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SU-E-T-250: Dose-Response Curves for the Esophagus
Radiation therapy for esophageal cancer causes the esophagus to thicken, with an average 30% increase in size by the end of treatment. This esophageal expansion, measured using 4D CT scans, shows significant patient variability.
Area of Science:
- Radiation oncology
- Medical imaging
- Esophageal cancer treatment
Background:
- Radiation therapy for esophageal cancer can cause side effects.
- Esophageal thickening is a potential indicator of radiation injury.
- Understanding dose-response relationships is crucial for optimizing treatment.
Purpose of the Study:
- To establish the dose-response curve for esophageal radiation injury.
- To use esophageal thickening on 4D CT scans as a surrogate for radiation damage.
Main Methods:
- 15 esophageal cancer patients undergoing concurrent chemoradiotherapy (50.4Gy) were analyzed.
- Weekly 4D CT scans were used to track changes in esophageal size.
- Deformable image registration mapped esophageal contours to assess cross-sectional area changes.
Main Results:
- Esophageal expansion increased progressively throughout treatment.
- All patients showed increased esophageal thickness by the final week.
- Average relative esophageal expansion was 1.30±0.19, with 7/15 patients exceeding 1.3.
Conclusions:
- The esophagus demonstrates significant expansion in response to radiation therapy.
- A ~30% increase in esophageal cross-sectional area is observed by the end of a 50.4Gy treatment.
- Patient-specific variability in esophageal response to radiation is notable.
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Esophagus
The movement of edibles from the pharynx into the esophagus is facilitated by the upper esophageal sphincter, which is formed primarily by the...