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Home > Quality Assurance of Three Dimensional Dosimetry for Radiation Applications in Medicine

Quality Assurance of Three Dimensional Dosimetry for Radiation Applications in Medicine

Thesis Info

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Author

Maria Atiq

Program

PhD

Institute

The Islamia University of Bahawalpur

City

Bahawalpur

Province

Punjab

Country

Pakistan

Thesis Completing Year

2019

Thesis Completion Status

Completed

Subject

Physics (Medical Physics)

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/10234/1/Maria%20Atiq_IIU%20Bwp.PDF

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676727053013

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The radiation therapy field is advancing continuously to achieve higher degrees of accuracy and efficiency. An optimized radiotherapy treatment planning guarantees the achievement of the treatment goals. The intent of this dissertation was to investigate quality of Intensity Modulated Radiotherapy (IMRT) treatment plans through analysis of dose volume histograms, Simultaneous Integrated Boost (SIB) IMRT and RapidArc plan verification using gamma index, and the analysis of wedge-shaped beam profile parameters with the viewpoint of optimizing the accuracy of the processes involved. This work has been split into three components with the same focus of attention of verifying and improving the quality assurance procedure. Firstly, dose conformity and homogeneity of IMRT plans for pelvic cancer patients had been explored. Then evaluation of pre-treatment dose verification was performed for H&N and cervix cancer patients by using gamma index. Lastly, analysis of wedge-shaped isodose curves has been determined to verify quality of radiation beams used. Firstly, this study aimed to investigate degree of conformity and homogeneity for pelvic patients using IMRT technique. Three different formulas of Conformity Index (CI) and four formulas of Homogeneity Index (HI), described in literature were analyzed using 15MV photon beam. In total, 18 patients were selected at random and dose of 5000 cGy was delivered in 25 equal fractions. CI suggested by International Commission on Radiation Units and Measurements (ICRU), Radiation Conformity Index (RCI) and CI PITV had mean ± standard deviation values of 1.02 ± 0.018, 0.98 ± 0.017, and 1.63 ± 0.333, respectively. Values of CI PITV exceeded acceptable value for 27% patients with minor deviation. Mean ±SD of HI A, HI B, HI C and HI D were 1·12±0·02, 0·13± 0·04, 0·10±0·02 and 0·99±0·03, respectively. Coefficient of determination between each set of HI values was known by calculating R2 value. No statistically significant differences were observed for three CIs reported. All the studied HIs can be effectively used for assessment of uniformity inside the target volume. However, values of HI C were closest to ideal value as compared with other three formulas; hence, it is considered a better measure to compute homogeneity of dose within target volume. 8 Secondly, this study aimed to estimate point-by-point difference between measured and calculated dose distribution in terms of both Distance to Agreement (DTA) and Dose Difference (DD) by using gamma analysis. Gamma evaluation was performed for dose verification of SIB IMRT and RapidArc plans. The portal dosimetry software (Varian Medical Systems, Palo, Alto, CA) performed gamma analysis. The dose difference and distance to agreement criteria can be defined individually. All gamma calculations were based on 3 mm DTA and 3% DD criteria for RapidArc plans and 3 mm DTA and 5% DD criteria for SIB IMRT plans. Plans of this study were deemed acceptable when passing rate was 95%. Thirteen SIB IMRT and all RapidArc cases pass tolerance criteria of 95% set by our institution. Findings of this work underlined the importance of gamma analysis method to predict the quality of dose calculation. Passing rate of 95% is achieved in 93% of SIB IMRT and for all RapidArc plans which is adequate level of accuracy for analyzed plans thus assuring the robustness of gamma analysis technique. Lastly, this exploration was intended to analyze photon beam profile parameters; symmetry, Central Axis (CAX) deviation, Field 50%, left and right penumbra, Dmin, Dmax, and homogeneity for 6 MV and 15 MV photon beam energies of wedge-shaped isodose curves to improve the efficiency of treatment plans. Treatment parameters like depth, wedge angle, and field size were varied to observe their effect on dosimetric characteristics of beam profiles in a water phantom, generated by Varian Clinac linear accelerator. It was concluded that these beam profile characteristics precisely agreed with the acceptance criteria as recommended by the radiotherapy protocols with very slight deviation. Wedge angle, field size, and depth dependency on wedge-shaped isodose curves should be taken into account to prevent any significant tumordose discrepancies for the cancer patients.
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کہتے ہیں اس جہاں کے یہ قصے حقیر ہیں

