There are many cases where treatment of breast cancer was performed with thin body contours, especially after the breast mastectomy. This may lead in a larger radiation dose in the lungs, so that a bolus is needed to compensate the thin body for the optimal dose distribution. This study was aimed to compare the dose distribution in the breast cancer treatment between using commonly used of the plasticine bolus and newly developed bolus, i.e. the sillicone rubber. The study was implemented in the chest of an anthropomorphic phantom. The anthropomorphic phantom was scanned using a CT scanner without bolus and with boluses of the plasticine and the silicone rubber. The dose distribution was calculated using the Xio treatment planning system (TPS). The results show that a dose reduction of the sillicone rubber bolus that reaches the breast tissue higher than the plasticine bolus. This is because the silicone rubber bolus has a higher number electron density than the plasticine bolus. The silicone rubber bolus may produce an optimal dose homogeneity within breast cancer and relatively lower dose to the lung.
Read full abstract