Implementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023
ilustraciones, diagramas
- Autores:
-
Ordoñez Cortes, Adrian David
- Tipo de recurso:
- Fecha de publicación:
- 2024
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/86107
- Palabra clave:
- 610 - Medicina y salud::615 - Farmacología y terapéutica
Radiocirugia
Dosimetría
Auditoría Clínica
Radiosurgery
Dosimetry
Clinical Audit
Auditoría dosimétrica
Radiocirugía
Prueba End to End
Campo pequeño
Dosimetric audit
End to End test
Small field
Radiosurgery
- Rights
- openAccess
- License
- Atribución-NoComercial-SinDerivadas 4.0 Internacional
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|
dc.title.spa.fl_str_mv |
Implementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023 |
dc.title.translated.eng.fl_str_mv |
Implementation of a dosimetric audit method for small fields for clinical use in a medium and high complexity public hospital in southwestern Colombia, 2023 |
title |
Implementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023 |
spellingShingle |
Implementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023 610 - Medicina y salud::615 - Farmacología y terapéutica Radiocirugia Dosimetría Auditoría Clínica Radiosurgery Dosimetry Clinical Audit Auditoría dosimétrica Radiocirugía Prueba End to End Campo pequeño Dosimetric audit End to End test Small field Radiosurgery |
title_short |
Implementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023 |
title_full |
Implementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023 |
title_fullStr |
Implementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023 |
title_full_unstemmed |
Implementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023 |
title_sort |
Implementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023 |
dc.creator.fl_str_mv |
Ordoñez Cortes, Adrian David |
dc.contributor.advisor.spa.fl_str_mv |
Orejuela Mosquera, Diego Mauricio Plazas de Pinzon, Diego Mauricio |
dc.contributor.author.spa.fl_str_mv |
Ordoñez Cortes, Adrian David |
dc.subject.ddc.spa.fl_str_mv |
610 - Medicina y salud::615 - Farmacología y terapéutica |
topic |
610 - Medicina y salud::615 - Farmacología y terapéutica Radiocirugia Dosimetría Auditoría Clínica Radiosurgery Dosimetry Clinical Audit Auditoría dosimétrica Radiocirugía Prueba End to End Campo pequeño Dosimetric audit End to End test Small field Radiosurgery |
dc.subject.decs.spa.fl_str_mv |
Radiocirugia Dosimetría Auditoría Clínica |
dc.subject.decs.eng.fl_str_mv |
Radiosurgery Dosimetry Clinical Audit |
dc.subject.proposal.spa.fl_str_mv |
Auditoría dosimétrica Radiocirugía Prueba End to End Campo pequeño |
dc.subject.proposal.eng.fl_str_mv |
Dosimetric audit End to End test Small field Radiosurgery |
description |
ilustraciones, diagramas |
publishDate |
2024 |
dc.date.accessioned.none.fl_str_mv |
2024-05-17T19:24:53Z |
dc.date.available.none.fl_str_mv |
2024-05-17T19:24:53Z |
dc.date.issued.none.fl_str_mv |
2024 |
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/86107 |
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/86107 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.references.spa.fl_str_mv |
S. D. Sharma, “Challenges of small photon field dosimetry are still challenging,” Journal of Medical Physics, vol. 39, no. 3. 2014. doi: 10.4103/0971-6203.138998. I. J. Das, G. X. Ding, and A. Ahnesjö, “Small fields: Nonequilibrium radiation dosimetry,” Medical Physics, vol. 35, no. 1. 