PBC算法与AAA算法在肺癌调强放疗中的剂量学比较

摘要

Objective: To compare the dosimetric differences between intensity modulated radiotherapy (IMRT) plans for non-small cell lung cancer using pencil beam convolution (PBC) and anisotropic analytical algorithm (AAA) methods.Materials and Methods: For a cohort of 7 patients, IMRT plans were designed using PBC and AAA calculation methods, respectively.In the planning process, identical planning objectives and dose constraints were set.Plans were compared according to dose-volume histogram (DVH) analysis in terms of PTV homogeneity and conformity indices (HI and CI) as well as OARs dose and volume parameters.Results: On average, no statistically significant differences between PBC and AAA plans were observed except Dmean and VI0 of lung.Conclusions: Both PBC and AAA algorithms provide similar dose computation accuracy for NSCLC,but the latter is less affected by the variation of respiratory phase and suggested as a priority choice.%目的:分析、比较笔形束卷积算法(PBC)和各向异性解析算法(AAA)在非小细胞肺癌(NSCLC)调强放疗计划设计中的剂量学差异.方法:随机选择7例NSCLC患者,采用Eclipse version 7.3.10计划系统提供的PBC算法和AAA算法对每例NSCLC进行IMRT的计划设计,比较靶区及危及器官的剂量分布、DVH等指标.结果:两种算法获得治疗计划的靶区剂量均匀性和适形度均无明显差别,食管、心脏、脊髓等危及器官的受量也基本相同.结论:对于NSCLC,剂量计算应采用受呼吸时相影响更小的AAA算法.