Objective:The aim of the study was to study the effect of the size and location of tumors on the normal lung dose-volume parameters for lung cancer.Methods:Three spheres with diameters of 2, 3 and 4 cm made of tissue-equivalent materials used for simulating tumors were inserted into the upper lobe, middle lobe, lower lobe of the right lung, upper lobe, lower lobe of the left lung of the Rando phantom, respectively.Five-field simplified IMRT(sIMRT) planning were designed.The prescribed dose was 60 Gy/2 Gy/30 f, 99% of the planning target volume received this dose.Dose-volume parameters of normal lung tissues including relative volume of lung receiving ≥ 5, 10, 20, 30 and 50 Gy(V5, V10, V20, V30, V50), and mean lung dose(MLD) were analyzed and compared.Results:For the dose-volume parameters, the diameter and the position of the tumor had a significant effect(P < 0.05).With the diameter expanding from 2 to 3 cm, the parameters associated with tumor lying in various lobes increased by a range between 3.83%-125.38%, while the parameters linked with tumors on different lobes increased by a range between 10.46%-51.46% with the diameter expanding from 3 to 4 cm.Conclusion:Location and size of sphere-like tumor have an obvious effect on dose-volume parameters.Knowing about the degree of influence will help oncologists and physicists better evaluate treatment planning, then the probability of radiation pneumonitis can be reduced.
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