2008. doi: 10.1118/1.2815356. International Atomic Energy Agency., Standards, applications and quality assurance in medical radiation dosimetry (IDOS) : proceedings of an International Symposium on Standards, Applications and Quality Assurance in Medical Radiation Dosimetry (IDOS). International Atomic Energy Agency, 2011. S. Derreumaux et al., “Lessons from recent accidents in radiation therapy in France,” in Radiation Protection Dosimetry, 2008. doi: 10.1093/rpd/ncn235. M. M. Aspradakis et al., “IPEM report 103: Small field MV photon dosimetry M.,” in International Symposium on Standards, Applications and Quality Assurance in Medical Radiation Dosimetry, 2010. “Mesure de la dose absorbée dans les faisceaux de photons de très petites dimensions utilisés en radiothérapie stéréotaxique.” Accessed: Jun. 01, 2023. [Online]. Available: https://www.irsn.fr/rapport-dexpertise/mesure-de-la-dose-absorbee-dans-les-faisceaux-de-photons-de-tres-petites S. Derreumaux, G. Boisserie, G. Brunet, I. Buchheit, and T. Sarrazin, “Concerns in France about the dose delivered to the patients in stereotactic radiation therapy.” 2010. Accessed: May 09, 2023. [Online]. Available: https://inis.iaea.org/search/search.aspx?orig_q=RN:42026544 “Missouri Hospital Reports Errors in Radiation Doses - The New York Times.” Accessed: Jun. 05, 2023. [Online]. Available: https://www.nytimes.com/2010/02/25/us/25radiation.html T. Kron, A. Haworth, and I. Williams, “Dosimetry for audit and clinical trials: Challenges and requirements,” in Journal of Physics: Conference Series, Institute of Physics Publishing, 2013. doi: 10.1088/1742-6596/444/1/012014. Anon., “Determination of absorbed dose in a patient irradiated by beams of X or gamma rays in radiotherapy procedures. ICRU report 24.” 1987. Accessed: May 09, 2023. [Online]. Available: https://inis.iaea.org/search/search.aspx?orig_q=RN:25005992 International Atomic Energy Agency., Implementation of the international code of practice on dosimetry in radiotherapy (TRS 398) : review of testing results. International Atomic Energy Agency, 2005. P. R. Almond et al., “AAPM’s TG-51 protocol for clinical reference dosimetry of high-energy photon and electron beams,” Med Phys, vol. 26, no. 9, pp. 1847–1870, 1999, doi: 10.1118/1.598691. L. Leksell, “Stereotactic radiosurgery.,” J Neurol Neurosurg Psychiatry, vol. 46, no. 9, pp. 797–803, Sep. 1983, doi: 10.1136/JNNP.46.9.797. “Radiocirugía estereotáctica (SRS/SBRT),” 2024. [Online]. Available: https://www.radiologyinfo.org/es/info/linac R. Alexakhin et al., “Annals of the ICRP Published on behalf of the lnternational Commission on Radiological Protection Editor: J. VALENTIN, ICRP, SE-l7l l6 Stockholm. Sweden International Commission on Radiological Protection 200f-2m5 Members of the Main Commission of the ICRP”. “An International Code of Practice for Reference and Relative Dose Determination S p o n s o r e d b y t h e I A E A a n d A A P M.” [Online]. Available: http://www-ns.iaea.org/standards/ N. P. Romo, G. Paz, C. Alonso, and J. Luis Rodríguez, “Auditorías externas de calidad en radioterapia External Quality Audits In Radiotherapy.” J. Izewska et al., “Testing the methodology for dosimetry audit of heterogeneity corrections and small MLC-shaped fields: Results of IAEA multi-center studies,” Acta Oncol (Madr), vol. 55, no. 7, pp. 909–916, Jul. 2016, doi: 10.3109/0284186X.2016.1139180. M. C. Pujades-Claumarchirant, C. Candela-Juan, L. Oliver-Cañamás, Á. Soriano-Cruz, J. J. Rovira-Escutia, and F. Ballester-Pallarés, “Estudio piloto de una auditoría postal dosimétrica para radioterapia en condiciones de referencia,” Revista de Física Médica, vol. 23, no. 1, pp. 27–34, May 2022, doi: 10.37004/sefm/2022.23.1.002. F. H. Attix, Introduction to radiological physics and radiation dosimetry. Wiley, 1986. J. Boice Jr, U. J. Cooper, U. J. Lee, K. J. Lochard, F. Mettler Jr, and W. N. Bolch Hertel H Schlattl KF Eckerman J Hunt M Zankl, “Annals of the ICRP Published on behalf of the International Commission on Radiological Protection International Commission on Radiological Protection Members of the 2010-2013 Main Commission of the ICRP.” E. B. Podgorsak, “Radiation Oncology Physics: A Handbook for Teachers and Students.” “T. Burns K. Hohlfeld M. S. Huq T. Kanai F. Laitano V. G. Smyth S. Vynckier P. Andreo, Hugo. Palmans. Implementation of the international code of practice on dosimetry in radiotherapy trs 398: Review of testing results. (1455), 2010.”