alexa Setup reproducibility for thoracic and upper gastrointestinal radiation therapy: Influence of immobilization method and on-line cone-beam CT guidance.
Cardiology

Cardiology

Atherosclerosis: Open Access

Author(s): Li W, Moseley DJ, Bissonnette JP, Purdie TG, Bezjak A,

Abstract Share this page

Abstract We report the setup reproducibility of thoracic and upper gastrointestinal (UGI) radiotherapy (RT) patients for 2 immobilization methods evaluated through cone-beam computed tomography (CBCT) image guidance, and present planning target volume (PTV) margin calculations made on the basis of these observations. Daily CBCT images from 65 patients immobilized in a chestboard (CB) or evacuated cushion (EC) were registered to the planning CT using automatic bony anatomy registration. The standardized region-of-interest for matching was focused around vertebral bodies adjacent to tumor location. Discrepancies >3 mm between the CBCT and CT datasets were corrected before initiation of RT and verified with a second CBCT to assess residual error (usually taken after 90 s of the initial CBCT). Positional data were analyzed to evaluate the magnitude and frequencies of setup errors before and after correction. The setup distributions were slightly different for the CB (797 scans) and EC (757 scans) methods, and the probability of adjustment at a 3-mm action threshold was not significantly different (p = 0.47). Setup displacements >10 mm in any direction were observed in 10\% of CB fractions and 16\% of EC fractions (p = 0.0008). Residual error distributions after CBCT guidance were equivalent regardless of immobilization method. Using a published formula, the PTV margins for the CB were L/R, 3.3 mm; S/I, 3.5 mm; and A/P, 4.6 mm), and for EC they were L/R, 3.7 mm; S/I, 3.3 mm; and A/P, 4.6 mm. In the absence of image guidance, the CB slightly outperformed the EC in precision. CBCT allows reduction to a single immobilization system that can be chosen for efficiency, logistics, and cost. Image guidance allows for increased geometric precision and accuracy and supports a corresponding reduction in PTV margin. Copyright © 2010 American Association of Medical Dosimetrists. Published by Elsevier Inc. All rights reserved. This article was published in Med Dosim and referenced in Atherosclerosis: Open Access

Relevant Expert PPTs

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords