Effect of immobilization mask and beam energy on dose coverage to small joints in treating osteoarthritis with low‐dose radiation therapy

Eclipse calculations are less accurate, and underestimate D<sub>95</sub> target dose by 7% even with bolus. When Monte Carlo is not available, prescribing to the D50 in Eclipse can lead to an actual D<sub>95</sub> coverage of >90%. The immobilization mask provides adequate buildup for 6 MV beam. To obtain the full benefit of lower-energy beams the 2.5 MV-flattened beam provided the best dose coverage regardless of the use of a mask when treating small joints.

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Publication Details

Journal
Medical Physics
Published
2025-09-01
DOI
https://doi.org/10.1002/mp.18099
Citations
1
Primary Topic
Advanced Radiotherapy Techniques
Type
article
Field-Weighted Citation Impact
1.88
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article

Effect of immobilization mask and beam energy on dose coverage to small joints in treating osteoarthritis with low‐dose radiation therapy

Eric T. Shinohara, G Ding, Kenneth Homann
1 citations
Medical Physics
Advanced Radiotherapy Techniques
1.88
article

Effect of immobilization mask and beam energy on dose coverage to small joints in treating osteoarthritis with low‐dose radiation therapy

Eric T. Shinohara, G Ding, Kenneth Homann
article en
1 citations

Abstract

Eclipse calculations are less accurate, and underestimate D<sub>95</sub> target dose by 7% even with bolus. When Monte Carlo is not available, prescribing to the D50 in Eclipse can lead to an actual D<sub>95</sub> coverage of >90%. The immobilization mask provides adequate buildup for 6 MV beam. To obtain the full benefit of lower-energy beams the 2.5 MV-flattened beam provided the best dose coverage regardless of the use of a mask when treating small joints.

Medical PhysicsVol. 52(9)
Vanderbilt University (US)
Openalex Percentile: Top 13%
Advanced Radiotherapy Techniques
1.88
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