left - side breast cancer underwent adjuvant radiotherapy after breast - conserving surgeηwere enrolled. 3 types of treatment plans( 3D - CRT , IMRT , VMAT) were designed for each patient. The dosimetry differences of the t町get and organs at risk (OARs) among the three techniques were compared. Results: The conformality of the target for the IMRT and VMAT plans were 0.64 :t O. 04 and O. 64 :t O. 09 ,respectively ,both better than 3D - CRTs O. 33 :t O. 03 ( F = 82. 2 ,P O. 05 ). The homogeneity index for IMRT ,VMAT ,and 3D - CRT were O. 12 :t 0. 02 ,0.11 :t 0. 02 、 and 0.14 :t 0. 01 ,respectively( F = 8.1 , P 0.05). For the skin dose ,IMRT and VMAT were both better than 3D - CRT in terms of 儿，儿，儿，儿， Dm(an(F= 9.0 -125.6 ,P 0. 05). Further LSD comparison showed that between IMRT and VMAT ,there was no statistic differ- ence for V ， 飞o and Dme~(P =0.109 ,0. 571 ,0. 258 respectively) ,for the V and V , VMAT was 5. 6% and 3.479毛 30