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. 2006 Feb;78(2):159-64.
doi: 10.1016/j.radonc.2005.11.010. Epub 2005 Dec 15.

Evaluation of underdosage in the external photon beam radiotherapy of glottic carcinoma: Monte Carlo study

Affiliations

Evaluation of underdosage in the external photon beam radiotherapy of glottic carcinoma: Monte Carlo study

Siarhei Spirydovich et al. Radiother Oncol. 2006 Feb.

Abstract

Purpose: Underdosage in the human larynx may be the true factor behind the decrease in local control rates.

Patients and methods: To evaluate underdosage with Monte Carlo a CT-based geometrical model of the patient's neck (mathematical neck) was created. Dose was calculated for a pair of 6 Me V parallel-opposed photon beams modulated with 15 degree steel wedges.

Results: At least 5% of volume of 3.5 cm(3) hypothetical tumor near the air wall of the larynx receives less than 86% of the maximum tumor dose. The same volume received less than 91% of the maximum tumor dose when the mathematical neck had no air cavities.

Conclusions: We conclude the significant underdosage at the air-tissue interface in the larynx occurs in traditional radiotherapy treatments, especially in the glottic part of the larynx.

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