Implementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021

ilustraciones, fotografías a blanco y negro, fotografías a color, gráficas

Autores:
Herrera Alvarez , Sergio Esteban
Tipo de recurso:
Fecha de publicación:
2022
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/82567
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/82567
https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud
Cancer - cirugía
Cancer tratamiento
Cancer-surgery
Cancer-treatment
Radioterapia
Implementación
Radiocirugía estereotáxica
Radiotherapy
Stereotactic radiosurgery
Implementation
Rights
openAccess
License
Reconocimiento 4.0 Internacional
id UNACIONAL2_b2ecb46ff5b33a78279fc9e3764bb8fe
oai_identifier_str oai:repositorio.unal.edu.co:unal/82567
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Implementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021
dc.title.translated.eng.fl_str_mv Implementation of radiosurgery treatments in a clinical linear accelerator of a public hospital of medium and high complexity in Valle del Cauca, 2021
title Implementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021
spellingShingle Implementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021
610 - Medicina y salud
Cancer - cirugía
Cancer tratamiento
Cancer-surgery
Cancer-treatment
Radioterapia
Implementación
Radiocirugía estereotáxica
Radiotherapy
Stereotactic radiosurgery
Implementation
title_short Implementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021
title_full Implementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021
title_fullStr Implementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021
title_full_unstemmed Implementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021
title_sort Implementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021
dc.creator.fl_str_mv Herrera Alvarez , Sergio Esteban
dc.contributor.advisor.none.fl_str_mv Orejuela Mosquera, Diego Mauricio
Plazas de Pinzon, Maria Cristina
dc.contributor.author.none.fl_str_mv Herrera Alvarez , Sergio Esteban
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud
topic 610 - Medicina y salud
Cancer - cirugía
Cancer tratamiento
Cancer-surgery
Cancer-treatment
Radioterapia
Implementación
Radiocirugía estereotáxica
Radiotherapy
Stereotactic radiosurgery
Implementation
dc.subject.lemb.spa.fl_str_mv Cancer - cirugía
Cancer tratamiento
dc.subject.lemb.eng.fl_str_mv Cancer-surgery
Cancer-treatment
dc.subject.proposal.spa.fl_str_mv Radioterapia
Implementación
Radiocirugía estereotáxica
dc.subject.proposal.eng.fl_str_mv Radiotherapy
Stereotactic radiosurgery
Implementation
description ilustraciones, fotografías a blanco y negro, fotografías a color, gráficas
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2022-10-31T15:51:22Z
dc.date.available.none.fl_str_mv 2022-10-31T15:51:22Z
dc.date.issued.none.fl_str_mv 2022-09
dc.type.spa.fl_str_mv Trabajo de grado - Maestría
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/82567
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/82567
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.indexed.spa.fl_str_mv RedCol
LaReferencia
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spelling Reconocimiento 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Orejuela Mosquera, Diego Mauricio462cc118796bca35c23991ea09b2f204Plazas de Pinzon, Maria Cristinaf0881dc4c133b89730196b3918379074Herrera Alvarez , Sergio Esteban3ded66f4f55b0c65d1d5935743326f2d6002022-10-31T15:51:22Z2022-10-31T15:51:22Z2022-09https://repositorio.unal.edu.co/handle/unal/82567Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, fotografías a blanco y negro, fotografías a color, gráficasEn este trabajo final de maestría se realizó la implementación de tratamientos de radiocirugía intracraneal (SRS) en un hospital de mediana y alta complejidad. La primera parte fue el comisionamiento del CLINAC TrueBeam, para la validación del comisionamiento se aplicó el protocolo TG 119 usando los fantoma Octavius 4D, Ruby y el Portal Dosimetry. Para la técnica VMAT y las evaluaciones del índice gamma usando