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Radiation Oncology
Published in: Radiation Oncology 1/2013

Open Access 01-12-2013 | Research

Measurement of skin and target dose in post-mastectomy radiotherapy using 4 and 6 MV photon beams

Authors: Melanie Fischbach, Roger A Hälg, Matthias Hartmann, Jürgen Besserer, Günther Gruber, Uwe Schneider

Published in: Radiation Oncology | Issue 1/2013

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Abstract

Background

For patients with high risk breast cancer and mastectomy, radiotherapy is the treatment of choice to improve survival and local control. Target dose is mainly limited due to skin reactions. The feasibility of using 4 MV beams for chest wall treatment was studied and compared to standard 6 MV bolus radiotherapy.

Methods

Post-mastectomy IMRT was planned on an Alderson-phantom using 4 and 6 MV photon beams without/with a 0.5 cm thick bolus. Dose was measured using TLDs placed at 8 locations in 1 and 3 mm depth to represent skin and superficial target dose, respectively.

Results

4 MV and 6 MV beams with bolus perform equally regarding target coverage. The minimum and mean superficial target dose for the 6 MV and 4 MV were 93.0% and 94.7%, and 93.1% and 94.4%, respectively. Regarding skin dose the 4 MV photon beam was advantageous. The minimum and mean skin dose for the 6 MV and 4 MV was 76.7% and 81.6%, and 69.4% and 72.9%, respectively. The TPS was able to predict dose in the build-up region with a precision of around 5%.

Conclusions

The use of 4 MV photon beams are a good alternative for treating the thoracic wall without the need to place a bolus on the patient. The main limitation of 4 MV beams is the limited dose rate.
Appendix
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Metadata
Title
Measurement of skin and target dose in post-mastectomy radiotherapy using 4 and 6 MV photon beams
Authors
Melanie Fischbach
Roger A Hälg
Matthias Hartmann
Jürgen Besserer
Günther Gruber
Uwe Schneider
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Radiation Oncology / Issue 1/2013
Electronic ISSN: 1748-717X
DOI
https://doi.org/10.1186/1748-717X-8-270

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