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Dosimetric comparison of helical tomotherapy, VMAT, fixed-field IMRT and 3D-conformal radiotherapy for stage I-II nasal natural killer T-cell lymphoma

Overview of attention for article published in Radiation Oncology, April 2017
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Title
Dosimetric comparison of helical tomotherapy, VMAT, fixed-field IMRT and 3D-conformal radiotherapy for stage I-II nasal natural killer T-cell lymphoma
Published in
Radiation Oncology, April 2017
DOI 10.1186/s13014-017-0812-1
Pubmed ID
Authors

Xianfeng Liu, Erliang Huang, Ying Wang, Yanan He, Huanli Luo, Mingsong Zhong, Da Qiu, Chao Li, Han Yang, Guanglei He, Juan Zhou, Fu Jin

Abstract

The aim of this study was to compare radiotherapy plans for Stage I-II nasal natural killer/T-cell lymphoma (NNKTL) using helical tomotherapy (HT), volumetric-modulated arc therapy (VMAT), Fixed-Field intensity-modulated radiotherapy (IMRT), and three-dimensional conformal radiotherapy (3D-CRT). Eight patents with Stage I-II NNKTL treated with IMRT were re-planned for HT, VMAT (two full arcs), and 3D-CRT. The quality of target coverage, the exposure of normal tissue and the efficiency of radiation delivery were analyzed. HT showed significant improvement over IMRT in terms of D98%, cold spot volume and homogeneity index (HI) of planning target volume (PTV). VMAT provided best dose uniformity (p = 0.000) to PTV, while HT had best dose homogeneity among the four radiotherapy techniques (p = 0.000) to PTV. VMAT obviously reduced treatment time (p = 0.010; 0.000) compared to HT and IMRT. Mean dose of left and right optic nerve was significantly reduced by IMRT compared to HT (19.86%, p = 0.000; 21.40%, p = 0.002) and VMAT (8.97%, p = 0.002; 9.35%, p = 0.001), and maximum dose of left lens of VMAT increased over the HT (36.25%, p = 0.043) and IMRT (40.65%, p = 0.001). The unexpected results show that both HT and VMAT can achieve higher conformal treatment plans while getting worse organs at risk (OARs) sparing than IMRT for patients with Stage I-II NNKTL. VMAT requires the shortest delivery time, and IMRT delivers the lowest dose to most OARs. The results could provide guidance for selecting proper radiation technologies for different cases.

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Mendeley readers

Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 26 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 4 15%
Researcher 4 15%
Student > Ph. D. Student 2 8%
Student > Postgraduate 2 8%
Student > Master 2 8%
Other 3 12%
Unknown 9 35%
Readers by discipline Count As %
Medicine and Dentistry 7 27%
Physics and Astronomy 4 15%
Nursing and Health Professions 2 8%
Agricultural and Biological Sciences 1 4%
Social Sciences 1 4%
Other 1 4%
Unknown 10 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 April 2017.
All research outputs
#20,418,183
of 22,968,808 outputs
Outputs from Radiation Oncology
#1,689
of 2,066 outputs
Outputs of similar age
#269,443
of 309,813 outputs
Outputs of similar age from Radiation Oncology
#17
of 23 outputs
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