{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T13:47:23Z","timestamp":1791035243595,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,9,6]],"date-time":"2012-09-06T00:00:00Z","timestamp":1346889600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Applied Clin Med Phys"],"published-print":{"date-parts":[[2012,9]]},"abstract":"The purpose of this study was to assess the feasibility of using a multiple partial volumetric\u2010modulated arcs therapy (MP\u2010VMAT) technique on the left breast irradiation and to evaluate the dosimetry and treatment efficiency. Ten patients with left\u2010sided breast cancer who had been treated by whole breast irradiation were selected for the treatment plan evaluation by using six partial volumetric modulated arcs. Each arc consisted of a 50\u00b0 gantry rotation. The planning target volumes and the normal organs, including the right breast, the bilateral lungs, left ventricle, heart, and unspecified tissue, were contoured on the CT images. Dose\u2010volume histograms were generated and the delivery time for each arc was recorded. The PTV received greater than 95% of the for all cases, and the maximum dose was within of 110% of the prescription dose. The mean homogeneity index (HI) was , and mean conformity index (CI) was . The mean dose, , , , and of the heart were , 59.73% , 24.39% , 2.52% , and 1.57% , respectively. The volume of the left ventricle receiving 25 Gy was 5.15% . The total lung mean dose was , with of 25.39% and of 5.66% . The right breast received a mean dose of , with of 1.83% and of 0.04% . The mean dose of unspecified tissue was and was 22.23% . The volume of the unspecified tissue receiving 50 Gy was 0.50% . The mean delivery time for each arc was 13.9 seconds. The average MU among ten patients was 511 MU (range 443 to 594 MUs). The MP\u2010VMAT technique for the left\u2010sided breast cancer patients achieved adequate target dose coverage while maintaining low doses to organs\u2010at\u2010risk, and therefore reduced the potential for induction of second malignancy and side effects. The highly efficient treatment delivery would be beneficial for improving patient throughput, providing patient comfort, and achieving precise treatment with the breathing control system.<\/jats:p>PACS number: 87.55.\u2010x, 87.55.D\u2010, 87.55.dk<\/jats:p>","DOI":"10.1120\/jacmp.v13i5.3806","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T22:50:23Z","timestamp":1488235823000},"page":"62-73","source":"Crossref","is-referenced-by-count":32,"title":["The feasibility study of using multiple partial volumetric\u2010modulated arcs therapy in early stage left\u2010sided breast cancer patients"],"prefix":"10.1002","volume":"13","author":[{"given":"Ping\u2010Fang","family":"Tsai","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology Chang Gung Memorial Hospital Tao\u2010Yuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih\u2010Min","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Chang Gung Memorial Hospital Tao\u2010Yuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shen\u2010Hao","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Chang Gung Memorial Hospital Tao\u2010Yuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chie\u2010Yi","family":"Yeh","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Chang Gung Memorial Hospital Tao\u2010Yuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010Ting","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Chang Gung Memorial Hospital Tao\u2010Yuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung\u2010Chi","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Radiological Science Chang Gung University Tao\u2010Yuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji\u2010Hong","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Chang Gung Memorial Hospital Tao\u2010Yuan Taiwan"},{"name":"Department of Medical Imaging and Radiological Science Chang Gung University Tao\u2010Yuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,9,6]]},"reference":[{"issue":"2","key":"e_1_2_7_2_1","first-page":"109","article-title":"A comparative study of surface dose and dose distribution for intact breast following irradiation with field\u2010in\u2010field technique vs. the use of conventional wedges","volume":"29","author":"Torre N","year":"2004","journal-title":"MedDosim."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.15.2488"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-8140(00)00152-3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.1823571"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-7-9"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2005.01.029"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/93.23.1806"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(99)00420-4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(01)02770-5"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(03)00203-7"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199203193261201"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/02841860802657227"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2005.08.004"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2007.06.060"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/28583675"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2005.12.044"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clon.2009.01.010"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2008.11.004"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-717X-4-27"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.meddos.2007.10.001"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1118\/1.2818738"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2009.05.038"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1088\/0031-9155\/55\/12\/N01"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2005.07.009"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2004.03.012"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2003.07.005"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2006.12.058"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2007.01.028"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1088\/0031-9155\/54\/22\/007"},{"issue":"7","key":"e_1_2_7_31_1","first-page":"354","article-title":"Postoperative irradiation of left\u2010sided breast cancer patients and cardiac toxicity","volume":"184","author":"Stranzl H","year":"2008","journal-title":"Does deep inspiration breath\u2010hold (DIBH) technique protect the heart? Strahlenther Onkol."},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(99)00056-5"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(02)04617-5"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2005.09.028"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(98)00196-5"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(99)00183-2"}],"container-title":["Journal of Applied Clinical Medical Physics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1120%2Fjacmp.v13i5.3806","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1120%2Fjacmp.v13i5.3806","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/pdf\/10.1120\/jacmp.v13i5.3806","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T07:05:29Z","timestamp":1696575929000},"score":1,"resource":{"primary":{"URL":"https:\/\/aapm.onlinelibrary.wiley.com\/doi\/10.1120\/jacmp.v13i5.3806"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9]]},"references-count":35,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1120\/jacmp.v13i5.3806"],"URL":"https:\/\/doi.org\/10.1120\/jacmp.v13i5.3806","archive":["Portico"],"relation":{},"ISSN":["1526-9914","1526-9914"],"issn-type":[{"value":"1526-9914","type":"print"},{"value":"1526-9914","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9]]}}}