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Comparison of dose distributions hippocampus in high grade gliomas irradiation with linac-based imrt and volumetric arc therapy: a dosimetric study

Overview of attention for article published in SpringerPlus, March 2015
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Title
Comparison of dose distributions hippocampus in high grade gliomas irradiation with linac-based imrt and volumetric arc therapy: a dosimetric study
Published in
SpringerPlus, March 2015
DOI 10.1186/s40064-015-0894-x
Pubmed ID
Authors

Emine Canyilmaz, Gonca Dilek Hanedan Uslu, Fatma Colak, Burcin Hazeral, Emel Haciislamoglu, Ahmet Yasar Zengin, Ahmet Sari, Adnan Yoney

Abstract

The aim of this study was to assess the feasibility of sparing contralateral hippocampus during partial brain radiotherapy in high grade gliomas. 20 previously treated patients were replanned to 60 Gy in 30 fractions with sparing intensity-modulated radiotherapy (IMRT) and volumetric modulated arctherapy (VMAT) using the following planning objectives: 100 % of PTV covered by 95% isodose without violating organs at risk (OAR) and hot spot dose constraints. For each, standard intensity-modulated radiotherapy (IMRT) plans were generated, as well as sparing IMRT and VMAT plans which spared contralateral (hemispheric cases) hippocampus. When the three plans were compared, there was equivalent PTV coverage, homogeneity, and conformality. Sparing IMRT significantly reduced maximum, mean, V20, V30 and V40 hippocampus doses compared with standart IMRT and VMAT (p < 0.05). VMAT significantly reduced maximum left lens and mean eye doses compared with standart IMRT and sparing IMRT (p < 0.05). Brainstem, chiasm, left and right optic nerves, right eyes and lens doses were similar. VMAT significantly reduced monitor units compared with standart IMRT and sparing IMRT (p < 0.05). It is possible to spare contralateral hippocampus during PBRT for high grade gliomas using IMRT. This approach may reduce late cognitive sequelae of cranial radiotherapy.

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Mendeley readers

The data shown below were compiled from readership statistics for 19 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 19 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 26%
Student > Bachelor 4 21%
Student > Doctoral Student 2 11%
Other 2 11%
Student > Ph. D. Student 1 5%
Other 1 5%
Unknown 4 21%
Readers by discipline Count As %
Medicine and Dentistry 8 42%
Nursing and Health Professions 2 11%
Engineering 2 11%
Physics and Astronomy 1 5%
Arts and Humanities 1 5%
Other 0 0%
Unknown 5 26%