Dosimetric Comparison between 3D Conformal and IMRT Techniques in Medulloblastoma Cases in Radiotherapy

Craniospinal irradiation (CSI) has become an important treatment method for primary tumors. three dimensional conformal radiotherapy (3DCRT) and intensity modulated radiation therapy (IMRT), are used in CSI treatment. A number of patients were selected for this study were diagnosed with medulloblast...

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Main Authors: Sarah Ashraf, Ahmed M Abdelaal, T. M. Hegazy
Format: Article
Language:English
Published: Ain Shams University, Faculty of Women for Arts, Science & Education 2024-12-01
Series:Journal of Scientific Research in Science
Subjects:
Online Access:https://jsrs.journals.ekb.eg/article_398920.html
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author Sarah Ashraf
Ahmed M Abdelaal
T. M. Hegazy
author_facet Sarah Ashraf
Ahmed M Abdelaal
T. M. Hegazy
author_sort Sarah Ashraf
collection DOAJ
description Craniospinal irradiation (CSI) has become an important treatment method for primary tumors. three dimensional conformal radiotherapy (3DCRT) and intensity modulated radiation therapy (IMRT), are used in CSI treatment. A number of patients were selected for this study were diagnosed with medulloblastoma disease. In the 3D technique, two lateral parallel opposed fields were used for the head irradiation and a matched posterior field for spine irradiation. IMRT technique was planned using a seven field inverse treatment planning technique. The beams were distributed around the target with equidistant gantry angles with gantry angles of 0°, 50°, 100°, 150°, 210°, 260°, and 310° were used and the Homogeneity Index (HI) and Conformity Index (CI) is calculated for all targets. There is a good coverage, low maximum doses in the brain with IMRT in comparison to 3D techniques, while the conformity and homogeneity index of the brain dose and spinal dose is nearly the same in IMRT and 3D techniques. IMRT achieves the lowest dose to all organs at risk while the 3D techniques show little difference. It is recommended to use the IMRT technique in the treatment of medullablastoma cases to achieve good coverage for the target (brain and spinal cord) and more sparing to organs at risk.
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publisher Ain Shams University, Faculty of Women for Arts, Science & Education
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spelling doaj-art-a8bc640ce0e04eb7977574acb69cb1362025-08-20T03:01:08ZengAin Shams University, Faculty of Women for Arts, Science & EducationJournal of Scientific Research in Science2356-83642356-83722024-12-01411264510.21608/jsrs.2024.233989.1116Dosimetric Comparison between 3D Conformal and IMRT Techniques in Medulloblastoma Cases in RadiotherapySarah Ashraf0Ahmed M Abdelaal1T. M. Hegazy2Nasser Institute, Radiotherapy Department, Cairo, EgyptNasser Institute, Radiotherapy Department, Cairo, EgyptPhysics Department, Women Faculty for Arts, Science and education, Ain Shams UniversityCraniospinal irradiation (CSI) has become an important treatment method for primary tumors. three dimensional conformal radiotherapy (3DCRT) and intensity modulated radiation therapy (IMRT), are used in CSI treatment. A number of patients were selected for this study were diagnosed with medulloblastoma disease. In the 3D technique, two lateral parallel opposed fields were used for the head irradiation and a matched posterior field for spine irradiation. IMRT technique was planned using a seven field inverse treatment planning technique. The beams were distributed around the target with equidistant gantry angles with gantry angles of 0°, 50°, 100°, 150°, 210°, 260°, and 310° were used and the Homogeneity Index (HI) and Conformity Index (CI) is calculated for all targets. There is a good coverage, low maximum doses in the brain with IMRT in comparison to 3D techniques, while the conformity and homogeneity index of the brain dose and spinal dose is nearly the same in IMRT and 3D techniques. IMRT achieves the lowest dose to all organs at risk while the 3D techniques show little difference. It is recommended to use the IMRT technique in the treatment of medullablastoma cases to achieve good coverage for the target (brain and spinal cord) and more sparing to organs at risk. https://jsrs.journals.ekb.eg/article_398920.htmlmedulloblastoma: radiotherapy; imrt; 3d-conformal: ci; hl
spellingShingle Sarah Ashraf
Ahmed M Abdelaal
T. M. Hegazy
Dosimetric Comparison between 3D Conformal and IMRT Techniques in Medulloblastoma Cases in Radiotherapy
Journal of Scientific Research in Science
medulloblastoma: radiotherapy; imrt; 3d-conformal: ci; hl
title Dosimetric Comparison between 3D Conformal and IMRT Techniques in Medulloblastoma Cases in Radiotherapy
title_full Dosimetric Comparison between 3D Conformal and IMRT Techniques in Medulloblastoma Cases in Radiotherapy
title_fullStr Dosimetric Comparison between 3D Conformal and IMRT Techniques in Medulloblastoma Cases in Radiotherapy
title_full_unstemmed Dosimetric Comparison between 3D Conformal and IMRT Techniques in Medulloblastoma Cases in Radiotherapy
title_short Dosimetric Comparison between 3D Conformal and IMRT Techniques in Medulloblastoma Cases in Radiotherapy
title_sort dosimetric comparison between 3d conformal and imrt techniques in medulloblastoma cases in radiotherapy
topic medulloblastoma: radiotherapy; imrt; 3d-conformal: ci; hl
url https://jsrs.journals.ekb.eg/article_398920.html
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AT ahmedmabdelaal dosimetriccomparisonbetween3dconformalandimrttechniquesinmedulloblastomacasesinradiotherapy
AT tmhegazy dosimetriccomparisonbetween3dconformalandimrttechniquesinmedulloblastomacasesinradiotherapy