Monte Carlo Simulation of the Treatment of Uveal Melanoma Using Measured Heterogeneous

Beta emitter Brachytherapy Eye plaques Monte Carlo simulation PENELOPE Ruthenium Treatment planning Uveal melanoma

Journal

Ocular oncology and pathology
ISSN: 2296-4681
Titre abrégé: Ocul Oncol Pathol
Pays: Switzerland
ID NLM: 101656139

Informations de publication

Date de publication:
Jun 2019
Historique:
received: 11 04 2018
revised: 31 07 2018
entrez: 2 8 2019
pubmed: 2 8 2019
medline: 2 8 2019
Statut: ppublish

Résumé

Ruthenium plaques are used for the treatment of ocular tumors. The aim of this work is the comparison between simulated absorbed dose distributions tallied in an anthropomorphic phantom, obtained from ideal homogeneous plaques, and real eye plaques in which the actual heterogeneous distribution of The generic CCA and CCB, and the specific CCA1364 and CCB1256 Eccentric placements of the plaques, taking into account the inhomogeneities of the emitter map, can substantially reduce the dose delivered to structures at risk while maintaining the prescribed dose at the tumor apex. The emitter map distribution of the plaque and the computerized tomography of the patient used in a Monte Carlo simulation allow an accurate determination of the plaque position with respect to the tumor with the potential to reduce the dose to sensitive structures.

Sections du résumé

BACKGROUND/AIMS OBJECTIVE
Ruthenium plaques are used for the treatment of ocular tumors. The aim of this work is the comparison between simulated absorbed dose distributions tallied in an anthropomorphic phantom, obtained from ideal homogeneous plaques, and real eye plaques in which the actual heterogeneous distribution of
METHODS METHODS
The generic CCA and CCB, and the specific CCA1364 and CCB1256
RESULTS RESULTS
Eccentric placements of the plaques, taking into account the inhomogeneities of the emitter map, can substantially reduce the dose delivered to structures at risk while maintaining the prescribed dose at the tumor apex.
CONCLUSIONS CONCLUSIONS
The emitter map distribution of the plaque and the computerized tomography of the patient used in a Monte Carlo simulation allow an accurate determination of the plaque position with respect to the tumor with the potential to reduce the dose to sensitive structures.

Identifiants

pubmed: 31367591
doi: 10.1159/000492599
pii: oop-0005-0276
pmc: PMC6615327
doi:

Types de publication

Journal Article

Langues

eng

Pagination

276-283

Déclaration de conflit d'intérêts

The authors are thankful to the Deutsche Forschungsgemeinschaft (projects BR 4043/3-1, FL 733/1-1, and EI 869/1-3). The authors declare that there does not exist any conflict of interest.

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Auteurs

Francisco J Zaragoza (FJ)

NCTeam, Strahlenklinik, Universitätsklinikum Essen, Essen, Germany.

Marion Eichmann (M)

Fakultät Physik, Technische Universität Dortmund, Dortmund, Germany.

Dirk Flühs (D)

NCTeam, Strahlenklinik, Universitätsklinikum Essen, Essen, Germany.

Andrea Wittig (A)

Klinik für Strahlentherapie und Radioonkologie, Universitätsklinikum Jena, Jena, Germany.

Wolfgang Sauerwein (W)

NCTeam, Strahlenklinik, Universitätsklinikum Essen, Essen, Germany.

Lorenzo Brualla (L)

West German Proton Therapy Centre Essen (WPE), Essen, Germany.

Classifications MeSH