ArticleReports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology2025
Clinical implementation of a hybrid solitary dynamic portal radiotherapy for left-sided post-mastectomy chest-wall and regional nodal irradiation using Monaco TPS.
Article in Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology, 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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Abstract
Background: A hybrid solitary dynamic portal radiotherapy (h-SDPRT) technique for complex chest-wall and regional nodal irradiation was clinically implemented on the Monaco treatment planning system (TPS) by effectively adapting the Eclipse-based h-SDPRT method with minimal amendments to align with Monaco-specific technical constraints while maintaining consistent and reproducible dosimetric outcomes. Materials and methods: This technique was evaluated on ten left-sided post-mastectomy radiotherapy (PMRT) patients, delivering 80-85% of the prescribed dose through asymmetric static open field apertures with the Elekta Agility multileaf collimator (MLC), and the remaining 15-20% via a unidirectional solitary dynamic field with differential blocks, composed of 10-15 MLC control points (4-5% of the dose per segment). Results: The h-SDPRT plans demonstrated excellent dose coverage to the chest-wall target (D Conclusions: The h-SDPRT technique minimizes the risk of "geometrical miss" and reduces delivery uncertainties associated with irregular or thin chest-wall with comprehensive nodal irradiation. By combining dominant static portals with simplified unidirectional dynamic field sequencing strategy, this approach provides a feasible and effective solution for PMRT.
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