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Evaluation of target dose inhomogeneity in breast cancer treatment due to tissue elemental differences

Overview of attention for article published in Radiation Oncology, May 2018
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Title
Evaluation of target dose inhomogeneity in breast cancer treatment due to tissue elemental differences
Published in
Radiation Oncology, May 2018
DOI 10.1186/s13014-018-1022-1
Pubmed ID
Authors

A. Fogliata, F. De Rose, A. Stravato, G. Reggiori, S. Tomatis, M. Scorsetti, L. Cozzi

Abstract

Monte Carlo simulations were run to estimate the dose variations generated by thedifference arising from the chemical composition of the tissues. CT datasets of five breast cancer patients were selected. Mammary gland was delineated as clinical target volume CTV, as well as CTV_lob and CTV_fat, being the lobular and fat fractions of the entire mammary gland. Patients were planned for volumetric modulated arc therapy technique, optimized in the Varian Eclipse treatment planning system. CT, structures and plans were imported in PRIMO, based on Monte Carlo code Penelope, to run three simulations: AdiMus, where the adipose and muscle tissues were automatically assigned to fat and lobular fractions of the breast; Adi and Mus, where adipose and muscle, respectively were assigned to the whole mammary gland. The specific tissue density was kept identical from the CT dataset. Differences in mean doses in the CTV_lob and CTV_fat structures were evaluated for the different tissue assignments. Differences generated by the tissue composition and estimated by Acuros dose calculations in Eclipse were also analysed. From Monte Carlo simulations, the dose in the lobular fraction of the breast, when adipose tissue is assigned in place of muscle, is overestimated by 1.25 ± 0.45%; the dose in the fat fraction of the breast with muscle tissue assignment is underestimated by 1.14 ± 0.51%. Acuros showed an overestimation of 0.98 ± 0.06% and an underestimation of 0.21 ± 0.14% in the lobular and fat portions, respectively. Reason of this dissimilarity resides in the fact that the two calculations, Monte Carlo and Acuros, differently manage the range of CT numbers and the material assignments, having Acuros an overlapping range, where two tissues are both present in defined proportions. Although not clinically significant, the dose deposition difference in the lobular and connective fat fraction of the breast tissue lead to an improved knowledge of the possible dose distribution and homogeneity in the breast radiation treatment.

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Geographical breakdown

Country Count As %
Unknown 25 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 4 16%
Other 4 16%
Researcher 4 16%
Professor > Associate Professor 2 8%
Student > Master 2 8%
Other 4 16%
Unknown 5 20%
Readers by discipline Count As %
Physics and Astronomy 9 36%
Medicine and Dentistry 6 24%
Environmental Science 1 4%
Sports and Recreations 1 4%
Pharmacology, Toxicology and Pharmaceutical Science 1 4%
Other 2 8%
Unknown 5 20%
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 04 October 2018.
All research outputs
#18,618,203
of 23,063,209 outputs
Outputs from Radiation Oncology
#1,429
of 2,074 outputs
Outputs of similar age
#253,048
of 326,955 outputs
Outputs of similar age from Radiation Oncology
#20
of 42 outputs
Altmetric has tracked 23,063,209 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,074 research outputs from this source. They receive a mean Attention Score of 2.7. This one is in the 18th percentile – i.e., 18% of its peers scored the same or lower than it.
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We're also able to compare this research output to 42 others from the same source and published within six weeks on either side of this one. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.