Lung volume irradiation procedures in patients with pneumonia during COVID-19 infection - Physical aspects of treatment planning and dosimetry

Ślosarek, K.; Gądek, A.; Sroka, Ł Dolla Ł Biały A.; Radwan, M.; Bodusz, D.; Nachlik, M.; Rutkowski, T.; Jaroszewicz, J.

Introduction. The paper presents an original, used in our Institute, method of lung volume irradiation in patients with pneumonia during COVID-19 infection. Material and methods. Procedures such as the simulation of treatment and radiotherapy are performed in a treatment room. Real time radiation treatment planning is realized as 2D planning (Irreg Planning VMS) in a separate room, and the 3D (eclipse VMS) dose distribution is calculated after the treatment. During radiation exposure, a fluence map is measured. Results. A method of irradiating the lungs of patients with COVID-19 was developed, which allows to shorten the time the patient is on the treatment table and minimize contacts between the patient and staff. Conclusions. The presented procedure made it possible to minimize the time of patient's stay in the radiotherapy department and at the same time, it retains all the required quality assurance procedures in radiotherapy treatment.