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Changes of dose distribution during preoperative VMAT for rectal cancer

Research Project

Project/Area Number 25861075
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Radiation science
Research InstitutionThe University of Tokyo

Principal Investigator

YAMASHITA Hideomi  東京大学, 医学部附属病院, 助教 (70447407)

Project Period (FY) 2013-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
KeywordsCBCT / IGRT / 直腸癌術前照射 / Rectal motion / Rectal cancer / IMRT / SIB / 直腸の動き / 直腸癌 / コーンビームCT / 強度変調放射線治療 / 標的体積内同時ブースト / 回転型強度変調放射線治療 / VMAT / 術前照射 / 局所進行下部直腸癌
Outline of Final Research Achievements

There were 32 patients in this study undergoing preoperative CRT for rectal cancer. Each rectum and bladder was contoured on all planning CTs and CBCTs (day 1, 7, 13, 19, 25). The target volume was configured by adding margins (0, 3, 5, 7, 10, and 15 mm) to the rectum on planning CT. The respective percentage of rectal volume that exceeds the target volume was calculated for each of these margins. Planning CTs and series of each 5 CBCTs for 32 patients were analyzed in this study. The rectal volume tended to shrink week after week. The mean values (± SD) in the 32 series per patient of the percentage of rectum on the CBCTs exceeding target volume in which the margins of 0, 3, 5, 7, 10, and 15 mm were added to the rectum on planning CT were 20.7 ± 12.5%, 7.2 ± 8.3%, 3.9 ± 5.9%, 2.1 ± 3.9%, 0.7 ± 1.8%, and 0.1 ± 0.3%, respectively. No association was seen between the percentage of changes of bladder volume and motion of rectal centroid.

Report

(3 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • Research Products

    (5 results)

All 2015 2013

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (4 results)

  • [Journal Article] Analysis of motion of the rectum and bladder during preoperative intensity modulated radiation therapy for rectal cancer using cone-beam computed tomography2015

    • Author(s)
      Hideomi Yamashita, Ryousuke Takenaka, Akira Sakumi, Akihiro Haga, Kuni Otomo and Keiichi Nakagawa
    • Journal Title

      Radiation Oncology

      Volume: 10 Issue: 1 Pages: 1-7

    • DOI

      10.1186/s13014-014-0311-6

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 術前放射線治療を施行した直腸癌症例における治療前FDG-PETと予後ついての検討2013

    • Author(s)
      大森万美・山下英臣
    • Organizer
      日本放射線腫瘍学会第26回学術大会
    • Place of Presentation
      ホテル青森 3階 あすなろAB 第4会場
    • Related Report
      2013 Research-status Report
  • [Presentation] VMAT-SIBを用いた直腸癌術前照射における急性期・亜急性期毒性の時間変動2013

    • Author(s)
      山下英臣
    • Organizer
      日本放射線腫瘍学会第26回学術大会
    • Place of Presentation
      ホテル青森 3階 あすなろAB 第4会場
    • Related Report
      2013 Research-status Report
  • [Presentation] 直腸癌術前放射線治療期間中の直腸inter-fraction motionの解析2013

    • Author(s)
      竹中亮介・山下英臣
    • Organizer
      日本放射線腫瘍学会第26回学術大会
    • Place of Presentation
      ホテル青森
    • Related Report
      2013 Research-status Report
  • [Presentation] SIB method using VMAT-IMRT in preoperative chemoradiation for 16 patients with locally-advanced rectal cancer2013

    • Author(s)
      Hideomi Yamashita
    • Organizer
      ESTRO
    • Place of Presentation
      Geneva in Switzerland
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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