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Minimizing normal tissue low dose bath for left breast Volumetric Modulated Arc Therapy (VMAT) using jaw offset.

Yongqian ZhangWeihua FuEdward BrandnerSharon PercinskyMary MoranM Saiful Huq
Published in: Journal of applied clinical medical physics (2024)
A JO-VMAT technique was evaluated in this study and compared with 3D-FiF and tVMAT techniques. Our results showed that the JO-VMAT technique can achieve clinically comparable coverage and homogeneity and significantly improve dose conformity within PTV. Additionally, JO-VMAT eliminated the low-dose bath effect at all OARs evaluation metrics including the ipsilateral/contralateral lung, the heart, and the contralateral breast compared to 3D-FiF and tVMAT. This technique is feasible for the whole breast radiation therapy of left breast cancers.
Keyphrases
  • low dose
  • radiation therapy
  • high dose
  • healthcare
  • atrial fibrillation