. P. Andreo, “The physics of small megavoltage photon beam dosimetry,” Radiotherapy and Oncology, vol. 126, no. 2. Elsevier Ireland Ltd, pp. 205–213, Feb. 01, 2018. doi: 10.1016/j.radonc.2017.11.001. J. Seuntjens, “On the detector response and the reconstruction of the source intensity distribution in small photon fields,” 2016 X. A. Li, M. Soubra, J. Szanto, and L. H. Gerig, “Lateral electron equilibrium and electron contamination in measurements of head-scatter factors using miniphantoms and brass caps,” Med Phys, vol. 22, no. 7, pp. 1167–1170, 1995, doi: 10.1118/1.597508. “Small Field Dosimetry Application Guide R A D I AT I O N T H E R A P Y.” J. U. Wuerfel, “DOSE MEASUREMENTS IN SMALL FIELDS,” 2013. L. Alfonso Rodolfo, “Presentación Power Point: Dosimetría en condiciones de referencia de haces de fotones de MV.” F. Crop et al., “The influence of small field sizes, penumbra, spot size and measurement depth on perturbation factors for microionization chambers,” Phys Med Biol, vol. 54, no. 9, pp. 2951–2969, 2009, doi: 10.1088/0031-9155/54/9/024. R. Alfonso et al., “A new formalism for reference dosimetry of small and nonstandard fields,” Med Phys, vol. 35, no. 11, pp. 5179–5186, 2008, doi: 10.1118/1.3005481. P. Francescon, S. Cora, and N. Satariano, “Calculation of k Q clin, Q msr f clin, f msr for several small detectors and for two linear accelerators using Monte Carlo simulations,” Med Phys, vol. 38, no. 12, pp. 6513–6527, 2011, doi: 10.1118/1.3660770. P. Andreo and H. Benmakhlouf, “Improved reference and relative dosimetry of small radiation therapy photon beams 2014:26 SSM perspective Background”, [Online]. Available: www.stralsakerhetsmyndigheten.se D. Thwaitesa, P. Scalliefb, J. W. Leer’, and J. Overgaardd3, “IR ADIDTHERAPY aO~~~~~DY Quality assurance in radiotherapy European Society for Therapeutic Radiology and Oncology Advisory Report to the Commission of the European Union for the ‘Europe Against Cancer Programme’ *,” 1995. “IAEA-TECDOC-1151 ,” 2000. D. C. Weber, P. M. P. Poortmans, C. W. Hurkmans, E. Aird, A. Gulyban, and A. Fairchild, “Quality assurance for prospective EORTC radiation oncology trials: The challenges of advanced technology in a multicenter international setting,” Radiotherapy and Oncology, vol. 100, no. 1, pp. 150–156, Jul. 2011, doi: 10.1016/J.RADONC.2011.05.073. D. F. Weber, “Today’s Use of Haploids in Corn Plant Breeding,” Advances in Agronomy, vol. 123, pp. 123–144, Jan. 2014, doi: 10.1016/B978-0-12-420225-2.00003-0. S. F. Kry et al., “Radiation Therapy Deficiencies Identified During On-Site Dosimetry Visits by the Imaging and Radiation Oncology Core Houston Quality Assurance Center,” International Journal of Radiation Oncology*Biology*Physics, vol. 99, no. 5, pp. 1094–1100, Dec. 2017, doi: 10.1016/J.IJROBP.2017.08.013. M. Pasler, V. Hernandez, N. Jornet, and C. H. Clark, “Novel methodologies for dosimetry audits: Adapting to advanced radiotherapy techniques,” 2018, doi: 10.1016/j.phro.2018.03.002. M. Ebert et al., “Comprehensive Australasian multicentre dosimetric intercomparison: Issues, logistics and recommendations,” J Med Imaging Radiat Oncol, vol. 53, no. 1, pp. 119–131, Feb. 2009, doi: 10.1111/J.1754-9485.2009.02047.X. C. H. Clark et al., “Radiotherapy dosimetry audit: Three decades of improving standards and accuracy in UK clinical practice and trials,” British Journal of Radiology, vol. 88, no. 1055, p. 20150251, Sep. 2015, doi: 10.1259/BJR.20150251/ASSET/IMAGES/LARGE/BJR.20150251.G001.JPEG. E. Miles and K. Venables, “Radiotherapy Quality Assurance: Facilitation of Radiotherapy Research and Implementation of Technology,” Clin Oncol, vol. 24, no. 10, pp. 710–712, Dec. 2012, doi: 10.1016/J.CLON.2012.06.006. S. Ishikura, Y. Ito, and M. Hiraoka, “JCOG radiation therapy study group: History and achievements,” Japanese Journal of Clinical Oncology, vol. 41, no. 11. pp. 1241–1243, Nov. 2011. doi: 10.1093/jjco/hyr126. International Atomic Energy Agency., On-site visits to radiotherapy centres - medical