Evidence map›Paper›PMID 39546728›Full record

ArticleMedical physics2025

An energy-conserving dose summation method for dose accumulation in radiotherapy.

Hualiang Zhong

Abstract read
In one paragraph

Article in Medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Hualiang ZhongDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Funding

eXtended Modular ANthropomorphic (XMAN) phantom for Imaging and Treatment Optimization in Radiotherapy.R01EB032680 · NIBIB · UNIVERSITY OF MARYLAND BALTIMORE · PI REN, LEI, YANG, XIAOFENG · 2022 to 2025
$2.4M
3D In vivo dosimetry for FLASH proton therapyU01CA288351 · NCI · UNIVERSITY OF CALIFORNIA-IRVINE · PI Yong Chen, Lei Ren · 2024 to 2026
$1.8M
Hematopoietic Stem Cells (HSCs) as Juvenile Protective Factors that Alter AgingR01AG032680 · NIA · JACKSON LABORATORY · PI HARRISON, DAVID E · 2009 to 2011
$1.0M
National Institute of Biomedical Imaging and Bioengineering, NIH R01-EB032680NCI NIH HHS U01 CA288351NIBIB NIH HHS R01 EB032680
6 · The paper itself

Abstract

backgroundRadiation therapy often requires the accumulation of doses from multiple treatment fractions or courses for plan evaluation and treatment response assessment. However, due to underlying mass changes, the accumulated dose may not accurately reflect the total deposited energy, leading to potential inaccuracies in characterizing the treatment input. PURPOSE: This study introduces an energy-conserving dose summation method to calculate the total dose in scenarios where patients experience changes in body mass during treatment. METHODS AND MATERIALS: The proposed method transfers dose and mass data from dosimetry images, where the delivered doses were calculated, to a reference image using an energy and mass-conserving dose reconstruction technique. The reconstructed dose assumes the same resolution and dimension as the reference image. The transferred masses are averaged at each image voxel in the reference image to generate an average mass. The transferred doses are then adjusted by multiplying by the ratio of their transferred mass to the average mass, and subsequently summed to calculate a mass-weighted (MW) total dose at each voxel. This method is demonstrated with a case of lung cancer retreatment.

resultsThe MW total dose was shown to be equivalent to the total deposited energy divided by the average mass. In the lung cancer retreatment case, the energy derived from the MW total dose was consistent with the sum of energy transferred from two treatments across all evaluated organs.

conclusionThe MW dose summation method can produce a total dose that accurately reflects the total energy deposited in each organ. The consistency may provide a robust foundation for verifying dose accumulations in adaptive radiotherapy.

Indexed as

Radiation DosageRadiotherapy Planning, Computer-AssistedHumansLung NeoplasmsRadiometryRadiotherapy Dosageadaptive radiotherapydose accumulationenergy transfermass variationquality assurance

Identifiers

PMID39546728
PMCPMC11788027

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