CLINICAL RESULTS OF QUANTITIZING DOSES BY MOSFET DOSIMETRY MEASUREMENTS
IN PEDIATRIC BONE MARROW TRANSPLANT WITH TOTAL BODY IRRADIATION
Abstract
Total body irradiation is an important part of the pre-HSCT preparation
regimen. In treatments applied in combination with radiotherapy and
chemotherapy, survival is long-term, especially in pediatric cases. So,
increasing the quality of life of patients is as important as the
success of the treatment. Today, the general approach is the application
of the TBI with conventional radiotherapy devices.In the TBI
applications, it is recommended to use in-vivo dosimeters to measure,
quantify, control and monitor the dose homogeneity applied to the
patient.In this study, we evaluated the importance of inter-fraction
dose tracking for bilateral TBI irradiations, which is the most commonly
used, simple and feasible method.Measurements were made with MOSFET for
brain, neck, lung, umbilicus and pelvis regions in each fraction during
the entire treatment, to prevent inter-fractional variations. The
midline dose was calculated from the MOSFET skin doses and then
interpreted. Dosage tracking within fractions allows the revision of the
dosimetric errors that may occur between the fractions, and prevents the
transfer of the possible error to the next fraction. Thus, it is aimed
to minimize the possible side effects of the treatment and to reach the
maximum targeted dose that will prevent recurrence and/or graft failure.