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Physics and Imaging in Radiation Oncology
Article . 2024 . Peer-reviewed
License: CC BY
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PubMed Central
Article . 2024
License: CC BY
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https://doi.org/10.2139/ssrn.4...
Article . 2023 . Peer-reviewed
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Effects of Modern Aesthetic Dental Fillings on Proton Therapy

Authors: Yun Ming Wong; Calvin Wei Yang Koh; Kah Seng Lew; Clifford Ghee Ann Chua; Ping Lin Yeap; Wibawa Andrew; Master Zubin; +5 Authors

Effects of Modern Aesthetic Dental Fillings on Proton Therapy

Abstract

High-density dental fillings pose a non-negligible impact on head and neck cancer treatment. For proton therapy, stopping power ratio (SPR) prediction will be significantly impaired by the associated image artifacts. Dose perturbation is also inevitable, compromising the treatment plan quality. While plenty of work has been done on metal or amalgam fillings, none has touched on composite resin (CR) and glass ionomer cement (GIC) which have seen an increasing usage. Hence, this work aims to provide a detailed characterisation of SPR and dose perturbation in proton therapy caused by CR and GIC.Four types of fillings were used: CR, Fuji Bulk (FB), Fuji II (FII) and Fuji IX (FIX). The latter three belong to GIC category. Measured SPR were compared with SPR predicted using single-energy computed tomography (SECT) and dual-energy computed tomography (DECT). Dose perturbation of proton beams with lower- and higher-energy levels was also quantified using Gafchromic films.The measured SPR for CR, FB, FII and FIX were 1.68, 1.77, 1.77 and 1.76, respectively. Overall, DECT could predict SPR better than SECT. The lowest percentage error achieved by DECT was 19.7 %, demonstrating the challenge in estimating SPR, even for fillings with relatively lower densities. For both proton beam energies and all four fillings of about 4.5 mm thickness, the maximum dose perturbation was 3 %.This study showed that dose perturbation by CR and GIC was comparatively small. We have measured and recommended the SPR values for overriding the fillings in TPS.

Keywords

Dose perturbation, Medical physics. Medical radiology. Nuclear medicine, Composite resin, Dental fillings, SPR prediction, R895-920, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, Glass ionomer cement, Original Research Article, Proton therapy, RC254-282

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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gold
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Cancer Research