PMID- 35402037 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 1507-1367 (Print) IS - 2083-4640 (Electronic) IS - 1507-1367 (Linking) VI - 27 IP - 1 DP - 2022 TI - Dosimetric accuracy of three dose calculation algorithms for radiation therapy of in situ non-small cell lung carcinoma. PG - 86-96 LID - 10.5603/RPOR.a2022.0013 [doi] AB - BACKGROUND: Study determines differences in calculated dose distributions for non-small cell lung carcinoma (NSC LC) patients. NSC LC cases were investigated, being the most common lung cancer treated by radiotherapy in our clinical practice. MATERIALS AND METHODS: A retrospective study of 15 NSCLC patient dose distributions originally calculated using standard superposition (SS) and recalculated using collapsed cone (CC ) and Monte Carlo (MC) based algorithm expressed as dose to medium in medium (MCD(m)) and dose to water in medium (MCD(w,)) was performed so that prescribed dose covers at least 99% of the gross target volume (GTV). Statistical analysis was performed for differences of conformity index (CI), heterogeneity index (HI), gradient index (GI), dose delivered to 2% of the volume (D(2%)), mean dose (D(mean)) and percentage of volumes covered by prescribed dose (V(70Gy)). For organs at risk (OARs), D(mean) and percentage of volume receiving 20 Gy and 5Gy (V(20Gy), V(5Gy)) were analysed. RESULTS: Statistically significant difference for GTVs was observed between MCD(w) and SS algorithm in mean dose only. For planning target volumes (PTVs), statistically significant differences were observed in prescribed dose coverage for CC, MCD(m) and MCD(w). The differences in mean CI value for the CC algorithm and mean HI value for MCD(m) and MCD(w) were statistically significant. There is a statistically significant difference in the number of MUs for MCD(m) and MCD(w) compared to SS. CONCLUSION: All investigated algorithms succeed in managing the restrictive conditions of the clinical goals. This study shows the drawbacks of the CC algorithm compared to other algorithms used. CI - (c) 2022 Greater Poland Cancer Centre. FAU - Kolacio, Manda Svabic AU - Kolacio MS AD - Medical Physics Department, Clinical Hospital Center Rijeka, Rijeka, Croatia. FAU - Rajlic, David AU - Rajlic D AD - Medical Physics Department, Clinical Hospital Center Rijeka, Rijeka, Croatia. FAU - Radojcic, Milan AU - Radojcic M AD - Clinic for Radiotherapy and Oncology, Clinical Hospital Center Rijeka, Rijeka, Croatia. FAU - Radojcic, Deni Smilovic AU - Radojcic DS AD - Medical Physics Department, Clinical Hospital Center Rijeka, Rijeka, Croatia. AD - Department of Medical Physics and Biophysics, University of Rijeka Faculty of Medicine, Rijeka, Croatia. FAU - Obajdin, Nevena AU - Obajdin N AD - Medical Physics Department, Clinical Hospital Center Rijeka, Rijeka, Croatia. FAU - Debeljuh, Dea Dundara AU - Debeljuh DD AD - Medical Physics Department, Clinical Hospital Center Rijeka, Rijeka, Croatia. AD - Department of Medical Physics and Biophysics, University of Rijeka Faculty of Medicine, Rijeka, Croatia. AD - Radiology Department, General Hospital Pula, Pula, Croatia. FAU - Jurkovic, Slaven AU - Jurkovic S AD - Medical Physics Department, Clinical Hospital Center Rijeka, Rijeka, Croatia. AD - Department of Medical Physics and Biophysics, University of Rijeka Faculty of Medicine, Rijeka, Croatia. LA - eng PT - Journal Article DEP - 20220322 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 - PMC8989458 OTO - NOTNLM OT - Monaco OT - TPS OT - XiO standard superposition OT - non-small cell lung carcinoma OT - radiation therapy COIS- Conflict of interest No conflict of interest. EDAT- 2022/04/12 06:00 MHDA- 2022/04/12 06:01 PMCR- 2022/03/22 CRDT- 2022/04/11 05:30 PHST- 2021/11/09 00:00 [received] PHST- 2022/01/19 00:00 [accepted] PHST- 2022/04/11 05:30 [entrez] PHST- 2022/04/12 06:00 [pubmed] PHST- 2022/04/12 06:01 [medline] PHST- 2022/03/22 00:00 [pmc-release] AID - rpor-27-1-86 [pii] AID - 10.5603/RPOR.a2022.0013 [doi] PST - epublish SO - Rep Pract Oncol Radiother. 2022 Mar 22;27(1):86-96. doi: 10.5603/RPOR.a2022.0013. eCollection 2022.