https://doi.org/10.1140/epjs/s11734-023-00893-7
Regular Article
Humerus absorbed dose in breast cancer postoperative radiotherapy. Simulation with FOTELP-VOX code and comparison with treatment planning system
1
Faculty of Science, University of Kragujevac, Kragujevac, Serbia
2
Institute for Information Technologies, University of Kragujevac, Kragujevac, Serbia
3
Centre for Radiation Oncology, University Clinical Centre Kragujevac, Kragujevac, Serbia
4
Department of Clinical Oncology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
5
Medical Physics Department, University Clinical Center Kragujevac, Kragujevac, Serbia
a
milena.zivkovic@pmf.kg.ac.rs
Received:
5
September
2022
Accepted:
15
May
2023
Published online:
5
June
2023
Determining the dose of scattered radiation absorbed by specific body organs and tissues in radiotherapy is very important. In this study, we chose the humerus to determine the absorbed dose in female breast cancer patients who have undergone postoperative radiotherapy. In addition to direct dosimetry, another way to determine the absorbed dose to an identified organ of the human body is the FOTELP-VOX simulation. Selected five patients were treated at the Centre for Radiation Oncology, University Clinical Center Kragujevac during 2021. All plans were done on the treatment planning system ECLIPSE-Version 15.6 (Varian). Treatment has been performed using the 3D-CRT technique. The results of the comparison of the calculated dose in the tumor and humerus using simulations show that the bulk dose to the humerus did not exceed the set expected maximums. However, clinicians need to be aware of the risk in order to expose the humerus as little as possible. The FOTELP-VOX code, a modification of the general-purpose FOTELP code, used in this study has proven to be a valid practical way to perform accurate calculations of three-dimensional dose distribution from the interactions of particles in a complex target.
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© The Author(s), under exclusive licence to EDP Sciences, Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.