physics procedures : quality assurance team for radiation oncology (QUATRO). International Atomic Energy Agency, 2007. C. H. Clark et al., “Radiotherapy dosimetry audit: Three decades of improving standards and accuracy in UK clinical practice and trials,” British Journal of Radiology, vol. 88, no. 1055. British Institute of Radiology, 2015. doi: 10.1259/bjr.20150251. P. Iwai, G. Simonetti, and C. Marmitt, “Teste End-to-End em Radioterapia Conformacional 3D com Objeto Simulador Antropomófico Personalizado 3D Conformal Radiotherapy End-to-End Test with Customized Anthropomorphic Phantom Head”. L. J. Schreiner, “Introduction to End-to-End (E2E) QA: Evidence of its benefits and practical considerations implementing in-house E2E QA in the clinic.” “Commissioning of Radiotherapy Treatment Planning Systems: Testing for Typical External Beam Treatment Techniques Report of the Coordinated Research Project (CRP) on Development of Procedures for Quality Assurance of Dosimetry Calculations in Radiotherapy,” 2008. L. Brodbek, J. Kretschmer, and L. J. Schreiner, “End to end QA in image guided and adaptive radiation therapy Systematic end-to-end testing of multiple target treatments using the modular RUBY phantom End to end QA in image guided and adaptive radiation therapy”, doi: 10.1088/1742-6596/1305/1/012062. “Quienes Somos – HUV.” Accessed: May 15, 2023. [Online]. Available: https://huv.gov.co/index.php/quienes-somos/ “Mejora el Hospital Universitario del Valle - HUV.” Accessed: May 15, 2023. [Online]. 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Available: https://huv.gov.co/index.php/2021/04/06/el-servicio-de-radioterapia-del-huv-cuenta-con-nuevos-equipos-de-ultima-tecnologia-para-la-atencion-de-los-pacientes/ “Por medio del cual se expide el Decreto Único Reglamentario del Sector Salud y Protección Social EL PRESIDENTE DE LA REPÚBLICA DE COLOMBIA”. “Ley 100 de 1993 - Gestor Normativo - Función Pública.” Accessed: Jun. 07, 2023. [Online]. Available: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=5248 M. Hussein, C. H. Clark, and A. Nisbet, “Challenges in calculation of the gamma index in radiotherapy – Towards good practice,” Physica Medica, vol. 36. Associazione Italiana di Fisica Medica, pp. 1–11, Apr. 01, 2017. doi: 10.1016/j.ejmp.2017.03.001. Y. Anetai et al., “Assessment of using a gamma index analysis for patient-specific quality assurance in Japan,” J Appl Clin Med Phys, vol. 23, no. 10, Oct. 2022, doi: 10.1002/ACM2.13745. H. Li, L. Dong, L. Zhang, J. N. Yang, M. T. Gillin, and X. R. Zhu, “Toward a better understanding of the gamma index: Investigation of parameters with a surface-based distance method,” Med Phys, vol. 38, no. 12, pp. 6730–6741, 2011, doi: 10.1118/1.3659707. “Dose Volume Histogram – Medical Physics Blog.” Accessed: May 15, 2023. [Online]. Available: https://medicalphysics.blog/2021/05/19/dose-volume-histogram/ N. Hodapp, “[The ICRU Report 83: prescribing, recording and reporting photon-beam intensity-modulated radiation therapy (IMRT)],” Strahlenther Onkol, vol. 188, no. 1, pp. 97–99, Jan. 2012, doi: 10.1007/S00066-011-0015-X. B. Warkentin, P. Stavrev, N. Stavreva, C. Field, and B. G. Fallone, “A TCP-NTCP estimation module using DVHs and known radiobiological models and parameter sets,” J Appl Clin Med Phys, vol. 5, no. 1, pp. 50–63, Dec. 2004, doi: 10.1120/jacmp.v5i1.1970. A. S. Oinam, L. Singh, A. Shukla, S. Ghoshal, R. Kapoor, and S. C. Sharma, “Dose volume histogram analysis and comparison of different radiobiological models using in-house developed software,” Journal of 65 Medical Physics / Association of Medical Physicists of India, vol. 36, no. 4, p. 220, Oct. 2011, doi: 10.4103/0971-6203.89971. M. Zarepisheh et al., “A DVH-guided IMRT optimization algorithm for automatic treatment planning and adaptive radiotherapy replanning,” Med Phys, vol. 41, no. 6, 2014, doi: 10.1118/1.4875700. R. E. Drzymala et al., “DOSE-VOLUME HISTOGRAMS,” 1991. E. Pardo Pérez, J. Martínez