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AGENCY USE ONLY (Leave blank)2. REPORT DATE
August 2002
REPORT TYPE AND DATES COVEREDAnnual Summary (1 Auq 00 -31 Jul 01)
TITLE AND SUBTITLE
Integrating Organ Motion and Setup Uncertainty into Optimization of Modulated Electron Beam Treatment of Breast Cancer6. AUTHOR(S) Todd A. Pawlicki, Ph.D.
FUNDING NUMBERSDAMD17-00-1-0444
PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)Stanford University Stanford, California 94305-5401 E-Mail: tpaw@reyes.stanford.edu
PERFORMING ORGANIZATION REPORT NUMBER
SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES)
U.S. Army Medical Research and Materiel CommandFort Detrick, Maryland 21702-5012
SUPPLEMENTARY NOTESReport contains color. This project is to develop, implement, and evaluate models of organ motion and setup uncertainty for dose calculation of radiotherapy treatment of the breast. These models are applied to accurate dose calculation for breast treatment using energyand intensity-modulated electron radiotherapy (MERT). The premise is that MERT treatments will deliver a more conformal dose to the breast while minimizing the dose to normal tissues over conventional photon techniques. We have completed the following tasks: (1) developed theoretical models of organ motion and setup uncertainty based on published data, and (2) implemented those models into a Monte Carlo dose calculation code. We have developed a model of organ motion that correlates the dose in a static computed tomography scan to the actual case of patient breathing. A Gaussian model has been developed to account for setup uncertainty due to the random nature of setup uncertainty in radiotherapy, which has been demonstrated in published literature. These models have been implemented in a Monte Carlo code for radiotherapy dose calculations based on patient specific computed tomography scans. The successful completion of our goals now permits further study (specific aims 3 and 4) on the effect of these effects on MERT radiotherapy breast treatment. References 13
SUBJECT TERMSAppendices 15
IntroductionEnergy-and intensity-modulated radiotherapy (MERT) is the optimization of many small beamlets of different energies and intensities to produce a highly conformal dose distribution. Each individual beamlet's dose distribution must be calculated in a computed tomography based representation of the patient. The relative weight of e...