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Research ArticleOriginal Article
Open Access

The impact of sinusitis on dose distribution in a radiotherapy plan by in silico study

Hanan M. Alzahrani
Saudi Medical Journal March 2024, 45 (3) 235-240; DOI: https://doi.org/10.15537/smj.2024.45.3.20230520
Hanan M. Alzahrani
From the Department of Radiology Technology, College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
PhD
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  • Figure 1
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    Figure 1

    - The positioning of the maxillary sinus in relation to planning target volume (PTV), clinical target volume (CTV) and organs at risk.

  • Figure 2
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    Figure 2

    - Different scenarios of sinusitis A) the original CT, B) modified phantom for experiment 1 (half water-filled sinuses) referred to as scenario b, C) the scenario c for experiment 2 (fully water-filled sinuses).

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    Figure 3

    - The linear accelerator treatment head.

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    Figure 4

    - The percentage depth dose in the phantom, ranging from -17 cm to 3 cm, are displayed in different scenarios: a) using a 3 cm x 3 cm field size, b) a 5 cm x 5 cm field size, and c) a 10 cm x 10 cm field size. The grey shaded area represents this range within the patient. The blue shaded area, spanning from -15 cm to -10 cm, corresponds to the sinuses, while the yellow shaded area, ranging from -12.5 cm to -7 cm, represents planning target volume.

Tables

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    Table 1

    - The averaged dose difference and 2D evaluating GPRs percentages for various field sizes within PTV.

    Field size (cm2)3x35x510x10
    Scenariobcbcbc
    Dose difference (%)PTVat sinusitis14.0317.007.908.278.058.50
    after sinusitis-2.64-5.10-2.82-5.14-3.14-6.06
    2D GPRs (%) 94.5094.5096.9096.9092.6092.50

    PTV: planning target volume, GPRs: gamma passing rates

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    Saudi Medical Journal: 45 (3)
    Saudi Medical Journal
    Vol. 45, Issue 3
    1 Mar 2024
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    The impact of sinusitis on dose distribution in a radiotherapy plan by in silico study
    Hanan M. Alzahrani
    Saudi Medical Journal Mar 2024, 45 (3) 235-240; DOI: 10.15537/smj.2024.45.3.20230520

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    The impact of sinusitis on dose distribution in a radiotherapy plan by in silico study
    Hanan M. Alzahrani
    Saudi Medical Journal Mar 2024, 45 (3) 235-240; DOI: 10.15537/smj.2024.45.3.20230520
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    Keywords

    • anatomical changes
    • dosimetry
    • radiotherapy
    • sinusitis

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