el Octavius 4D se encontraron valores del límite de confianza de 4.5, 4.7, 4.06, 5.30 y 4.5 para los haces de energía 6, 6 FFF, 10, 10 FFF y 16 MV, respectivamente, para esta misma técnica y la evaluación de dosis a punto se encontraron límites de confianza de 0.019, 0.026, 0.016, 0.026 y 0.018 para los haces de energía 6, 6 FFF, 10, 10 FFF y 16 MV, respectivamente. Posteriormente se desarrollo un protocolo para la implementación de radiocirugía intracraneal; desde las recomendaciones para la simulación hasta la evaluación de los planes de tratamiento. Para los controles de calidad usando el índice gamma se usaron las cantidades planteadas en el TG-218. La tercera parte se centró en la evaluación de la exactitud de la entrega de la dosis, se encontró que para las evaluaciones usando el Octavius 4D y para tratamientos de una única lesión con los criterios de diferencia de dosis y la distancia de 3%2mm se obtuvieron resultados con un promedio de 99.13 (IC 95%: 97.45-100). (Texto tomado de la fuente)In this final master's project, the implementation of intracranial radiosurgery (SRS) treatments was carried out in a medium and high complexity hospital. The first part was the commissioning of the CLINAC TrueBeam, for the validation of the commissioning the TG 119 protocol was applied using the Octavius ​​4D and Ruby phantoms and the Dosimetry Portal. For the VMAT technique and the gamma index evaluations using the Octavius ​​4D, confidence limit values ​​of 4.5, 4.7, 4.06, 5.30 and 4.5 were found for the energy beams 6, 6 FFF, 10, 10 FFF and 16 MV, respectively. , for this same technique and the point dose evaluation, confidence limits of 0.019, 0.026, 0.016, 0.026 and 0.018 were found for energy beams 6, 6 FFF, 10, 10 FFF and 16 MV, respectively. Subsequently, a protocol was developed for the implementation of intracranial radiosurgery; from recommendations for simulation to evaluation of treatment plans. For the quality controls using the gamma index, the amounts stated in the TG-218 were used. The third part focused on the evaluation of the accuracy of the dose delivery, it was found that for the evaluations using the Octavius ​​4D and for treatments of a single lesion with the criteria of dose difference and the distance of 3%2mm, obtained results with an average of 99.13 (95% CI: 97.45-100).MaestríaMaestría en Física Médica126 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Ciencias - Maestría en Física MédicaFacultad de CienciasBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y saludCancer - cirugíaCancer tratamientoCancer-surgeryCancer-treatmentRadioterapiaImplementaciónRadiocirugía estereotáxicaRadiotherapyStereotactic radiosurgeryImplementationImplementación de tratamientos de radiocirugía en un acelerador lineal clínico de un hospital público de mediana y alta complejidad en el Valle del Cauca, 2021Implementation of radiosurgery treatments in a clinical linear accelerator of a public hospital of medium and high complexity in Valle del Cauca, 2021Trabajo de grado - Maestríainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMValle del Cauca - ColombiaRedColLaReferenciaInstituto Nacional del Cancer, «cancer.gov.co,» [En línea]. 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[Último acceso: 10 Agosto 2022].EstudiantesInvestigadoresPúblico generalLICENSElicense.txtlicense.txttext/plain; charset=utf-85879https://repositorio.unal.edu.co/bitstream/unal/82567/1/license.txteb34b1cf90b7e1103fc9dfd26be24b4aMD51ORIGINAL1075289111.2022.pdf1075289111.2022.pdfTesis de Maestría en Física Médicaapplication/pdf8937128https://repositorio.unal.edu.co/bitstream/unal/82567/2/1075289111.2022.pdf55a1dd88f25553d12f2a26eefa54e0bfMD52THUMBNAIL1075289111.2022.pdf.jpg1075289111.2022.pdf.jpgGenerated Thumbnailimage/jpeg3955https://repositorio.unal.edu.co/bitstream/unal/82567/3/1075289111.2022.pdf.jpg803c7a0494069bb5df790236c53e782dMD53unal/82567oai:repositorio.unal.edu.co:unal/825672024-08-12 02:00:50.406Repositorio Institucional Universidad Nacional de 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