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Sugeng Rianto
Pusat Teknologi Bahan Bakar Nuklir (PTBBN), BATAN Kawasan Puspiptek-Tangerang Selatan 15314, Banten
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Journal : Indonesian Physical Review

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DOSIMETRIC EVALUATION OF POST-MASTECTOMY THREE-DIMENSIONAL CONFORMAL RADIATION THERAPY (3DCRT) BREAST CANCER TREATMENT PLANS Herwiningsih, Sri; Naba, Agus; Rianto, Sugeng; Hentihu, Fatimah Kunti
Indonesian Physical Review Vol. 6 No. 3 (2023)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ipr.v6i3.240

Abstract

Breast cancer is the most diagnosed cancer in women globally. External beam radiotherapy is one method to treat breast cancer, which can be given to the patients after mastectomy. The changes in anatomy of breast tissues after mastectomy makes the radiotherapy treatment very challenging to ensure the prescribed dose delivered to the tumour target while the radiation to the surrounding critical organs is kept to be low. This study aims to evaluate the dosimetric parameters of radiotherapy treatment plans for breast cancer patients after mastectomy delivered using 3DCRT technique. The evaluation includes the target coverage to the PTV, defined as the volume of PTV receiving 95% of the prescribed dose and the volume of PTV receiving 107% of the prescribed dose. The min, max and mean dose to the PTV were also recorded. The dosimetric parameters to the OARs were Dmean and V20 to the lung, Dmean and V25 to the heart, Dmean to esophagus and Dmax to the spinal cord. The result shows that target coverage is fulfilled in most of the plans, however the host spot in the PTV also observed in the most of the plans. Dose to heart, left lung, esophagus and spinal cord are relatively low and below the constraint recommended by QUANTEC, however the V20 to the right lung exceeded the constraint in the most of the plans. The combination of photon and electron beam might be useful to reduce the excessive dose to the right lung.
Co-Authors Abdurrosyid, Imam abdurrouf Abdurrouf Achmad Syauqi Ade saputra Agus Naba Ahmadi Hasan Amda, Julfa Muhammad Amelia, Rr. Citra Aristi Anis Akhwan Dhafin Anjani, Mia Arif Agus P. Aseri, Akhmad Fauzi Bagus Abimanyu, Bagus Bunawas Bunawas Charliandri Saputra Wahab Cipta Raharja, Mahardika Dien Hawa, Sarah Fatimah Kunti Hentihu, Fatimah Kunti Fendy Prasetyawan Firdy Yuana Ghufron, Hanif Gusmao, Cristino Haryanto, Jepri Ina Fitria Ismarlin Iwan Setiawan Jalaluddin Jalaluddin Kusnilawati, Nunik Kuswardani, Dc Listyowati , Andang Andriani Muazidah, Lailatul Mulyantomo, Edy Odi Buana Hutapea, Odi Buana Prabasari, Bonita Pradipta, Aisyah Dianing Prasetya, Angga Ari Raharjo, Susilo Margining Rahmadi, Gagad Rizki Amalia Saumi Andrean Nofa, Muhammad Shutiawan, Muhammad Alviyan Sismadi, Adi Sri Herwiningsih Suryawadana, Edy Suryawardana, Edy SUSANTO Teguh Ariefiantoro, Teguh Triarjo Triarjo Trisna Maylika, Dwi Vankabo, Praditya Waskita, Arya Adhiyaksa Widyakto, Adhi