Solution for Processing Pelvic Bone Metastases with Halcyon TM 2.0 on Lateral and Longitudinal Isocenters Treatment Plans Using the VMAT Technique: A Comparative Study

Introduction: Treatment of pelvic bone metastases using a Halcyon machine, mostly presents some difficulties to plan, especially for big volumes because of the machine field size. The purpose of this study is to use two lateral isocenters in the treatment of pelvic bone metastases with the Halcyon m...

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Main Authors: Morad Erraoudi, Kaoutar El Bouchiti, Yassine Herrassi, mohamed El ghalmi, Yassir Raoui, Youssef Bouzekraoui, FARIDA BENTAYEB, Lalla Btissam Drissi
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2024-07-01
Series:Iranian Journal of Medical Physics
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Online Access:https://ijmp.mums.ac.ir/article_22716_cc6d28d0e3649b615454fe4273955a70.pdf
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author Morad Erraoudi
Kaoutar El Bouchiti
Yassine Herrassi
mohamed El ghalmi
Yassir Raoui
Youssef Bouzekraoui
FARIDA BENTAYEB
Lalla Btissam Drissi
author_facet Morad Erraoudi
Kaoutar El Bouchiti
Yassine Herrassi
mohamed El ghalmi
Yassir Raoui
Youssef Bouzekraoui
FARIDA BENTAYEB
Lalla Btissam Drissi
author_sort Morad Erraoudi
collection DOAJ
description Introduction: Treatment of pelvic bone metastases using a Halcyon machine, mostly presents some difficulties to plan, especially for big volumes because of the machine field size. The purpose of this study is to use two lateral isocenters in the treatment of pelvic bone metastases with the Halcyon machine, in order to overcome its limitations in treating large volumes.Material and Methods: We report a retrospective study of 8 patients who received radiotherapy for pelvic bone metastases, all treated by two different VMAT techniques. The first technique was performed by two longitudinal isocenters (LONI) and the second by two lateral isocenters (LATI) respecting the authorized distance longitudinally between two isocenters which must be less than 8 cm. For each isocenter, two opposite arcs are used for all treated patients.Results: The plans conformity index (CI) assessment shows no difference between the two used techniques for all the treated patients. Remarkable coverage of PTVs was obtained in lateral isocenter (LATI) with 96.2% compared to 94%.6% for LONI, as well as the maximum dose which was 109.4% for LATI versus 112.3% for LONI. However, the Conformation number (CN) that takes into account both healthy tissue and organ at risk protection was improved by 7.3% by using LATI.Conclusion: A very satisfactory result has been obtained in the treatment of pelvic bone metastases with LATI. With this technique, we can exceed the limits of the Halcyon machine and process larger volumes.
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spelling doaj-art-6749f78d45a543f398f4e282fa8ec98a2025-01-18T07:32:32ZengMashhad University of Medical SciencesIranian Journal of Medical Physics2345-36722024-07-0121422823610.22038/ijmp.2023.70105.223422716Solution for Processing Pelvic Bone Metastases with Halcyon TM 2.0 on Lateral and Longitudinal Isocenters Treatment Plans Using the VMAT Technique: A Comparative StudyMorad Erraoudi0Kaoutar El Bouchiti1Yassine Herrassi2mohamed El ghalmi3Yassir Raoui4Youssef Bouzekraoui5FARIDA BENTAYEB6Lalla Btissam Drissi7Department of physics, Faculty of sciences, University Mohammed V in Rabat, MoroccoMohammed VI University of Health Sciences, Casablanca, MoroccoIba Dosimetry Schwarzenbruck, GermanyFaculty of Sciences, LPHE-M&S, Mohammed V University, RabatUniversité Mohammed V de RabatHassan First University of Settat, High Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, MoroccoDepartement of Physics, Laboratory of High Energy Physics, Modelling and Simulation, Faculty of Science, Mohammed V Agdal University, Rabat, Kingdom of Morocco1Department of physics, Faculty of sciences, University Mohammed V in Rabat, MoroccoIntroduction: Treatment of pelvic bone metastases using a Halcyon machine, mostly presents some difficulties to plan, especially for big volumes because of the machine field size. The purpose of this study is to use two lateral isocenters in the treatment of pelvic bone metastases with the Halcyon machine, in order to overcome its limitations in treating large volumes.Material and Methods: We report a retrospective study of 8 patients who received radiotherapy for pelvic bone metastases, all treated by two different VMAT techniques. The first technique was performed by two longitudinal isocenters (LONI) and the second by two lateral isocenters (LATI) respecting the authorized distance longitudinally between two isocenters which must be less than 8 cm. For each isocenter, two opposite arcs are used for all treated patients.Results: The plans conformity index (CI) assessment shows no difference between the two used techniques for all the treated patients. Remarkable coverage of PTVs was obtained in lateral isocenter (LATI) with 96.2% compared to 94%.6% for LONI, as well as the maximum dose which was 109.4% for LATI versus 112.3% for LONI. However, the Conformation number (CN) that takes into account both healthy tissue and organ at risk protection was improved by 7.3% by using LATI.Conclusion: A very satisfactory result has been obtained in the treatment of pelvic bone metastases with LATI. With this technique, we can exceed the limits of the Halcyon machine and process larger volumes.https://ijmp.mums.ac.ir/article_22716_cc6d28d0e3649b615454fe4273955a70.pdfvmatpelvicradiotherapyptvhalcyon machine
spellingShingle Morad Erraoudi
Kaoutar El Bouchiti
Yassine Herrassi
mohamed El ghalmi
Yassir Raoui
Youssef Bouzekraoui
FARIDA BENTAYEB
Lalla Btissam Drissi
Solution for Processing Pelvic Bone Metastases with Halcyon TM 2.0 on Lateral and Longitudinal Isocenters Treatment Plans Using the VMAT Technique: A Comparative Study
Iranian Journal of Medical Physics
vmat
pelvic
radiotherapy
ptv
halcyon machine
title Solution for Processing Pelvic Bone Metastases with Halcyon TM 2.0 on Lateral and Longitudinal Isocenters Treatment Plans Using the VMAT Technique: A Comparative Study
title_full Solution for Processing Pelvic Bone Metastases with Halcyon TM 2.0 on Lateral and Longitudinal Isocenters Treatment Plans Using the VMAT Technique: A Comparative Study
title_fullStr Solution for Processing Pelvic Bone Metastases with Halcyon TM 2.0 on Lateral and Longitudinal Isocenters Treatment Plans Using the VMAT Technique: A Comparative Study
title_full_unstemmed Solution for Processing Pelvic Bone Metastases with Halcyon TM 2.0 on Lateral and Longitudinal Isocenters Treatment Plans Using the VMAT Technique: A Comparative Study
title_short Solution for Processing Pelvic Bone Metastases with Halcyon TM 2.0 on Lateral and Longitudinal Isocenters Treatment Plans Using the VMAT Technique: A Comparative Study
title_sort solution for processing pelvic bone metastases with halcyon tm 2 0 on lateral and longitudinal isocenters treatment plans using the vmat technique a comparative study
topic vmat
pelvic
radiotherapy
ptv
halcyon machine
url https://ijmp.mums.ac.ir/article_22716_cc6d28d0e3649b615454fe4273955a70.pdf
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