Akademik Veri Yönetim Sistemi
TURK ONKOLOJI DERGISI-TURKISH JOURNAL OF ONCOLOGY, sa.3, ss.307-315, 2024 (ESCI)
OBJECTIVE In this study, different fraction sizes in prostate cancer will be examined using a radiobiological model. METHODS Fifty patients diagnosed with low-risk prostate cancer who were treated between 2009 and 2021 were identified retrospectively. Conventional (CF) and ultra-hypofractionated (HF) volume-adjusted arc plans were calculated for selected prostate patients. Mathematical formulations were created for radiobiological modeling of tumor control probability (TCP) and normal tissue complication probability (NTCP) in the Matlab program. Dose-volume histogram (DVH) data of the plans were examined in the Matlab program. RESULTS Bladder and rectum NTCP values were significantly lower in the HF technique compared to the CF technique (p<0.05). For femoral heads, NTCP was similar (p=0.317). For the planned target volume, TCP values obtained with the HF technique are significantly higher compared to the CF technique (p=0.000). CONCLUSION Higher TCP values were obtained with the HF technique. It has been observed that normal tissues receive lower doses. This may be associated with high local control rates while providing similar toxicity. HF treatment may be preferred in prostate cancer because the total treatment duration is shorter and the dose applied to critical organs is lower. Radiobiological models are very instructive for comparing treatment schemes in radiotherapy plans. The Matlab program we created is a very helpful tool for the radiation oncologist and medical physicist to evaluate their plans.