척추 전이암 환자의 방사선치료 시 Carbon Fabric Blanket 적용에 따른 선량평가
Dose Assessment According to Application of Carbon Fabric Blanket During Radiation Therapy of the Spine Metastasis Cancer
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초록
The purpose of this study was to improve the unstable treatment posture by placing the Carbon fabric blanket on the couch which was used for the patient fixation for the unstable posture from the severe pain caused by the neuromuscular pressure of the spinal metastatic cancer patient and to analyze the dose difference caused by the energy loss of high energy radiation. Using a linear accelerator, a FC-65G was installed at a depth of 5 cm at a solid phantom at 6 MV and 10 MV energies. The SAD was 100 cm, Gantry angle was 0°, a Cotton and Carbon blanket with a thickness of 1 cm on the couch, The blankets were placed on the couch and the dose was measured according to field size. For the dose measurement, and the dose was measured at 100 MU each time, and the mean value was calculated by repeating the measurement three times in order to reduce the error. The results showed that the difference rate in dose between Carbon blanket and Cotton blanket was respectively -0.54% and –0.75% based on the absence of the blanket(Non). Therefore, it is considered that the use of Carbon fabric blanket, which reduces the patient's pain and does not affect the depth dose, may be useful during radiation therapy of the spine metastasis cancer.
Abstract
The purpose of this study was to improve the unstable treatment posture by placing the Carbon fabric blanket on the couch which was used for the patient fixation for the unstable posture from the severe pain caused by the neuromuscular pressure of the spinal metastatic cancer patient and to analyze the dose difference caused by the energy loss of high energy radiation. Using a linear accelerator, a FC-65G was installed at a depth of 5 cm at a solid phantom at 6 MV and 10 MV energies. The SAD was 100 cm, Gantry angle was 0°, a Cotton and Carbon blanket with a thickness of 1 cm on the couch, The blankets were placed on the couch and the dose was measured according to field size. For the dose measurement, and the dose was measured at 100 MU each time, and the mean value was calculated by repeating the measurement three times in order to reduce the error. The results showed that the difference rate in dose between Carbon blanket and Cotton blanket was respectively -0.54% and –0.75% based on the absence of the blanket(Non). Therefore, it is considered that the use of Carbon fabric blanket, which reduces the patient's pain and does not affect the depth dose, may be useful during radiation therapy of the spine metastasis cancer.
참고문헌 (24)
- Cobb CA, "Indications for nonoperative treatment of spinal cord compression due to breast cancer", J Neurosurg, 47, pp.653~658 (1977)
- Wong DA, "Spinal metastases : the obvious, the occult, and the impostors", Spine, 15, pp.1~4 (1990)
- Sohn SK, "Collective review of cases of spinal metastases", the korean orthopaedic association, 23(4), pp.1087~1096 (1988)
- Woo YK, "Surgical treatment of metastatic tumor of spine musculoskeletal oncology study group", Journal of Korea Orthop Assoc, 28(5), pp.1774~1782 (1993)
- 조강철, "토모테라피를 이용한 3차원 입체 조형 치료의 임상적 적용 분석", 방사선기술과학, 36(4), pp.327~335 (2013), 대한방사선과학회
- Kim YY, "Evaluation of the efficiency of the vac-lock type belly board in pelvic cancer radiation treatment", Korean Society for Radiation Therapy, 26(1), pp.37~42 (2013)
- 제재용, "치료 보조기구 사용 시 후 방향 피부선량 측정", 방사선기술과학, 32(1), pp.107~110 (2009), 대한방사선과학회
- Gerlich AS, "The immobilizing effect of the vacuum cushion in spinal SBRT and the impact of pain", Radiotherapy & Oncology, 123(1), pp.876~877 (2017)
- "IAEA Technical report series no. 398: Absorbed dose determination in external beam radiotherapy. An international code of practice for dosimetry based on standards of absorbed dose to water" (2000)[URL]
- Jaffe H, "Tumors and tumorous conditions of the bones and joints", pp.589~613 (1958), Lea & Febiger
- Black P, "Spinal metastases : current status and recommended guidelines for management", Neurosurgery, 5, pp.726~746 (1979)
- Helweg-Larsen S., "Clinical outcome in metastatic spinal cord compression: a prospective study of 153patients", Acta Neurol Scand, 94, pp.269~275 (1996)
- Kim NH, "Morphometric study of the pedicles of thoracic and lumbar vertebrae in Korea", J. of Korean Orthop. Assoc, 25(4), pp.1199~1207 (1990)
- De Mooy LG, "The use of carbon fibers in radiotherapy", Radiother Oncology, 22(2), pp.140~142 (1991)
- 서민강, "Carbon Fibers (I): General Understanding and Manufacturing Techniques of Carbon Fibers", Carbon Letters, 9(3), pp.218~231 (2008), 한국탄소학회
- 지의규, "고정기구 재질로써 탄소 섬유와 아크릴의 방사선량 감쇄 영향 비교", 방사선방어학회지, 30(1), pp.1~7 (2005), 테스트학회
- Meara SJ, "An investigation into the use of carbon fibre for megavoltage radiotherapy applications", Phys Med Biol, 43(5), pp.1359~1366 (1998)
- KenjiMyint W, "Investigating treatment dose error due to beam attenuation by a carbon fiber tabletop", Medical Physics, 3(7), pp.21~27 (2006)
- 김기환, "유전체필름을 이용한 평행판검출기의 납 차폐물 두께변화에 대한 반응", 의학물리, 17(1), pp.1~5 (2006), 한국의학물리학회
- Olch J, "Dosimetric effects caused by couch tops and immobilization devices : Report of AAPM Task Group 17", Medical Physics, 41(6), pp.1~30 (2014)
- Brahme A, "Dosimetric precision requirements in radiation therapy", Acta Radiol. Oncology, 23, pp.379~391 (1984)
- Bentzen S, "High thech in radiation oncology:should there be a ceiling?", Int. J. Radiat. Oncol. Biol. Phys, 58, pp.320~330 (2004)
- Mijnheer BJ, "What degree of accuracy is required and can be achieved in photonand neutron therapy?", Radiother Oncol, 8(3), pp.237~252 (1987)
- Almond PR, "AAPM’s TG-51 protocol for clinical reference dosimetry of high energy photon and electron beams", Med. Phys, 26, pp.1847~1870 (1999)
