Recent technological development in radiotherapy allows to introduce new irradiation techniques implemented on the conventional accelerators and on the machines such as CyberKnife (CK). These significantly changes the philosophy of planning and execution of radiotherapy. One of the fundamental concepts in radiotherapy is to define the therapeutic dose. It can be defined in the point, at the selected isodose, as an average value, or combined with the volume. We present the case of prostate cancer patient irradiated using CK machine and classic accelerator (VMAT). The differences in dose distribution and its value are shown. The analysis indicates that the average dose in Planning Treatment Volume (PTV) is a useful parameter during comparison of the dose distributions realized on machines of different type. NOWOTWORY J Oncol 2016; 66, 5: 375-380

No abstract

The aim of this study is to answer the question whether the calculated dose distributions for HD and Millennium collimators (Varian Medical Systems) are equivalent for large treatment volumes.Background: Modern biomedical linacs are equipped with multileaf collimators where leaves can be of different widths. Thinner leaves allow better fit to desired (tumor) shape. At the same time, however, the maximum size of the field that can be obtained with the collimator is also reduced. Varian Medical Systems HD and Millennium collimators can be a good sample. They have 40 cm or 22 cm × 40 cm maximal field size at the isocenter, respectively. Materials and methods:This paper presents the comparison of selected statistical and dosimetric parameters achieved for treatment plans where the beams for a HD collimator had to be merged because of the size of the tumor volume.Results and discussion: Achieved results show that, independently from irradiated volume, there is no statistically significant difference for calculated dose distributions, integral doses, MU values and coefficients evaluating dose distributions for HD and Millennium collimators.Conclusions: Results show that both types of collimators can be used interchangeably for preparing the treatment plans for large tumor volume without quality reduction of the prepared treatment plan.