PMID- 34434575 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220426 IS - 1507-1367 (Print) IS - 2083-4640 (Electronic) IS - 1507-1367 (Linking) VI - 26 IP - 4 DP - 2021 TI - Dosimetric study of Hounsfield number correction effect in areas influenced by contrast product in lungs case. PG - 590-597 LID - 10.5603/RPOR.a2021.0083 [doi] AB - BACKGROUND: The aim of the study was dosimetric effect quantification of exclusive computed tomography (CT) use with an intravenous (IV) contrast agent (CA ), on dose distribution of 3D-CRT treatment plans for lung cancer. Furthermore, dosimetric advantage investigation of manually contrast-enhanced region overriding, especially the heart. MATERIALS AND METHODS: Ten patients with lung cancer were considered. For each patient two planning CT sets were initially taken with and without CA. Treatment planning were optimized based on CT scans without CA. All plans were copied and recomputed on scans with CA. In addition, scans with IV contrast were copied and density correction was performed for heart contrast enhanced. Same plans were copied and replaced to undo dose calculation errors that may be caused by CA. Eventually, dosimetric evaluations based on dose volume histograms (DVHs) of planning target volumes (PTV) and organs at-risk were studied and analyzed using the Wilcoxon's signed rank test. RESULTS: There is no statistically significant difference in dose calculation for the PTV maximum, mean, minimum doses, spinal cord maximum doses and lung volumes that received 20 and 30 Gy, between planes calculated with and without contrast scans (p > 0.05) and also for contrast scan, with manual regions overriding. CONCLUSIONS: Dose difference caused by the contrast agent is negligible and not significant. Therefore, there is no justification to perform two scans, and using an IV contrast enhanced scan for dose calculation is sufficient. CI - (c) 2021 Greater Poland Cancer Centre. FAU - Oulhouq, Yassine AU - Oulhouq Y AUID- ORCID: 0000-0001-6213-7588 AD - LPMR, Faculty of Sciences, University Mohamed 1, Oujda, Morocco. AD - HASSAN II Oncology Center, University Hospital Mohammed VI, Oujda, Morocco. FAU - Bakari, Dikra AU - Bakari D AD - National School of Applied Sciences, University Mohamed 1, Oujda, Morocco. FAU - Krim, Deae-Eddine AU - Krim DE AD - LPMR, Faculty of Sciences, University Mohamed 1, Oujda, Morocco. FAU - Zerfaoui, Mustapha AU - Zerfaoui M AD - LPMR, Faculty of Sciences, University Mohamed 1, Oujda, Morocco. FAU - Rrhioua, Abdeslem AU - Rrhioua A AD - LPMR, Faculty of Sciences, University Mohamed 1, Oujda, Morocco. FAU - Berhili, Soufiane AU - Berhili S AD - HASSAN II Oncology Center, University Hospital Mohammed VI, Oujda, Morocco. FAU - Mezouar, Loubna AU - Mezouar L AD - HASSAN II Oncology Center, University Hospital Mohammed VI, Oujda, Morocco. LA - eng PT - Journal Article DEP - 20210812 PL - Poland TA - Rep Pract Oncol Radiother JT - Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology JID - 100885761 PMC - PMC8382071 OTO - NOTNLM OT - 3D-CRT OT - PTV OT - contrast agent OT - dose calculation OT - lung cancer OT - tomography COIS- Conflict of interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2021/08/27 06:00 MHDA- 2021/08/27 06:01 PMCR- 2021/08/12 CRDT- 2021/08/26 06:14 PHST- 2020/09/22 00:00 [received] PHST- 2021/02/27 00:00 [accepted] PHST- 2021/08/26 06:14 [entrez] PHST- 2021/08/27 06:00 [pubmed] PHST- 2021/08/27 06:01 [medline] PHST- 2021/08/12 00:00 [pmc-release] AID - rpor-26-4-590 [pii] AID - 10.5603/RPOR.a2021.0083 [doi] PST - epublish SO - Rep Pract Oncol Radiother. 2021 Aug 12;26(4):590-597. doi: 10.5603/RPOR.a2021.0083. eCollection 2021.