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Medical Dosimetry,
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    • Cover Image - Medical Dosimetry, Volume 48, Issue 1
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  • 3DCRT1
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  • Case Reports

    Robust optimization used to mitigate setup uncertainties in vulvar patients receiving VMAT

    Medical Dosimetry
    Vol. 47Issue 2p129–135Published online: December 31, 2021
    • Robert Inshetski
    • Nishele Lenards
    • Ashley Hunzeker
    Cited in Scopus: 0
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      Many radiation planning techniques have been used to increase dose to the vulvar surface when treating patients with vulvar cancer with volumetric modulated arc therapy. Target volumes near the skin surface, such as vulvar tumors, do not meet the International Commission on Radiation Units and Measurements safety guidelines. Without the needed expansions and setup uncertainties, there are concerns that treated dose to the vulvar surface varies from the planned dose. The purpose of this study was to determine if the robust optimization tool used in volumetric modulated arc therapy planning can reproducibly deliver prescription dose to the vulvar skin surface despite setup uncertainties and reduced safety margins.
      Robust optimization used to mitigate setup uncertainties in vulvar patients receiving VMAT
    • Dosimetry Contribution:

      Whole breast nodal irradiation using supine VMAT and prone 3D planning: A case study

      Medical Dosimetry
      Vol. 42Issue 3p185–189Published online: May 31, 2017
      • Ashley Coffey
      • Lisa Renucci
      • Ashley Hunzeker
      • Nishele Lenards
      Cited in Scopus: 3
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        The purpose of this study was to compare the variations in doses to the ipsilateral lung and heart between the supine whole breast and nodal volumetric-modulated arc therapy (VMAT) technique and the prone 3-dimensional conformal radiation therapy (3DCRT) technique. In this study, 3 patients who were simulated in the prone and supine positions were planned using supine VMAT and prone 3DCRT techniques to compare planning target volume (PTV) coverage as well as dose to organs at risk (ORs), including the heart and ipsilateral lung.
        Whole breast nodal irradiation using supine VMAT and prone 3D planning: A case study
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