title: Application of modified dynamic conformal arc (MDCA) technique on liver stereotactic body radiation therapy (SBRT) planning following RTOG 0438 guideline.
abstract: Liver stereotactic body radiation therapy (SBRT) is a feasible treatment method for the nonoperable, patient with early-stage liver cancer. Treatment planning for the SBRT is very important and has to consider the simulation accuracy, planning time, treatment efficiency effects etc. The modified dynamic conformal arc (MDCA) technique is a 3-dimensional conformal arc planning method, which has been proposed for liver SBRT planning at our center. In this study, we compared the MDCA technique with the RapidArc technique in terms of planning target volume (PTV) coverage and sparing of organs at risk (OARs). The results show that the MDCA technique has comparable plan quality to RapidArc considering PTV coverage, hot spots, heterogeneity index, and effective liver volume. For the 5 PTVs studied among 4 patients, the MDCA plan, when compared with the RapidArc plan, showed 9% more hot spots, more heterogeneity effect, more sparing of OARs, and lower liver effective volume. The monitor unit (MU) number for the MDCA plan is much lower than for the RapidArc plans. The MDCA plan has the advantages of less planning time, no-collision treatment, and a lower MU number.
authors.affiliation: St. Vincent׳s Medical Center, Bridgeport, CT. Electronic address: shicy1974@yahoo.com.
authors.forename: Chengyu
authors.initials: C
authors.lastname: Shi
authors.affiliation: St. Vincent׳s Medical Center, Bridgeport, CT.
authors.forename: Yong
authors.initials: Y
authors.lastname: Chen
authors.affiliation: St. Vincent׳s Medical Center, Bridgeport, CT.
authors.forename: Deborah Xiangdong
authors.initials: DX
authors.lastname: Fang
authors.affiliation: St. Vincent׳s Medical Center, Bridgeport, CT.
authors.forename: Christopher
authors.initials: C
authors.lastname: Iannuzzi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016634:Radiosurgery / Q000379:methods / Q000592:standards*; D011879:Radiotherapy Dosage; D011880:Radiotherapy Planning, Computer-Assisted / Q000379:methods* / Q000592:standards*; D050397:Radiotherapy, Intensity-Modulated / Q000379:methods / Q000592:standards*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity
keywords: IGRT; Liver; MDCA; RTOG; SBRT