Correlation analysis of CT-based rectal planning dosimetric parameters with in vivo dosimetry of MOSkin and PTW 9112 detectors in Co-60 source HDR intracavitary cervix brachytherapy

Jamalludin, Z. and Malik, R. A. and Ung, Ngie Min (2021) Correlation analysis of CT-based rectal planning dosimetric parameters with in vivo dosimetry of MOSkin and PTW 9112 detectors in Co-60 source HDR intracavitary cervix brachytherapy. Physical and Engineering Sciences in Medicine, 44 (3). pp. 773-783. ISSN 2662-4729, DOI https://doi.org/10.1007/s13246-021-01026-x.

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Abstract

Intracavitary cervical brachytherapy delivers high doses of radiation to the target tissue and a portion of these doses will also hit the rectal organs due to their close proximity. Rectal dose can be evaluated from dosimetric parameters in the treatment planning system (TPS) and in vivo (IV) dose measurement. This study analyzed the correlation between IV rectal dose with selected volume and point dose parameters from TPS. A total of 48 insertions were performed and IV dose was measured using the commercial PTW 9112 semiconductor diode probe. In 18 of 48 insertions, a single MOSkin detector was attached on the probe surface at 50 mm from the tip. Four rectal dosimetric parameters were retrospectively collected from TPS; (a) PTW 9112 diode maximum reported dose (RPmax) and MOSkin detector, (b) minimum dose to 2 cc (D-2cc), (c) ICRU reference point (ICRUr), and (d) maximum dose from additional points (R-max). The IV doses from both detectors were analyzed for correlation with these dosimetric parameters. This study found a significantly high correlation between IV measured dose from RPmax (r = 0.916) and MOSkin (r = 0.959) with TPS planned dose. The correlation between measured RPmax with both D-2cc and R-max revealed high correlation of r > 0.7, whereas moderate correlation (r = 0.525) was observed with ICRUr. There was no significant correlation between MOSkin IV measured dose with D-2cc, ICRUr and R-max. The non-significant correlation between parameters was ascribable to differences in both detector position within patients, and dosimetric volume and point location determined on TPS, rather than detector uncertainties.

Item Type: Article
Funders: Postgraduate Research Grant (PPP) at the Faculty of Medicine, University of Malaya, Malaysia (PG211-2015B)
Uncontrolled Keywords: MOSkin; In vivo dosimetry; Rectal ICRU; Rectal D-2cc; Co-60 HDR brachytherapy
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Medicine Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 08 Apr 2022 07:09
Last Modified: 08 Apr 2022 07:09
URI: http://eprints.um.edu.my/id/eprint/26983

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