Abstract
Bone Marrow Transplant (BMT) therapy has been a big success in the treatment of leukemia and other haematopoietic diseases1. Prior to BMT, total body irradiation (TBI) is given to the patient for the purpose of (1) killing leukemia cells in bone marrow, as well as in the whole body, and (2) producing immuno-suppressive status in the patient so that the donor’s marrow cells will be transplanted without rejection. TBI employs a very large field photon beam to irradiate the whole body of the patient. A uniform dose distribution over the entire body is the treatment goal. To prevent the occurrence of a serious side effect (interstitial pneumonia), the lung dose should not exceed a certain level. This novel technique poses various new radiological physics problems. The accurate assessment of dose and dose distribution in the patient is essential. Physical and dosimetric problems associated with TBI are reviewed elsewhere2,3.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
E. D. Thomas, “Marrow Transplantation for Malignant Diseases”, Jour. Clinical Oncology 1 (1983) 519.
G. P. Glasgow, “The Dosimetry of Fixed, Single Source Hemibody and Total Body Irradiators”, Med. Phys. 9 (1982) 311.
J. J. Broerse and A. Dutreix, “Physical Aspects of Total Body Irradiation”, J. Eur. Radiother. 3, (1982) 187.
J. R. Cunningham, Progress in Medical Radiation Physics, Vol. 1, edited by C. G. Orton, ( Plenum Press, 1982 ) 103.
S. Webb and R. P. Parker, “A Monte Carlo Study of the Interaction of External Beam X-radiation with Inhomogeneous Media”, Phys. Med. Biol. 23 (1978) 1043.
S. Webb and R. A. Fox, “Verification by Monte Carlo Methods of a Power Law Tissue-air Ratio Algorithm for Inhomogeneity Corrections in Photon Beam Dose Calculation”, Phys. Med. Biol. 25 (1980) 225.
A. Ito, “Three Dimensional Dose Calculation by the Monte Carlo Method”, Radiat. Therapy Sys. Res. 2 (SI) (1985) 25.
P. K. Kijewski, B. E. Bjarngard and P. L. Petti, “Monte Carlo Calculations of Scatter Dose for Small Field Sizes in a 60Co Beam”, Med. Phys. 13 (1986) 74.
R. Mohan, C. Chui and L. Lidofsky, “Differential Pencil Beam Dose Computation Model for Photons”, Med. Phys. 13 (1981) 64.
K. Han, D. Ballon, C. Chui and R. Mohan, “Monte Carlo Simulation of a Cobalt-60 Beam”, Med. Phys. 14 (1987) 414.
J. F. Williamson, “Monte Carlo Evaluation of Kerma at a Point for Photon Transport Problems”, Med. Phys. 14 (1987) 567.
W. R. Nelson, H. Hirayama and D. W. O. Rogers, “The EGS4 Code System”, Stanford Linear Accelerator report SLAC-265 (1985).
J. W. Wong, R. M. Henkelman, A. Fenster and H. E. Johns, “Second Scatter Contribution to Dose in a Cobalt-60 Beam”, Med. Phys. 8, (1981) 775.
J. H. Hubbell, “Photon Mass Attenuation and Mass Energy-Absorption Coefficients for H, C, N, O, Ar and Seven Mixtures from 0.1 keV to 20 Mev”, Radiat. Res. 70 (1977) 58.
A. Ito, Chapter 16, this book.
M. J. Berger and S. M. Seltzer, “Stopping Powers and Ranges of Electrons and Positrons”, NBSIR 82-2550-A (1982).
M. J. Day et al, “Central Axis Depth Dose Data for Use in Radiotherapy”, Brit. J. Radiol., Suppl. 17 (1983).
P. Ekström, H. Dahlin and B. Hongström, “A Generalized Format Specification for Use of CT Information in Radiotherapy Dose Calculation”, in Proc. of the Seventh ICCR, Tokyo, Japan, Sept. 22–26, 1980, edited by Y. Umegaki, p. 491.
P. W. Henson and R. A. Fox, “The Electron Density of Bone for Inhomogeneity Correction in Radiotherapy Planning Using CT Numbers”, Phys. Med. Biol. 29, (1984) 351.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Plenum Press, New York
About this chapter
Cite this chapter
Ito, A. (1988). Three-Dimensional Dose Calculation for Total Body Irradiation. In: Jenkins, T.M., Nelson, W.R., Rindi, A. (eds) Monte Carlo Transport of Electrons and Photons. Ettore Majorana International Science Series, vol 38. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1059-4_27
Download citation
DOI: https://doi.org/10.1007/978-1-4613-1059-4_27
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-8314-0
Online ISBN: 978-1-4613-1059-4
eBook Packages: Springer Book Archive