title: Dosimetric considerations for patients with HIP prostheses undergoing pelvic irradiation. Report of the AAPM Radiation Therapy Committee Task Group 63.
abstract: This document is the report of a task group of the Radiation Therapy Committee of the AAPM and has been prepared primarily to advise hospital physicists involved in external beam treatment of patients with pelvic malignancies who have high atomic number (Z) hip prostheses. The purpose of the report is to make the radiation oncology community aware of the problems arising from the presence of these devices in the radiation beam, to quantify the dose perturbations they cause, and, finally, to provide recommendations for treatment planning and delivery. Some of the data and recommendations are also applicable to patients having implanted high-Z prosthetic devices such as pins, humeral head replacements. The scientific understanding and methodology of clinical dosimetry for these situations is still incomplete. This report is intended to reflect the current state of scientific understanding and technical methodology in clinical dosimetry for radiation oncology patients with high-Z hip prostheses.
authors.affiliation: University of Chicago, Chicago, Illinois 60637, USA.
authors.forename: Chester
authors.initials: C
authors.lastname: Reft
authors.forename: Rodica
authors.initials: R
authors.lastname: Alecu
authors.forename: Indra J
authors.initials: IJ
authors.lastname: Das
authors.forename: Bruce J
authors.initials: BJ
authors.lastname: Gerbi
authors.forename: Paul
authors.initials: P
authors.lastname: Keall
authors.forename: Eugene
authors.initials: E
authors.lastname: Lief
authors.forename: Ben J
authors.initials: BJ
authors.lastname: Mijnheer
authors.forename: Nikos
authors.initials: N
authors.lastname: Papanikolaou
authors.forename: Claudio
authors.initials: C
authors.lastname: Sibata
authors.forename: Jake
authors.initials: J
authors.lastname: Van Dyk
mesh_terms: D026683:Advisory Committees; D000465:Algorithms; D016477:Artifacts; D006622:Hip Prosthesis; D006801:Humans; D010386:Pelvic Neoplasms / Q000532:radiotherapy*; D010818:Practice Patterns, Physicians'; D011786:Quality Control; D011835:Radiation Protection / Q000379:methods / Q000592:standards; D011874:Radiometry / Q000379:methods* / Q000592:standards; D011878:Radiotherapy / Q000379:methods* / Q000592:standards; D011879:Radiotherapy Dosage; D011880:Radiotherapy Planning, Computer-Assisted / Q000379:methods* / Q000592:standards; D012952:Societies; D014481:United States