研究生: |
王立莊 Li-Chuang Wang |
---|---|
論文名稱: |
使用金屬氧化半導體場校電晶體對頭頸部放射治療的活體劑量驗證 In vivo Dose Verification Using MOSFET for Head & Neck Radiotherapy |
指導教授: |
董傳中
Chuan-Jong Tung |
口試委員: | |
學位類別: |
碩士 Master |
系所名稱: |
原子科學院 - 生醫工程與環境科學系 Department of Biomedical Engineering and Environmental Sciences |
論文出版年: | 2004 |
畢業學年度: | 92 |
語文別: | 中文 |
論文頁數: | 56 |
中文關鍵詞: | 品質保證 、活體劑量度量 、入射劑量 、出射劑量 、金屬氧化半導體場校電晶體 |
外文關鍵詞: | quality assurance, QA, in vivo dosimetry, entrance dose, exit dose, MOSFET |
相關次數: | 點閱:3 下載:0 |
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在放射治療中,病患臨床接受劑量的驗證工作,是品質保證中重要的一環。而活體劑量度量(in vivo dosimetry)乃是一種簡單而又準確的驗證方式,它是在病患治療時即時確認的唯一方法,且它獨立於劑量計算系統之外,並可同時追蹤數個誤差。因此,活體劑量度量已逐漸形成為品質保證中之基本項目。
本研究使用金屬氧化半導體場效電晶體(metal oxide semiconductor field effect transistor, MOSFET)針對頭頸部、左右對照、深度相同之放射治療病患,進行活體劑量度量。將MOSFET劑量計置於入射及出射之皮膚表面,可測得入射劑量(entrance dose)及出射劑量(exit dose),兩者透過平均法或穿透率曲線法即可獲得病患體內之腫瘤劑量,推算之腫瘤劑量與醫囑之處方劑量比較,並追蹤其誤差來源。
研究結果共量測了32個照野,屬於10位病患,結果有40.625%照野的腫瘤劑量大於5 %之處方劑量,大於10 %的劑量誤差則有9.375 %。檢討整個治療流程,系統誤差可能來自於組織密度不均質(inhomogeneity)與頭部面罩之影響。除此之外,MOSFET劑量計之不穩定性,可能來自於其計讀系統,若操作不當其讀值將有明顯差異,因此也造成活體量測之不確定性。
經由本研究可建立一套包括校正劑量計、修正各治療條件、與實際病患量測之完整活體劑量驗證方式,而使用MOSFET劑量計做為臨床輻射度量有多項優點,包括體積小、簡單的校正程序、同步計讀、和反應之再現性佳等。也經由誤差分析,瞭解治療流程中可能發生誤差之程序,在決定治療計畫時應特別注意,以避免劑量誤差,達到品質保證之目的。
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