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Iranian Journal of Medical Physics، جلد ۱۸، شماره ۲، صفحات ۹۶-۱۰۵
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عنوان انگلیسی Perturbation Effect of Fiducial Marker on 3D Dose Distribution in External Surrogates Radiotherapy
چکیده انگلیسی مقاله Introduction: Tumor motion is a challenging issue in radiotherapy, which complicates the process of tumor delineation, localization, and dose delivery. External surrogate radiotherapy is one of the available strategies that provides motion dataset for a consistent prediction model to track tumor motion using internal-external markers. Regarding this, the present study was conducted to investigate the effect of implanted fiducial on 3D uniform dose distribution. Material and Methods: For the purpose of the study, a Monte Carlo code was utilized to simulate clip with different dimensions and material structures against four therapeutic beams. Moreover, a combinational clip made of golden and covered by polymethyl methacrylate (PMMA) was proposed to be used with lower dose perturbation. Finally, it was proposed to implant a clip outside tumor volume at specific distances from tumor site to keep dose uniformity on tumor volume. To investigate this issue, the correlation coefficient parameter was calculated as the metric among the motion dataset of tumor and clip. Results: Based on the results, dose perturbation caused by implanted clip was remarkable at hadron therapy depending on its size and material, mainly at the downstream part of the clip. Conclusion: As the findings indicated, the golden marker covered with PMMA could remarkably reduce dose perturbation. The most important concern in this domain is the presence of a possible correlation between tumor motion and motion of the clip implanted outside the tumor volume. The results of the correlation coefficient revealed a close relationship between tumor motion and clip motion.
کلیدواژه‌های انگلیسی مقاله Radiotherapy, Fiducial Marker, Radiation Dosage, Monte Carlo Method
نویسندگان مقاله | Ahmad Esmaili Torshabi
Faculty of Sciences and Modern Technologies, Graduate University of Advanced Technology, Kerman, Iran


| Masoud Taghipour
Faculty of Sciences and Modern Technologies, Graduate University of Advanced Technology, Kerman, Iran
نشانی اینترنتی https://ijmp.mums.ac.ir/article_14560.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Paper
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