Multi-segments conformal plan optimization for head and neck cancer

Objective: To evaluate better dose distribution with three-dimensional radiation therapy, and to compare it with multi-segmented treatment planning techniques in patients with head and neck cancer. Method: The prospective study was conducted at the Baghdad Centre for Radiation Therapy and Nuclea...

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Main Authors: Doaa Ali Salih Khudair, Haydar Hamza Obaid Alabedi, Nabaa Mohammad Ali Ahmed Alazawy
Format: Article
Language:English
Published: Pakistan Medical Association 2024-09-01
Series:Journal of the Pakistan Medical Association
Online Access:https://jpma.org.pk/index.php/public_html/article/view/21780
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author Doaa Ali Salih Khudair
Haydar Hamza Obaid Alabedi
Nabaa Mohammad Ali Ahmed Alazawy
author_facet Doaa Ali Salih Khudair
Haydar Hamza Obaid Alabedi
Nabaa Mohammad Ali Ahmed Alazawy
author_sort Doaa Ali Salih Khudair
collection DOAJ
description Objective: To evaluate better dose distribution with three-dimensional radiation therapy, and to compare it with multi-segmented treatment planning techniques in patients with head and neck cancer. Method: The prospective study was conducted at the Baghdad Centre for Radiation Therapy and Nuclear Medicine, Baghdad, Iraq, and comprised data of 50 patients with head and neck cancerous tumours from June 2021 to February 2022. There were 35 (70%) females and 15(30%) males. The mean age was 47.31 ± 3.95 years (range 19 – 69 years The patients had undergone computed tomography simulation. The images were exported to Monaco 5.1 for contouring by the radiation oncologist. The data was then imported to XiO planning system. Each plan was repeated twice; once with three-dimensional conformal radiation therapy and the other with field-in-field technique. Data was analysed using SPSS 24. Results: There were 50 patients whose data was analysed. The results showed significant differences between three-dimensional conformal radiation therapy and field-in-field techniques for dose coverage at 90% and 95% volumes (p<0.05). There was a significant difference between the two techniques for 2Gy dose (p<0.05), but the difference was not significant for 5Gy dose (p>0.05). Conclusion: The field-in-field treatment planning technique was found to be more effective than the three-dimensional conformal radiation therapy technique. Key Words: Nuclear, Radiation, Head and Neck Neoplasms, Tomography, Radiotherapy, X-rays
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publishDate 2024-09-01
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spelling doaj-art-c4a867d004a2429e932be0b28a57c2fa2025-08-20T02:41:24ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-09-017410 (Supple-08)10.47391/JPMA-BAGH-16-03Multi-segments conformal plan optimization for head and neck cancerDoaa Ali Salih Khudair0Haydar Hamza Obaid Alabedi1Nabaa Mohammad Ali Ahmed Alazawy2Baghdad Centre for Radiotherapy and Nuclear Medicine, Baghdad Medical City, Baghdad, Iraq.Department of Surgery, College of Medicine, Baghdad University, Baghdad, Iraq.Ghazi Al-Harriri Hospital for specialist Surgeries, Baghdad Medical Centre, Baghdad, Iraq. Objective: To evaluate better dose distribution with three-dimensional radiation therapy, and to compare it with multi-segmented treatment planning techniques in patients with head and neck cancer. Method: The prospective study was conducted at the Baghdad Centre for Radiation Therapy and Nuclear Medicine, Baghdad, Iraq, and comprised data of 50 patients with head and neck cancerous tumours from June 2021 to February 2022. There were 35 (70%) females and 15(30%) males. The mean age was 47.31 ± 3.95 years (range 19 – 69 years The patients had undergone computed tomography simulation. The images were exported to Monaco 5.1 for contouring by the radiation oncologist. The data was then imported to XiO planning system. Each plan was repeated twice; once with three-dimensional conformal radiation therapy and the other with field-in-field technique. Data was analysed using SPSS 24. Results: There were 50 patients whose data was analysed. The results showed significant differences between three-dimensional conformal radiation therapy and field-in-field techniques for dose coverage at 90% and 95% volumes (p<0.05). There was a significant difference between the two techniques for 2Gy dose (p<0.05), but the difference was not significant for 5Gy dose (p>0.05). Conclusion: The field-in-field treatment planning technique was found to be more effective than the three-dimensional conformal radiation therapy technique. Key Words: Nuclear, Radiation, Head and Neck Neoplasms, Tomography, Radiotherapy, X-rays https://jpma.org.pk/index.php/public_html/article/view/21780
spellingShingle Doaa Ali Salih Khudair
Haydar Hamza Obaid Alabedi
Nabaa Mohammad Ali Ahmed Alazawy
Multi-segments conformal plan optimization for head and neck cancer
Journal of the Pakistan Medical Association
title Multi-segments conformal plan optimization for head and neck cancer
title_full Multi-segments conformal plan optimization for head and neck cancer
title_fullStr Multi-segments conformal plan optimization for head and neck cancer
title_full_unstemmed Multi-segments conformal plan optimization for head and neck cancer
title_short Multi-segments conformal plan optimization for head and neck cancer
title_sort multi segments conformal plan optimization for head and neck cancer
url https://jpma.org.pk/index.php/public_html/article/view/21780
work_keys_str_mv AT doaaalisalihkhudair multisegmentsconformalplanoptimizationforheadandneckcancer
AT haydarhamzaobaidalabedi multisegmentsconformalplanoptimizationforheadandneckcancer
AT nabaamohammadaliahmedalazawy multisegmentsconformalplanoptimizationforheadandneckcancer