Ortega, M. Yolanda Molina López, J. Castro Novais, and S. Ruiz Maqueda, “Artículo Científico Creación automática de un informe personalizado del histograma dosis-volumen Automatic generation of a custom report of the dose-volume histogram,” 2012. S. O. Asbell, J. Grimm, J. Xue, M. S. Chew, and T. A. LaCouture, “Introduction and Clinical Overview of the DVH Risk Map,” Seminars in Radiation Oncology, vol. 26, no. 2. W.B. Saunders, pp. 89–96, Apr. 01, 2016. doi: 10.1016/j.semradonc.2015.11.005. M. A. Ebert et al., “Comparison of DVH data from multiple radiotherapy treatment planning systems,” Phys Med Biol, vol. 55, no. 11, 2010, doi: 10.1088/0031-9155/55/11/N04. W. Parker and H. Patrocinio, “Review of Radiation Oncology Physics: A Handbook for Teachers and Students CHAPTER 7. CLINICAL TREATMENT PLANNING IN EXTERNAL PHOTON BEAM RADIOTHERAPY”. R. E. Drzymala et al., “DOSE-VOLUME HISTOGRAMS,” 1991. R. Timmerman, “A Story of Hypofractionation and the Table on the Wall,” International Journal of Radiation Oncology Biology Physics, vol. 112, no. 1. Elsevier Inc., pp. 4–21, Jan. 01, 2022. doi: 10.1016/j.ijrobp.2021.09.027. S. Bisello et al., “Dose–Volume Constraints fOr oRganS At risk In Radiotherapy (CORSAIR): An ‘All-in-One’ Multicenter–Multidisciplinary Practical Summary,” Current Oncology, vol. 29, no. 10. MDPI, pp. 7021–7050, Oct. 01, 2022. doi: 10.3390/curroncol29100552. J. Stanley, K. Breitman, P. Dunscombe, D. P. Spencer, and H. Lau, “Evaluation of stereotactic radiosurgery conformity indices for 170 target volumes in patients with brain metastases,” J Appl Clin Med Phys, vol. 12, no. 2, pp. 245–253, 2011, doi: 10.1120/JACMP.V12I2.3449. M. Torrens et al., “Standardization of terminology in stereotactic radiosurgery: Report from the Standardization Committee of the International Leksell Gamma Knife Society: special topic,” in Journal of neurosurgery, Dec. 2014, pp. 2–15. doi: 10.3171/2014.7.gks141199. “The Physical Penumbra of the 6MV X-ray” D. Zhou, H. Zhang, and P. Ye, “Lateral Penumbra Modelling Based Leaf End Shape Optimization for Multileaf Collimator in Radiotherapy,” Comput Math Methods Med, vol. 2016, 2016, doi: 10.1155/2016/9515794. M. De Salud, “RESOLUCION NUMERO 8430 DE 1993”. “Anuario Estadístico.” [Online]. Available: www.cancer.gov.co [80] H. Sung et al., “Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries,” CA Cancer J Clin, vol. 71, no. 3, pp. 209–249, May 2021, doi: 10.3322/CAAC.21660. “Statistics at a glance.” H. Sung et al., “Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries,” CA Cancer J Clin, vol. 71, no. 3, pp. 209–249, May 2021, doi: 10.3322/CAAC.21660. “Cancer Today.” Accessed: Feb. 15, 2024. [Online]. Available: https://gco.iarc.fr/today/en/dataviz/pie?mode=cancer&group_populations=1&sexes=0&cancers=20&populations=170&multiple_populations=0 |
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Universidad Nacional de Colombia |
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Atribución-NoComercial-SinDerivadas 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Orejuela Mosquera, Diego Mauricio9699ade2da440c6a22502888a46aacf0600Plazas de Pinzon, Diego Mauricioe7c925d50c583f75ddc32dcd44059635Ordoñez Cortes, Adrian Davidd43634dc61e4e3a72d2bc78c45234aba2023Colombiahttp://vocab.getty.edu/page/tgn/10000502024-05-17T19:24:53Z2024-05-17T19:24:53Z2024https://repositorio.unal.edu.co/handle/unal/86107Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, diagramasEste trabajo presenta una auditoría dosimétrica de pacientes sometidos a radiocirugía, abordando un estudio de cohorte descriptivo retrospectivo. La población de estudio consistió en pacientes con lesiones intracraneales tratados mediante técnicas HyperArc y VMAT, durante el periodo comprendido entre el 01 de enero de 2022 y el 30 de junio de 2023. La muestra total incluyó a 21 pacientes. El objetivo principal de esta investigación fue evaluar la optimización de los tratamientos de radiocirugía realizados en el Hospital