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Fig. 6 | Radiation Oncology

Fig. 6

From: Present state and issues in IORT Physics

Fig. 6

Maximum, mean and minimum doses in 10 mm thick spherical shells of tissue surrounding Intrabeam breast applicators for different depths of prescription of the reference dose with different sizes of applicators. a prescription at the applicator surface. b prescription at 10mm distance from the applicator surface. c prescription at 20mm distance from the applicator surface. The prescription dose is defined as unity for the minimum target dose with the 30mm applicator in each diagram. For small applicators, a prescription at the applicator surface (a) produces smaller overdoses at the applicator surface, however also lower doses at a depth of 10mm which is considered as the margin surrounding the tumor cavity which must be treated. Prescription at 10mm depth ensures that the desired dose arrives at this depth, produces higher overdoses for small applicators, prescription at 20mm depth increases the overdoses. Therefore the authors conclude that a prescription at 10mm depth is the best compromise in order to ensure that desired dose arrives at depth for all applicator sizes. From Ebert and Carruthers (2003) [35]

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