کہتے ہیں اس جہاں کے یہ قصے حقیر ہیں
جاناں تمھارے خواب بھی کتنے شریر ہیں

ہم آسمانِ زیست کے تابندہ لوگ تھے
ہم تیرے در پہ آ کے بنے جو فقیر ہیں

مصرع کمر ہے، شعر سی تصویر ہے تری
تجھ خوبرو کو دیکھنے آئے جو میرؔ ہیں

تیری رضا پہ ہے سرِ تسلیم خم مرا
تجھ زلف کے اے شوخ پرانے اسیر ہیں

گل ہو، گہر ہو، لعل ہو یا پورا چاند ہو
جاناں تمھارے حسن کے آگے حقیر ہیں

بزمِ فضاؔ میں ناز کا کیا کام گل بدن
یاں آئے بادشاہ بھی بن کر فقیر ہیں

مقاصد شریعت کا تصور اور ان کا اطلاق

According to Islamic Jurists the main objectives, or purpose of Islamic Law (Shariah) are the preservation of faith, life, intellect, progeny, and wealth. These five purposes are designated as necessities of life and these are the primary purposes of the Shariah (Islamic Law). Protection of faith is the first and foremost objective of the Islamic Law as the Quran clearly mentions worship of Allah as the purpose of creation of human being.  Protection of life is the second purpose and according to Islamic teachings human life is sacred. The Quran clearly forbids taking human life of a person without justification. Protection of Intellect is the third purpose as human being has been given superiority over other creatures by virtue of intellect and reason. A Person with sound mind and intellect can think, act, react well, this is why Islam prohibits all kinds of intoxicants because they are harmful and may disturb faculty of reasoning. Protection of Progeny is the fourth purpose as Islam emphasizes on the establishment of lawful relationship between man and woman. It is the foundation for the establishment of a value-based society. Islam considers unlawful relation harmful for individuals and community. This is the reason that Islam prohibits adultery. Protection of wealth is the fifth purpose and the Islamic teachings’ emphasis on acquisition of wealth by lawful means. While the Quran enjoins that one should not earn wealth by unlawful means.  These dharurat (necessities are followed by the hajat (needs) and thasinat (complementary values). However the scope of these purposes goes beyond them and they include protection of civilization, culture, establishing peace, harmony, security, elimination of violence, maintenance of equality, and so on.  In this article all these five kinds of dharurat (necessities) have been elaborated while in the last portion a review has been carried out for their relevance and implementation in the contemporary era.

Genetic Basis of Drought Tolerance and Some Polygenic Taits in Bread Wheat Triticum Aestivum L. Crosses

Comparison for some quantitatively controlled traits viz. number of tillers per plant, flag leaf area (cm2), plant height (cm), spike length (cm), days taken to ear emergence, days taken to maturity, number of spikelets spike-1, 1000-grain wt (g), number of grains spike-1, grain yield plant-1 (g) and drought tolerance using polyethylene glycol (PEG) method; was accomplished for 65 wheat genotypes using cluster analysis for determining phenotypic differences among the genotypes. Based on euclidian distance as a measure of dissimilarity for contrast in the traits and difference in the genetic back ground, eight genetically different genotypes i.e. May-1942, Pari-73, SVP-74, SVP-83, Dera -98, Zam-04, Gomal -08, and Hashim-08 were selected to attempt four cross combination i.e. May-1942 × Dera-98 (cross-1), SVP-74 × Zam-04 (cross-2), Pari-73 × Hashim-08 (cross-3) and SVP-83 × Gomal-08 (cross-4). After developing six basic populations for Joint segregation analysis SA i.e. P1, F1, P2, BC1, BC2 and F2, on the pattern of joint segregation analysis (JSA) the material was planted in three replications into two separate experimental sets i.e. one for determining gene action on quantitatively controlled traits under normal field conditions and the other under artificially created drought conditions in the field. Under normal conditions, genetic effects for the above mentioned morphological traits were determined using JSA of mixed inheritance model consisting of 24 genetic models as statistical approach. The analysis revealed that genetic model D-2 representing mixed one additive major gene and additive dominance polygene was best fitting for some crosses with respect to plant height, spike length, number of spikelets spike-1, number of grains per spike and 1000-grain wt (g). Model D, representing mixed one major-gene and additive-dominance-epistasis polygene was best fitting for flag leaf area and 1000-grain wt in some crosses. Whereas model D-1, representing mixed one major-gene and additive dominance polygene was the only best fitting for plant height in case of cross –2 (SVP-74 × Zam-04). Similarly, model D-4 representing mixed one negative dominance major gene and additive-dominant polygene was the only best fitting model for spike length (cm) in case of cross 2 (SVP-74 × Zam-04. Model E-1 representing mixed two major additive dominance epistatic genes plus additive dominant polygene was best fitting for plant height (cm), number of grains spike-1, days taken to maturity, flag leaf area (cm2), number of tillers per plant, days taken to flowering, grain yield (g) per plant and 1000-grain wt (g) in most of the crosses. Genetic model E, representing mixed two major additive dominance epistatic genes plus additive dominant epistasis of polygene was best fit for days taken to flowering, number of tillers per plant and number of grains spike-1 in few crosses. Whereas, genetic models E-3 representing mixed two major additive genes plus additive-dominant polygene was fitting for number of spikelets spike-1 and number of tillers per plant only in case of cross-2 (SVP-74 x Zam-04).