2015
DOI: 10.1016/j.ejmp.2015.05.012
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Plan robustness in field junction region from arcs with different patient orientation in total marrow irradiation with VMAT

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Cited by 36 publications
(45 citation statements)
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“…It can be argued that this approach better reflects the reality of a clinical department; however we have deliberately chosen more direct observables which allow for easier analysis. A 21% increase of the maximum dose reported in [26] is however close to the expected value of 25% for a 5 mm shift in the cranio-caudal direction applied to a 20 mm overlap region.…”
Section: Maximal Vs Average Positional Errorssupporting
confidence: 71%
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“…It can be argued that this approach better reflects the reality of a clinical department; however we have deliberately chosen more direct observables which allow for easier analysis. A 21% increase of the maximum dose reported in [26] is however close to the expected value of 25% for a 5 mm shift in the cranio-caudal direction applied to a 20 mm overlap region.…”
Section: Maximal Vs Average Positional Errorssupporting
confidence: 71%
“…Consequently, we limited our study to the cranio-caudal direction. A comparision of the dosimetric changes reported in [26,27] to the ones reported here is difficult for two reasons: (a) we examined local effects (hot-and cold spots) rather than their influence on the volume-dose histogram, and (b) we evaluated the dosimetric impact of the maximal shift, i.e., ±5 mm, while the authors in [26,27] chose three random values from the [−5 mm, +5 mm] range and used their mean and standard deviation. Assuming that the samples are distributed uniformly, the mean of several uniform distribution is a rectangular mean distribution, sometimes called Bates distribution.…”
Section: Maximal Vs Average Positional Errorsmentioning
confidence: 99%
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“…By introducing an optimised shallow gradient of the abutting fields at the junction, the robustness is greatly improved. A very similar approach has been described by Mancosu et al in their TMI approach using VMAT [25].…”
Section: Discussionmentioning
confidence: 97%
“…Papers published in English between 2010 and 2018 were included. Twelve papers were identified [21][22][23][24][25][26][27][28][29][30][31][32] ( Table 2). In particular, the papers covered feasibility planning studies [21][22]30,32], optimization of the plan parameters [24,28,30,31], plan optimization of the lower extremities [28], plan robustness [27,28,32], and dosimetric plan verification [21,22,25,26,29,32].…”
Section: Search Strategymentioning
confidence: 99%