ArticleJournal of applied clinical medical physics2018
A study of minimum segment width parameter on VMAT plan quality, delivery accuracy, and efficiency for cervical cancer using Monaco TPS.
Article in Journal of applied clinical medical physics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- The impact of collimator angle and increment on volumetric modulated arc therapy after modified radical mastectomy for breast cancer.Scientific reports · 2026Article
- VMAT for Head and Neck Cancer: What Is the Impact of the Optimization Parameters on the Treatment Plan Quality?Medical sciences (Basel, Switzerland) · 2026Article
- Small-volume plan optimization of inoperable early-stage centrally-located non-small-cell lung cancer using VMAT-based SBRT under the DIBH scenario: a single-arc model or a dual-arc plan?Frontiers in oncology · 2026Article
- Plan quality and treatment efficiency assurance of two VMAT optimization for cervical cancer radiotherapy.Journal of applied clinical medical physics · 2023Article
- [Quantitative evaluation of radiotherapy plan in precise external beam radiotherapy process management for cervical cancer].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023Article
- Article
- Investigation of optimum minimum segment width on VMAT plan quality and deliverability: A comprehensive dosimetric and clinical evaluation using DVH analysis.Journal of applied clinical medical physics · 2021Article
- Article
- Risk for second bladder and rectal malignancies from cervical cancer irradiation.Journal of applied clinical medical physics · 2021Article
- Optimization of Minimum Segment Width Parameter in the Intensity-Modulated Radiotherapy Plan for Esophageal Cancer.International journal of general medicine · 2021Article
- Study on the ability of 3D gamma analysis and bio-mathematical model in detecting dose changes caused by dose-calculation-grid-size (DCGS).Radiation oncology (London, England) · 2020Article
- Evaluation of the Minimum Segment Width and Fluence Smoothing Tools for Intensity-modulated Techniques in Monaco Treatment Planning System.Journal of medical physicsArticle
- Correlation Between Average Segment Width and Gamma Passing Rate as a Function of MLC Position Error in Volumetric Modulated Arc Therapy.Technology in cancer research & treatmentArticle
- Impact of Minimum Segment Width on VMAT Plan Quality for Nasopharyngeal Carcinoma.Dose-response : a publication of International Hormesis SocietyArticle
- Enhancing Treatment Efficiency: Investigating the Optimal Segment Width in Volumetric Modulated Arc Therapy for Prostate Cancer Management.Journal of medical physicsArticle
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to study the influence of the minimum segment width (MSW) on volumetric modulated arc therapy (VMAT) plan quality, delivery accuracy, and efficiency for cervical cancer treatment.
methodsNineteen patients with cervical cancer were randomly selected to design VMAT plans. Three VMAT plans were generated for each patient incorporating MSWs of 0.5, 1.0, and 1.5 cm while other planning parameters remained constant using the Monaco treatment planning system (TPS) with 6 MV X rays delivered from an Elekta Synergy linear accelerator. Plan quality and delivery efficiency were evaluated based on dose-volume histograms (DVHs), control points, monitor units (MUs), dosimetric measurement verification results, and plan delivery time.
resultsExcept for the small difference in target dose coverage and maximum dose, there were no statistically significant differences between the other dosimetric parameters in the planning target volumes. The 1.0 and 1.5 cm MSW plans showed lower maximum doses to the spinal cord than the 0.5 cm plan; doses to other organs at risks were similar regardless of MSWs. The mean reductions of total MUs when compared with the 0.5 cm plan were 14.5 ± 6.1% and 20.9 ± 7.9% for MSWs of 1.0 and 1.5 cm, respectively. The calculated gamma indices using the 3% and 3 mm criteria were 96.2 ± 0.6%, 97.0 ± 0.6%, and 97.6 ± 0.6% for the 0.5, 1.0 and 1.5 cm MSW plans, respectively. The plan delivery times decreased with increasing MSWs (p < 0.05).
conclusionIncreasing the MSW allows for improved plan delivery accuracy and efficiency without significantly affecting the VMAT plan quality. MSWs of 1.0 and 1.5 cm improved the plan quality, delivery accuracy, and efficiency for cervical VMAT radiation therapy.
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