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Four field prostate treatments are a standard treatment procedure in radiotherapy. Dose in the prostate and rectum region were calculated for 6MV and 18MV photon beams on an anthropomorphic phantom with a collapsed cone convolution method using a 3-D planning system. Validation has been performed with radiographic film and thermoluminescent dosimeters. Results have shown that the pinnacle planning system has accurately modelled doses delivered to a heterogeneous phantom with calculations and measurements agreeing within ±3% over most areas. When treating clinically, considerations such as the volume of bowel gas should be taken into account when planning. A sample of patient CT scans showed that in the absence of a heterogeneity correction, the error in estimated dose through the rectum could be as high as 8% in the presence of large volumes of rectal gas. Considerations, such as whether the patient undergoes another CT scan, the bowel gas volume ignored or assigned a specific density needs to be taken into account and brought to the attention of the radiation oncologists for accurate treatment.
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Yu, P.K.N., Cheung, T. & Butson, M.J. Prostate dosimetry in an anthropomorphic phantom. Australas. Phys. Eng. Sci. Med. 27, 60 (2004). https://doi.org/10.1007/BF03178377
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DOI: https://doi.org/10.1007/BF03178377