IMRT in a Pregnant Patient: How to Reduce the Fetal Dose?

Medical Dosimetry

Volumn 34, Issue 4, 2009, Pages 301-310

  Josipović, Mirjana ^a   Nyström, Håkan ^a   Kjær Kristoffersen, Flemming ^a  

^a University of Copenhagen   (Denmark)

Author keywords

Fetal dose; IMRT; Pregnancy; Shielding

Indexed keywords

ADULT; ARTICLE; CASE REPORT; DOSIMETRY; FEMALE; FETUS GROWTH; HEAD AND NECK CANCER; HUMAN; INTENSITY MODULATED RADIATION THERAPY; PHANTOM; PREGNANCY; PRIORITY JOURNAL; RADIATION DOSE; RADIATION DOSE DISTRIBUTION; RADIATION SCATTERING; RADIATION SHIELD; TREATMENT PLANNING;

ADULT; BODY BURDEN; FEMALE; HEAD AND NECK NEOPLASMS; HUMANS; PREGNANCY; PREGNANCY COMPLICATIONS, NEOPLASTIC; PRENATAL EXPOSURE DELAYED EFFECTS; RADIATION PROTECTION; RADIOMETRY; RADIOTHERAPY DOSAGE; RADIOTHERAPY PLANNING, COMPUTER-ASSISTED; RADIOTHERAPY, CONFORMAL;

EID: 70350211118     PISSN: 09583947     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.meddos.2008.11.003     Document Type: Article

References (24)

1. Stovall M., Blackwell C.R., Cundiff J., et al. Fetal dose from radiotherapy with photon beams: Report of AAPM Radiation Therapy Committee Task Group No. 36. Med. Phys 22 (1995) 63-82 22:1353-4
2. Stern R.L. Peripheral dose from a linear accelerator equipped with multileaf collimation. Med. Phys 26 (1999) 559-563
3. Mutic S., and Klein E.E. A reduction in the AAPM TG-36 reported peripheral dose distributions with tertiary multileaf collimation. Int. J. Radiat. Oncol. Biol. Phys 44 (1999) 947-953
4. Sherazi S., and Kase K.R. Measurement of dose from secondary radiation outside a treatment field: Effects of wedges and blocks. Int. J. Radiat. Oncol. Biol. Phys 11 (1985) 2171-2176
5. Kase K.R., Svensson G.K., Wolbarst A.B., et al. Measurements of dose from secondary radiation outside a treatment field. Int. J. Radiat. Oncol. Biol. Phys 9 (1983) 1177-1183
6. Sneed P.K., Albright N.W., Wara W.M., et al. Fetal dose estimates for radiotherapy of brain tumors during pregnancy. Int. J. Radiat. Oncol. Biol. Phys 32 (1995) 823-830
7. Podgorsak M.B., Meiler R.J., Kowal H., et al. Technical management of a pregnant patient undergoing radiation therapy to the head and neck. Med. Dosim 24 (1999) 121-128
8. Moeckli R., Ozsahin M., Valley J.F., et al. Fetal dose reduction in head and neck radiotherapy of a pregnant woman. Z. Med. Phys 14 (2004) 168-172
9. Webb S. Contemporary IMRT: Developing physics and clinical implementation (2005), Institute of Physics Publishing, Bristol
10. Chui C.-S., Chan M.F., Yorke E., et al. Delivery of intensity-modulated radiation therapy with a conventional multileaf collimator: Comparison of dynamic and segmental methods. Med. Phys 28 (2001) 2441-2449
11. Sharma D.S., Animesh, Deshpande S.S., et al. Peripheral dose from uniform dynamic multileaf collimation fields: Implications for sliding window intensity-modulated radiotherapy. Br. J. Radiol 79 (2006) 331-335
12. ICRP. Pregnancy and medical radiation. Annals ICRP, Publication 84 30 (2000) 1
13. Nuyttens J.J., Prado K.L., Jenrette J.M., et al. Fetal dose during radiotherapy: Clinical implementation and review of the literature. Cancer/Radiother 6 (2002) 352-357
14. Prado K.L., Nelson S.L., Nuyttens J.J., et al. Clinical implementation of the AAPM Task Group 36 recommendations on fetal dose from radiotherapy with photon beams: A head and neck irradiation case report. J. Appl. Clin. Med. Phys 1 (2000) 1-7
15. Cygler J., Ding G.X., Kendal W., et al. Fetal dose for a patient undergoing mantle field irradiation for Hodgkin's disease. Med. Dosim 22 (1997) 135-137
16. Islam M.K., Saeedi F., and Al-Rajhi N. A simplified shielding approach for limiting fetal dose during radiation therapy of pregnant patients. Accessed. Int. J. Radiat. Oncol. Biol. Phys 49 (2001) 1469-1473
17. DAHANCA. Guidelines for radiation therapy of head and neck cancer incl. IMRT [Danish]. Accessed December 30, 2008 (2004). www.dahanca.dk
18. Fraas B.A., and van de Geijn J. Peripheral dose from megavolt beams. Med. Phys 10 (1983) 809-818
19. van der Giessen P.H. Collimator-related radiation dose for different cobalt machines and linear accelerators. Int. J. Radiat. Oncol. Biol. Phys 35 (1996) 399-405
20. NCRP. Structural shielding design and evaluation for medical use of x-rays and gamma rays of energies up to 10 MeV. NCRP Report No. 49 (1976), NCRP
21. Atabo, A.; Bradley, P.J. Management principles of head and neck cancers during pregnancy: A review and case series. Oral Oncol. In press.
22. DAHANCA-14: Concomitant cisplatin and radiation therapy of rhinopharynxcancer: Guidelines for combined radiation and chemotherapy of rhinopharynxcancer [Danish]. Accessed (2007). www.dahanca.dk
23. Doll R., and Wakeford R. Risk of childhood cancer from fetal irradiation. Br. J. Radiol 70 (1997) 130-139
24. Kal H.B., and Struikmans H. Radiotherapy during pregnancy: Fact and fiction. Lancet Oncol 6 (2005) 328-333