Journal of Radiation Research and Radiation Processing, Volume. 43, Issue 1, 010301(2025)

Jaw automated tracking techniques in volumetric modulated arc therapy plans for multiple brain metastases

Jianhua JIN1, Ming LI1, Bo YUAN2, and Zhongya LI2、*
Author Affiliations
  • 1Department of Radiation Oncology, Tumor Hospital Affiliated to Nantong University, Nantong 226361, China
  • 2Department of Radiation Oncology, Yunyang County People’s Hospital, Chongqing 404500, China
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    Figures & Tables(7)
    BEV vision of VMAT plan and JAW position: (a) JAT technique; (b) JMF technique
    Dose distribution of a patient: (a) JAT plan; (b) JMF plan Dose line in Fig.2 are for 4 600 cGy, 4 400 cGy, 4 000 cGy, and 2 000 cGy (red arrow) (color online)
    Transmission of JAW and MLC
    • Table 1. Comparison of PTV uniformity and conformance between the JAT and JMF plans

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      Table 1. Comparison of PTV uniformity and conformance between the JAT and JMF plans

      评价指标

      Evaluation indicator

      JATJMFtp
      PTVTotalCI0.811±0.1090.791±0.1210.300.75
      HI0.060±0.0150.080±0.0121.020.02
    • Table 2. Comparison of planned target dosimetry between the two groups

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      Table 2. Comparison of planned target dosimetry between the two groups

      评价指标

      Evaluation indicator

      JATJMFtp
      PTVTotalD98%4 313±834 268±1041.020.03
      / cGyD50%4 573±1024 552±830.400.35
      D2%4 680±784 734±1001.220.04
      EUD4 569±414 572±411.350.45
    • Table 3. Comparison of OARs dosimetry between the two groups

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      Table 3. Comparison of OARs dosimetry between the two groups

      评价指标

      Evaluation indicator

      JATJMFtp

      全脑

      Brain

      Dmean / cGy853.8±317.6893.4±339.63.010.01
      V5 / %71.1±12.373.5±13.32.120.01
      V10 / %56.1±13.360.2±12.71.070.01
      V15 / %37.9±11.639.2±12.31.070.03
      V20 / %28.5±11.429.5±11.50.150.04
      V25 / %19.9±6.320.5±6.50.230.05
      脑干BrainstemDmax / cGy1 343 ±9111 415±9550.610.41
      EUD / cGy627±411667±4470.450.55
    • Table 4. Comparison of passing rate of validation results and treatment time between the two groups

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      Table 4. Comparison of passing rate of validation results and treatment time between the two groups

      JATJMFtp

      剂量验证通过率/ %

      gamma passing rates

      97.5±1.596.2±2.41.020.02

      治疗时间 / s

      Treatment time

      145±35142±420.560.76
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    Jianhua JIN, Ming LI, Bo YUAN, Zhongya LI. Jaw automated tracking techniques in volumetric modulated arc therapy plans for multiple brain metastases[J]. Journal of Radiation Research and Radiation Processing, 2025, 43(1): 010301

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    Paper Information

    Category: RADIOBIOLOGY AND RADIOMEDICINE

    Received: Jul. 10, 2024

    Accepted: Oct. 17, 2024

    Published Online: Mar. 13, 2025

    The Author Email: Zhongya LI (李中亚)

    DOI:10.11889/j.1000-3436.2024-0060

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