AAMD Student Writing Competition Submission

Contact Information:
Please Check
Student (Students must upload a letter from program director at the end of this form) 
One *
First Name * Ji  Last Name * Lee 

Primary Phone 240-751-0048 

Number *
Email
jina1997@gmail.com 
Address *
Address Line
1323 N Calvert St APT 4 
1 *
Address Line 2  
City * Baltimore  State * Maryland 
Zip/Postal 21202 
Code *
Employer or
University of Wisconsin La-Crosse 
School *

Manuscript Information:
The final manuscript should contain the abstract and keywords. The manuscript must adhere to the American Institute of Physics (AIP) writing style described in the AAMD Student Writing
Competition Guidelines found on the AAMD website.
Manuscript
A dosimetric comparison of 3D DCAT vs. VMAT for palliative and early-stage liver lesions  
Title: *
List the Ji Lee

Author(s) who Caitlyn Huelskamp

Collin Nappi

contributed to
Nishele Lenards

the Ashley Hunzeker

manuscript * Ashley Cetnar 

Abstract  * Volumetric modulated arc therapy (VMAT) and 3D dynamic conformal arc therapy (DCAT) are 2 methods proven useful for the clinical
implementation of stereotactic body radiation therapy (SBRT) for lung lesions however, similar comparisons of SBRT liver lesions are lacking. The
purpose of this study was to determine if the conformity of dose, irradiated volume, and dose to organs at risk (OAR) are equivalent or improved
with the use of DCAT as an alternative treatment method when compared to standard VMAT for SBRT delivery of palliative and early-stage liver
lesions. Twenty patients with liver lesions sized 2.0-5.0 cm were selected for this study. Plans were created with both DCAT and VMAT techniques for
each patient. Metrics evaluated included the mean heart, kidney, large bowel, small bowel, esophagus, and stomach doses, the lung volume
receiving 20 Gy (V20), the volume of the normal liver receiving 15 Gy (V15), conformity index (CI), heterogeneity index (HI), and the irradiated
volume or volume receiving 25 Gy (V25). The P-values for the mean dose to kidneys, small bowel, esophagus and the lung V20 were greater than
0.05, and no statistical difference could be determined between DCAT and VMAT. The P-values for the mean heart, large bowel, stomach, and liver
V15 were less than 0.05, indicating statistical significance and superiority of VMAT for minimizing dose to these organs, especially V15 of the liver.
The DCAT technique produced CI greater than 1.0 for all patients proving superior coverage, while standard VMAT produced significantly improved
V25 with P-values less than 0.0001, and consequently higher HI. 

Full Name * Ji Na Lee 

Date * 11/22/2021