Introduction: Total body irradiation (TBI) practices vary considerably amongst centres, and the risk of treatment related toxicities remains unclear. We report lung doses for 142 TBI patients who underwent either standing TBI with lung shield blocks or lying TBI without blocks.
Methods: Lung doses were calculated for 142 TBI patients treated between June 2016 and June 2021.
The complexity of modern radiotherapy treatment pathways necessitate input from different professions to ensure treatment is delivered safely and as planned. dosimetry is one method of treatment verification providing the opportunity for both in-field verification or out-of-field measurements. It was the aim of this work to review the impact of an dosimetry programme with t.
View Article and Find Full Text PDFClin Oncol (R Coll Radiol)
September 2022
Aims: The aim of TROG 14.04 was to assess the feasibility of deep inspiration breath hold (DIBH) and its impact on radiation dose to the heart in patients with left-sided breast cancer undergoing radiotherapy. Secondary end points pertained to patient anxiety and cost of delivering a DIBH programme.
View Article and Find Full Text PDFBackground: The quality of radiotherapy delivery has been shown to significantly impact clinical outcomes including patient survival. To identify errors, institutions perform Patient Specific Quality Assurance (PSQA) assessing each individual radiotherapy plan prior to starting patient treatments. Externally administered Dosimetry Audits have found problems despite institutions passing their own PSQA.
View Article and Find Full Text PDFPhys Imaging Radiat Oncol
July 2021
Background And Purpose: Stereotactic radiotherapy combines image guidance and high precision delivery with small fields to deliver high doses per fraction in short treatment courses. In preparation for extension of these treatment techniques to paediatric patients we characterised and compared doses out-of-field in a paediatric anthropomorphic phantom for small flattened and flattening filter free (FFF) photon beams.
Method And Materials: Dose measurements were taken in several organs and structures outside the primary field in an anthropomorphic phantom of a 5 year old child (CIRS) using thermoluminescence dosimetry (LiF:Mg,Cu,P).