TY - JOUR
T1 - [Verification of the protective effect of a testicular shield in postoperative radiotherapy for seminoma].
AU - Matsumoto, Yoshitsugu
AU - Umezu, Yoshiyuki
AU - Fujibuchi, Toshioh
AU - Noguchi, Yoshitaka
AU - Fukunaga, Jyunichi
AU - Kimura, Tomoko
AU - Hirano, Naomi
AU - Hirose, Takaaki
AU - Sonoda, Shinjiro
AU - Matsumoto, Ryoji
N1 - Copyright:
This record is sourced from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
PY - 2014/9
Y1 - 2014/9
N2 - In postoperative radiotherapy for seminoma, control of the testicular absorbed dose is important, since exposure of the testis can lead to temporary or permanent infertility. In this case, instead of using a dog-leg-shaped field, treatment using a field focused near the aorta was provided in several disease stages of seminoma. However, the precise need for testicular shielding during treatment and dose of testis exposure was not clear. We examined these questions by measuring the testicular absorbed dose with and without a testicular shield using two clinical treatment plans and a phantom. The distance from the testis phantom and the lower end of the irradiation field was varied. Where the total dose for the tumor was 20 Gy, the testicular absorbed dose was below 0.1 Gy, the threshold dose for temporary infertility. At this dosage, the distance between the testis phantom and the edge of the irradiation field was 14.6 cm without the shield and 9.99 cm with the shield. Using a testes shield, it was thus possible to reduce the dose by 58.5%.
AB - In postoperative radiotherapy for seminoma, control of the testicular absorbed dose is important, since exposure of the testis can lead to temporary or permanent infertility. In this case, instead of using a dog-leg-shaped field, treatment using a field focused near the aorta was provided in several disease stages of seminoma. However, the precise need for testicular shielding during treatment and dose of testis exposure was not clear. We examined these questions by measuring the testicular absorbed dose with and without a testicular shield using two clinical treatment plans and a phantom. The distance from the testis phantom and the lower end of the irradiation field was varied. Where the total dose for the tumor was 20 Gy, the testicular absorbed dose was below 0.1 Gy, the threshold dose for temporary infertility. At this dosage, the distance between the testis phantom and the edge of the irradiation field was 14.6 cm without the shield and 9.99 cm with the shield. Using a testes shield, it was thus possible to reduce the dose by 58.5%.
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U2 - 10.6009/jjrt.2014_JSRT_70.9.883
DO - 10.6009/jjrt.2014_JSRT_70.9.883
M3 - Article
C2 - 25242597
AN - SCOPUS:84908614331
VL - 70
SP - 883
EP - 887
JO - Nippon Hoshasen Gijutsu Gakkai zasshi
JF - Nippon Hoshasen Gijutsu Gakkai zasshi
SN - 0369-4305
IS - 9
ER -