Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose Distribution

Purpose. To assess differences in dose distribution of a vertebral body injected with bone cement as calculated by radiation treatment planning system (RTPS) and actual dose distribution. Methods. We prepared two water-equivalent phantoms with cement, and the other two phantoms without cement. The b...

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Main Authors: Atsushi Komemushi, Noboru Tanigawa, Shuji Kariya, Rie Yagi, Miyuki Nakatani, Satoshi Suzuki, Akira Sano, Koshi Ikeda, Keita Utsunomiya, Yoko Harima, Satoshi Sawada
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Radiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/571571
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author Atsushi Komemushi
Noboru Tanigawa
Shuji Kariya
Rie Yagi
Miyuki Nakatani
Satoshi Suzuki
Akira Sano
Koshi Ikeda
Keita Utsunomiya
Yoko Harima
Satoshi Sawada
author_facet Atsushi Komemushi
Noboru Tanigawa
Shuji Kariya
Rie Yagi
Miyuki Nakatani
Satoshi Suzuki
Akira Sano
Koshi Ikeda
Keita Utsunomiya
Yoko Harima
Satoshi Sawada
author_sort Atsushi Komemushi
collection DOAJ
description Purpose. To assess differences in dose distribution of a vertebral body injected with bone cement as calculated by radiation treatment planning system (RTPS) and actual dose distribution. Methods. We prepared two water-equivalent phantoms with cement, and the other two phantoms without cement. The bulk density of the bone cement was imported into RTPS to reduce error from high CT values. A dose distribution map for the phantoms with and without cement was calculated using RTPS with clinical setting and with the bulk density importing. Actual dose distribution was measured by the film density. Dose distribution as calculated by RTPS was compared to the dose distribution measured by the film dosimetry. Results. For the phantom with cement, dose distribution was distorted for the areas corresponding to inside the cement and on the ventral side of the cement. However, dose distribution based on film dosimetry was undistorted behind the cement and dose increases were seen inside cement and around the cement. With the equivalent phantom with bone cement, differences were seen between dose distribution calculated by RTPS and that measured by the film dosimetry. Conclusion. The dose distribution of an area containing bone cement calculated using RTPS differs from actual dose distribution.
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institution Kabale University
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language English
publishDate 2012-01-01
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spelling doaj-art-55462fefaf5e46b49d8fd767d6c4b9bd2025-08-20T03:34:21ZengWileyRadiology Research and Practice2090-19412090-195X2012-01-01201210.1155/2012/571571571571Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose DistributionAtsushi Komemushi0Noboru Tanigawa1Shuji Kariya2Rie Yagi3Miyuki Nakatani4Satoshi Suzuki5Akira Sano6Koshi Ikeda7Keita Utsunomiya8Yoko Harima9Satoshi Sawada10Department of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanDepartment of Radiology, Kansai Medical University, 10-15 Fumizono-cho, 570-8507 Moriguchi, Osaka, JapanPurpose. To assess differences in dose distribution of a vertebral body injected with bone cement as calculated by radiation treatment planning system (RTPS) and actual dose distribution. Methods. We prepared two water-equivalent phantoms with cement, and the other two phantoms without cement. The bulk density of the bone cement was imported into RTPS to reduce error from high CT values. A dose distribution map for the phantoms with and without cement was calculated using RTPS with clinical setting and with the bulk density importing. Actual dose distribution was measured by the film density. Dose distribution as calculated by RTPS was compared to the dose distribution measured by the film dosimetry. Results. For the phantom with cement, dose distribution was distorted for the areas corresponding to inside the cement and on the ventral side of the cement. However, dose distribution based on film dosimetry was undistorted behind the cement and dose increases were seen inside cement and around the cement. With the equivalent phantom with bone cement, differences were seen between dose distribution calculated by RTPS and that measured by the film dosimetry. Conclusion. The dose distribution of an area containing bone cement calculated using RTPS differs from actual dose distribution.http://dx.doi.org/10.1155/2012/571571
spellingShingle Atsushi Komemushi
Noboru Tanigawa
Shuji Kariya
Rie Yagi
Miyuki Nakatani
Satoshi Suzuki
Akira Sano
Koshi Ikeda
Keita Utsunomiya
Yoko Harima
Satoshi Sawada
Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose Distribution
Radiology Research and Practice
title Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose Distribution
title_full Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose Distribution
title_fullStr Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose Distribution
title_full_unstemmed Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose Distribution
title_short Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose Distribution
title_sort does vertebroplasty affect radiation dose distribution comparison of spatial dose distributions in a cement injected vertebra as calculated by treatment planning system and actual spatial dose distribution
url http://dx.doi.org/10.1155/2012/571571
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