Medical Dosimetry
Volume 34, Issue 4 , Pages 301-310 , Winter 2009

IMRT in a Pregnant Patient: How to Reduce the Fetal Dose?

Received 26 August 2008 ,Accepted 27 November 2008.

References 

  1. Stovall M, Blackwell CR, Cundiff J, et al. Fetal dose from radiotherapy with photon beams: Report of AAPM Radiation Therapy Committee Task Group No. 36. Med. Phys. 1995;22:63–8222:1353–4
  2. Stern RL. Peripheral dose from a linear accelerator equipped with multileaf collimation. Med. Phys. 1999;26:559–563
  3. Mutic S, Klein EE. A reduction in the AAPM TG-36 reported peripheral dose distributions with tertiary multileaf collimation. Int. J. Radiat. Oncol. Biol. Phys. 1999;44:947–953
  4. Sherazi S, Kase KR. Measurement of dose from secondary radiation outside a treatment field: Effects of wedges and blocks. Int. J. Radiat. Oncol. Biol. Phys. 1985;11:2171–2176
  5. Kase KR, Svensson GK, Wolbarst AB, et al. Measurements of dose from secondary radiation outside a treatment field. Int. J. Radiat. Oncol. Biol. Phys. 1983;9:1177–1183
  6. Sneed PK, Albright NW, Wara WM, et al. Fetal dose estimates for radiotherapy of brain tumors during pregnancy. Int. J. Radiat. Oncol. Biol. Phys. 1995;32:823–830
  7. Podgorsak MB, Meiler RJ, Kowal H, et al. Technical management of a pregnant patient undergoing radiation therapy to the head and neck. Med. Dosim. 1999;24:121–128
  8. Moeckli R, Ozsahin M, Valley JF, et al. Fetal dose reduction in head and neck radiotherapy of a pregnant woman. Z. Med. Phys. 2004;14:168–172
  9. Webb S. Contemporary IMRT: Developing physics and clinical implementation. Bristol: Institute of Physics Publishing; 2005;
  10. Chui C-S, Chan MF, Yorke E, et al. Delivery of intensity-modulated radiation therapy with a conventional multileaf collimator: Comparison of dynamic and segmental methods. Med. Phys. 2001;28:2441–2449
  11. Sharma DS, Animesh , Deshpande SS, et al. Peripheral dose from uniform dynamic multileaf collimation fields: Implications for sliding window intensity-modulated radiotherapy. Br. J. Radiol. 2006;79:331–335
  12. ICRP. Pregnancy and medical radiation. Annals ICRP, Publication 84. 2000;30:1
  13. Nuyttens JJ, Prado KL, Jenrette JM, et al. Fetal dose during radiotherapy: Clinical implementation and review of the literature. Cancer/Radiother. 2002;6:352–357
  14. Prado KL, Nelson SL, Nuyttens JJ, et al. Clinical implementation of the AAPM Task Group 36 recommendations on fetal dose from radiotherapy with photon beams: A head and neck irradiation case report. J. Appl. Clin. Med. Phys. 2000;1:1–7
  15. Cygler J, Ding GX, Kendal W, et al. Fetal dose for a patient undergoing mantle field irradiation for Hodgkin's disease. Med. Dosim. 1997;22:135–137
  16. Islam MK, Saeedi F, Al-Rajhi N. A simplified shielding approach for limiting fetal dose during radiation therapy of pregnant patients. Accessed Int. J. Radiat. Oncol. Biol. Phys. 2001;49:1469–1473
  17. DAHANCA. Guidelines for radiation therapy of head and neck cancer incl (IMRT [Danish]). Accessed December 30, 2008 www.dahanca.dk2004;
  18. Fraas BA, van de Geijn J. Peripheral dose from megavolt beams. Med. Phys. 1983;10:809–818
  19. van der Giessen PH. Collimator-related radiation dose for different cobalt machines and linear accelerators. Int. J. Radiat. Oncol. Biol. Phys. 1996;35:399–405
  20. NCRP. Structural shielding design and evaluation for medical use of x-rays and gamma rays of energies up to 10 MeV (NCRP Report No. 49). NCRP; 1976;
  21. Atabo, A.; Bradley, P.J. Management principles of head and neck cancers during pregnancy: A review and case series. Oral Oncol. In press.
  22. DAHANCA-14: Concomitant cisplatin and radiation therapy of rhinopharynxcancer: Guidelines for combined radiation and chemotherapy of rhinopharynxcancer [Danish]. Accessed www.dahanca.dk2007;
  23. Doll R, Wakeford R. Risk of childhood cancer from fetal irradiation. Br. J. Radiol. 1997;70:130–139
  24. Kal HB, Struikmans H. Radiotherapy during pregnancy: Fact and fiction. Lancet Oncol. 2005;6:328–333

PII: S0958-3947(08)00173-8

doi: 10.1016/j.meddos.2008.11.003

Medical Dosimetry
Volume 34, Issue 4 , Pages 301-310 , Winter 2009

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