Simran Polce1, Emile Gogineni1, Jeffrey Antone1, Maged Ghaly1, Douglas Keith Frank2, Joshua D Segal3, Bhupesh Parashar1. 1. Department of Radiation Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA. 2. Department of Otolaryngology, Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, New York, USA. 3. Department of Dental Medicine, Division of Oral and Maxillofacial surgery, Zucker School of Medicine at Hofstra, Northwell Health, Hempstead, New York, USA.
Abstract
BACKGROUND: The purpose of this study was to create dental radiation maps to calculate the mean dose to individual teeth, maxilla and mandible using intensity-modulated radiation therapy (IMRT). METHODS: Eighteen common clinical settings were chosen. Radiation plans were extracted, and each tooth was contoured at its junction with the gingiva and labeled based on the Universal/American numbering system. RESULTS: All patients were treated with prescribed doses of 50-70 Gy in 1.66-2 Gy/fraction. Patients receiving mean doses >50 Gy to the teeth, mandible, and maxilla included those with advanced tumors of the oral cavity and gross lymphadenopathy of level 1b. CONCLUSION: We believe this to be the first study generating dosimetric maps of estimated doses to each tooth and each third of the mandible and the maxilla for common examples of head and neck cancer faced by radiation oncologists. Adoption of these dental maps may help improve clinical workflow efficiency.
BACKGROUND: The purpose of this study was to create dental radiation maps to calculate the mean dose to individual teeth, maxilla and mandible using intensity-modulated radiation therapy (IMRT). METHODS: Eighteen common clinical settings were chosen. Radiation plans were extracted, and each tooth was contoured at its junction with the gingiva and labeled based on the Universal/American numbering system. RESULTS: All patients were treated with prescribed doses of 50-70 Gy in 1.66-2 Gy/fraction. Patients receiving mean doses >50 Gy to the teeth, mandible, and maxilla included those with advanced tumors of the oral cavity and gross lymphadenopathy of level 1b. CONCLUSION: We believe this to be the first study generating dosimetric maps of estimated doses to each tooth and each third of the mandible and the maxilla for common examples of head and neck cancer faced by radiation oncologists. Adoption of these dental maps may help improve clinical workflow efficiency.
Authors: Sabah Falek; Rajesh Regmi; Joel Herault; Melanie Dore; Anthony Vela; Pauline Dutheil; Cyril Moignier; Pierre-Yves Marcy; Julien Drouet; Arnaud Beddok; Noah E Letwin; Joel Epstein; Upendra Parvathaneni; Juliette Thariat Journal: Support Care Cancer Date: 2022-05-05 Impact factor: 3.359
Authors: Caique Mariano Pedroso; Cesar Augusto Migliorati; Joel B Epstein; Ana Carolina Prado Ribeiro; Thaís Bianca Brandão; Márcio Ajudarte Lopes; Mário Fernando de Goes; Alan Roger Santos-Silva Journal: Front Oral Health Date: 2022-07-14