Graduate Degree Type
Medical Dosimetry (M.S.)
HyperArc-VMAT and GammaKnife treatment techniques are both considered to be the best types of SRS treatment methods regarding conformity, homogeneity, gradient, and mean brain dose. The BED calculation is used to calculate the treatment regimens that are effective biologically and used for extrapolation to normal tissue limits.
This is a retrospective study that analyzes 15 lesions from 10 randomly selected patients with brain metastasis within the cerebrum. Each of the lesions had a single fraction treatment plan created using the same PTV for the HyperArc-VMAT and GammaKnife techniques. Each treatment technique was dose escalated until the healthy brain tissue constraint for a single fraction CNS radiosurgery of V12Gy < 5-l0cc was maxed out. That dose was then used for the BED calculation and two the treatments were compared.
An independent sample t-test was conducted to evaluate the hypothesis that there will not be a correlation between the BED when comparing the two treatment techniques, HyperArc and GammaKnife, when evaluating the tumor size and normal brain tissue. The results indicated no statistical significance of the BED of the HyperArc and the GammaKnife treatment techniques. The HyperArc BED mean is 33177.07 (range: 2637- 137108) and the GK BED mean is 37146.53 (range: 1710- 156000). The BED shows a negative correlation when looking at the increase of tumor size.
GammaKnife had the highest BED, however there was no significant correlation between the two treatment techniques that were compared. In conclusion, the overall results of this study exhibit that the GK and HyperArc treatment plans had similar biological effective doses.
Merfert, Carrie, "When comparing HyperArc and GammaKnife treatment techniques for brain metastasis, which technique offers optimal treatment to achieve the highest Biological Effective Dose (BED)?" (2022). Culminating Experience Projects. 204.
Available for download on Thursday, August 17, 2023