Predicting radiation dosimetric distribution in different regions of the jaw in patients receiving radiotherapy for squamous cell carcinoma of the tonsil Journal Article


Authors: Tsai, C. J.; Verma, N.; Owosho, A. A.; Hilden, P.; Leeman, J.; Yom, S.; Huryn, J. M.; Lee, N. Y.; Estilo, C. L.
Article Title: Predicting radiation dosimetric distribution in different regions of the jaw in patients receiving radiotherapy for squamous cell carcinoma of the tonsil
Abstract: Background: Radiotherapy (RT), the main treatment for patients with head and neck cancer, can lead to dental complications. Methods: We identified 244 patients with squamous cell carcinoma of the tonsil treated with RT from 2004 to 2013. For each patient, we contoured the 10 tooth-bearing regions and calculated the radiation dose (gray, Gy) to each region. From this data set, we built two predictive models to determine the expected maximum radiation dose, one for the non-molar regions and another for the molar regions. Results: For the non-molars, the final model included location, T-classification, and overall stage, with a median absolute prediction error of 7.0 Gy. For the molars, the final model included location, T-classification, overall stage, and treatment year, with a median absolute error of 6.0 Gy. Conclusions: Our current model offers a good estimation of the maximum radiation dose delivered to different regions of the jaw; future work will independently validate these models. © 2019 Wiley Periodicals, Inc.
Keywords: squamous cell carcinoma; cancer radiotherapy; radiation dose; cancer staging; radiation; radiotherapy; retrospective study; head and neck cancer; dosimetry; cancer classification; predictive value; tonsil; human; priority journal; article; dental complications; dose modeling
Journal Title: Head & Neck
Volume: 41
Issue: 10
ISSN: 1043-3074
Publisher: John Wiley & Sons, Inc.  
Date Published: 2019-10-01
Start Page: 3604
End Page: 3611
Language: English
DOI: 10.1002/hed.25883
PUBMED: 31379059
PROVIDER: scopus
PMCID: PMC7549841
DOI/URL:
Notes: Article -- Export Date: 1 November 2019 -- Source: Scopus
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MSK Authors
  1. Joseph M Huryn
    109 Huryn
  2. Cherry Estilo
    97 Estilo
  3. Nancy Y. Lee
    889 Lee
  4. SaeHee Kim Yom
    43 Yom
  5. Patrick Dale Hilden
    108 Hilden
  6. Jonathan Eric Leeman
    78 Leeman
  7. Chiaojung Jillian   Tsai
    239 Tsai