Universitario del Valle. Se llevó a cabo una caracterización detallada de la muestra de estudio, seguida de un análisis individual de las variables relacionadas con la implementación del protocolo. La determinación de la dosis puntual se realizó mediante una prueba End to End, siguiendo las recomendaciones del CoP TRS-483. Asimismo, se efectuó la medición del índice gamma evaluando los diferentes criterios, la dosis de prescripción y el índice de Paddick. Además, se adaptaron y establecieron protocolos para garantizar su correcta ejecución. Los resultados de este estudio indican la implementación de protocolos actualizados en línea con las recomendaciones del TRS-483. Además, se llevó a cabo una prueba End to End para la evaluación de la cadena de tratamiento y por último se establecieron niveles de acción específicos en base a los resultados obtenidos. (Texto tomado de la fuente).This paper presents a dosimetric audit of patients undergoing radiosurgery, addressing a retrospective descriptive cohort study. The study population consisted of patients with intracranial lesions treated by HyperArc and VMAT techniques, during the period from January 1, 2022 to June 30, 2023. The total sample included 21 patients. The main objective of this research was to evaluate the optimization of radiosurgery treatments performed at the Hospital Universitario del Valle. A detailed characterization of the study sample was carried out, followed by an individual analysis of variables related to protocol implementation. The determination of the point dose was performed by means of an End to End test, following the recommendations of the TRS-483 CoP. Likewise, the gamma index was measured by evaluating the different criteria, the prescription dose and the Paddick index. In addition, protocols were adapted and established to ensure their correct execution. The results of this study indicate the implementation of updated protocols in line with TRS-483 recommendations. In addition, an End to End test was carried out for the evaluation of the treatment chain and finally specific action levels were established based on the results obtained.MaestríaMagíster en Física MédicaRadioterapia81 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Ciencias - Maestría en Física MédicaFacultad de CienciasBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::615 - Farmacología y terapéuticaRadiocirugiaDosimetríaAuditoría ClínicaRadiosurgeryDosimetryClinical AuditAuditoría dosimétricaRadiocirugíaPrueba End to EndCampo pequeñoDosimetric auditEnd to End testSmall fieldRadiosurgeryImplementación de un método de auditoría dosimétrica de campos pequeños de uso clínico en un hospital público de mediana y alta complejidad del sur occidente colombiano, 2023Implementation of a dosimetric audit method for small fields for clinical use in a medium and high complexity public hospital in southwestern Colombia, 2023Trabajo de grado - Maestríainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMS. 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Available: https://gco.iarc.fr/today/en/dataviz/pie?mode=cancer&group_populations=1&sexes=0&cancers=20&populations=170&multiple_populations=0InvestigadoresPúblico generalLICENSElicense.txtlicense.txttext/plain; charset=utf-85879https://repositorio.unal.edu.co/bitstream/unal/86107/1/license.txteb34b1cf90b7e1103fc9dfd26be24b4aMD51ORIGINAL1087647157.2024.pdf1087647157.2024.pdfTesis de Maestría en Física Médicaapplication/pdf7522325https://repositorio.unal.edu.co/bitstream/unal/86107/2/1087647157.2024.pdf41c5277bb5acd8b3863f8b113437414cMD52THUMBNAIL1087647157.2024.pdf.jpg1087647157.2024.pdf.jpgGenerated Thumbnailimage/jpeg3986https://repositorio.unal.edu.co/bitstream/unal/86107/3/1087647157.2024.pdf.jpgc66aed7002da9d818c786eab2b5daafdMD53unal/86107oai:repositorio.unal.edu.co:unal/861072024-05-17 23:04:37.966Repositorio Institucional Universidad Nacional de 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