1SENIOR RESIDENT DEPARTMENT OF RADIATION ONCOLOGY ACTION CANCER HOSPITAL, PASCHIM VIHAR DELHI
2Consultant Department of Radiation Oncology Rajiv Gandhi Cancer Institute and research centre,Delhi.
3Associate consultant Department of Radiation Oncology Action Cancer Hospital Paschim vihar, Delhi, India
4Consultant, Rajiv Gandhi Cancer Institute and research centre Delhi, india
5Chief Medical Physicist, Rajiv Gandhi Cancer Institute and research centre Delhi, india
6Medical Physicist, Rajiv Gandhi Cancer Institute and research centre Delhi, india
Objective: To compare dosimetric parameters of 3 dimensional conformal radiotherapy (3 DCRT) and intensity modulated radiotherapy (IMRT) in terms of target coverage and doses to organs at risk (OAR) in the management of rectal carcinoma. Methods: In this prospective study, conducted between August 2014 and March 2016, all patients underwent CT simulation along with a bladder protocol and target contouring according to the Radiation Therapy Oncology Group (RTOG) guidelines. Two plans were made for each patient (3 DCRT and IMRT) for comparison of target coverage and OAR. Result: A total of 43 patients were recruited into this study. While there were no significant differences in mean Planning Target Volume (PTV) D95% and mean PTV D98% between 3 DCRT and IMRT, mean PTV D2% and mean PTV D50% were significantly higher in 3 DCRT plans. Compared to IMRT, 3 DCRT resulted in significantly higher volumes of hot spots, lower volumes of cold spots, and higher doses to the entire OAR. Conclusion: This study demonstrated that IMRT achieves superior normal tissue avoidance (bladder and bowel) compared to 3 DCRT, with comparable target dose coverage.