PMID- 24474972
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20140129
LR  - 20211021
IS  - 1689-832X (Print)
IS  - 2081-2841 (Electronic)
IS  - 2081-2841 (Linking)
VI  - 5
IP  - 4
DP  - 2013 Dec
TI  - The importance of the implant quality in APBI - Gliwice experience. Dosimetric 
      evaluation.
PG  - 227-31
LID - 10.5114/jcb.2013.39365 [doi]
AB  - This study includes four years of our clinical trials to improve implant quality 
      in multicatheter accelerated partial breast irradiation (APBI). The progress in 
      dosimetric and volumetric parameters of the treatment plans was evaluated. One 
      hundred and ninety-one women, for whom treatment plans were made based on three 
      dimensional imaging, were selected for the study. To evaluate progress made in 
      our APBI procedure, following parameters and indices were taken into account: 
      percentage of the target volume receiving the reference dose (PTVref), minimum 
      dose in the target volume expressed as a percentage of reference dose (PTVmin), 
      dose homogeneity index (DHI), and conformity index (COIN). Additionally, the plan 
      quality index was calculated for every group as the sum of mean values of four 
      evaluated parameters. PTVref have increased from the mean value of 83.4% at the 
      beginning to recent 94.8%. The maximum value equals to 95.4%. The same trend can 
      be observed with PTVmin value, which has been improved from 51.7% to 70.1%, 
      maximally. DHI and COIN mean values present similar progress. DHI value increased 
      from 0.53 level to 0.68, and COIN from 0.58 in 2009 to 0.74. Plan quality index 
      has increased from 2.46 in 2009 to 3.06, recently. The implant quality is crucial 
      for the accurate dose distribution. This paper shows the progress that was made 
      in APBI procedure to improve implant quality. Nowadays, our implant technique is 
      based on three-dimensional CT imaging results in acceptable dose distributions.
FAU - Cholewka, Agnieszka
AU  - Cholewka A
AD  - Department of Radiotherapy and Brachytherapy Planning.
FAU - Szlag, Marta
AU  - Szlag M
AD  - Department of Radiotherapy and Brachytherapy Planning.
FAU - Bialas, Brygida
AU  - Bialas B
AD  - Brachytherapy Department, Maria Sklodowska-Curie Memorial Cancer Center and 
      Institute of Oncology, Gliwice, Poland.
FAU - Kellas-Sleczka, Sylwia
AU  - Kellas-Sleczka S
AD  - Brachytherapy Department, Maria Sklodowska-Curie Memorial Cancer Center and 
      Institute of Oncology, Gliwice, Poland.
FAU - Slosarek, Krzysztof
AU  - Slosarek K
AD  - Department of Radiotherapy and Brachytherapy Planning.
LA  - eng
PT  - Journal Article
DEP - 20131205
PL  - Poland
TA  - J Contemp Brachytherapy
JT  - Journal of contemporary brachytherapy
JID - 101506276
PMC - PMC3899638
OTO - NOTNLM
OT  - accelerated partial breast irradiation
OT  - dosimetric analysis
OT  - implant quality
OT  - interstitial brachytherapy
EDAT- 2014/01/30 06:00
MHDA- 2014/01/30 06:01
PMCR- 2013/12/01
CRDT- 2014/01/30 06:00
PHST- 2013/11/05 00:00 [received]
PHST- 2013/12/04 00:00 [revised]
PHST- 2013/12/31 00:00 [accepted]
PHST- 2014/01/30 06:00 [entrez]
PHST- 2014/01/30 06:00 [pubmed]
PHST- 2014/01/30 06:01 [medline]
PHST- 2013/12/01 00:00 [pmc-release]
AID - 21905 [pii]
AID - 10.5114/jcb.2013.39365 [doi]
PST - ppublish
SO  - J Contemp Brachytherapy. 2013 Dec;5(4):227-31. doi: 10.5114/jcb.2013.39365. Epub 
      2013 Dec 5.