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Evaluation Treatment Planning for Breast Cancer Based on Dose-Response Model Aisyah, Siti; Hariyanto, Aditya Prayugo; Endarko, Endarko; Rubiyanto, Agus; Nasori, Nasori; Haekal, Mohammad; Nainggolan, Andreas
Jurnal ILMU DASAR Vol 22 No 1 (2021)
Publisher : Fakultas Matematika dan Ilmu Pengetahuan Alam Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jid.v22i1.19732

Abstract

The delivery of radiation therapy to patients requires prior planning made by medical physicists to achieve radiotherapy goals. Radiotherapy has a plan to eradicate the growth of cancer cells by giving high doses and minimizing the radiation dose to normal tissue. Evaluation of planning is generally done based on dosimetric parameters, such as minimum dose, maximum dose, and means dose obtained from the DVHs data. Based on the same DVHs, data were evaluate dinterms of biological effects to determine the highest possible toxicity in normal tissue after the tumor had been treated with radiation using the NTCP model. The evaluation was conducted by selecting three DICOM-RT data of post-mastectomy right breast cancer patients who had been prescribed a dose of 50 Gy obtained from the Hospital MRCCC Siloam Semanggi database. All data were processed using open-source software DICOManTX to get the DVH and isodose information. Matlab-based CERR software was used to calculate the NTCP model. The results show that the three patients' DVH and isodose treatment planning result in a homogeneous dose distribution result because the PTV area obtains adose limit of ≥ 95%. Moreover, normalt issue still gets adose below the tolerance limit based on the standard from RTOG 1005 and ICRU 83. Analysis of NTCP shows a complication probability below 1% for each organ, suggesting that any organ which has been irradiated has a low likelihood of complications. Therefore, it can be concluded that the treatment planning which has been made in the three patients using the IMRT technique has achieved the objectives of radiotherapy, which is to minimize toxicity to healthy organs. |Keywords: DVH, isodose, NTCP, radiotherapy.
Craniospinal Irradiation in Adult Medulloblastoma: A Case Report and Analysis of Treatment Planning Comparing Volumetric Modulated Arc Therapy and Three-Dimensional Conformal Radiotherapy Banjarnahor, Christine Tiarma Ully; Nainggolan, Andreas; Hariyanto, Agustinus Darmadi
Indonesian Journal of Cancer Vol 19, No 2 (2025): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i2.1231

Abstract

Introduction: Adult medulloblastoma is a very uncommon case. Multimodal treatment, including surgery, radiation therapy, and chemotherapy, has led to an improvement not only in long-term survival but also in major-related toxicity. Case Presentation: We report the case of a 24-year-old man with medulloblastoma who underwent surgery followed by volumetric modulated arc therapy (VMAT) craniospinal irradiation (CSI) three weeks after resection. The radiation dose was 36 Gy in 20 fractions to the craniospinal axis, with an 18 Gy boost dose in 10 fractions to the posterior fossa. Threedimensional conformal radiotherapy (3D-CRT) planning was done to compare the dosimetric results of VMAT and 3D-CRT.Conclusion: The VMAT CSI technique delivers a better dose of homogeneity, conformity, and OARs-sparing than 3D-CRT