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Journal of Applied Clinical Medical Physics

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https://www.readbyqxmd.com/read/28730740/statistical-process-control-and-verifying-positional-accuracy-of-a-cobra-motion-couch-using-step-wedge-quality-assurance-tool
#1
Diana Binny, Craig M Lancaster, Jamie V Trapp, Scott B Crowe
This study utilizes process control techniques to identify action limits for TomoTherapy couch positioning quality assurance tests. A test was introduced to monitor accuracy of the applied couch offset detection in the TomoTherapy Hi-Art treatment system using the TQA "Step-Wedge Helical" module and MVCT detector. Individual X-charts, process capability (cp), probability (P), and acceptability (cpk) indices were used to monitor a 4-year couch IEC offset data to detect systematic and random errors in the couch positional accuracy for different action levels...
July 21, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28730652/effects-of-collimator-angle-couch-angle-and-starting-phase-on-motion-tracking-dynamic-conformal-arc-therapy-4d-dcat
#2
Zhengzheng Xu, Rutao Yao, Matthew B Podgorsak, Iris Z Wang
PURPOSE: The aim of this study was to find an optimized configuration of collimator angle, couch angle, and starting tracking phase to improve the delivery performance in terms of MLC position errors, maximal MLC leaf speed, and total beam-on time of DCAT plans with motion tracking (4D DCAT). METHOD AND MATERIALS: Nontracking conformal arc plans were first created based on a single phase (maximal exhalation phase) of a respiratory motion phantom with a spherical target...
July 21, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28727285/adapting-vmat-plans-optimized-for-an-hd120-mlc-for-delivery-with-a-millennium-mlc
#3
Samuel B French, Stephen Bhagroo, Daryl P Nazareth, Matthew B Podgorsak
Linac downtime invariably impacts delivery of patients' scheduled treatments. Transferring a patient's treatment to an available linac is a common practice. Transferring a Volumetric Modulated Arc Therapy (VMAT) plan from a linac equipped with a standard-definition MLC to one equipped with a higher definition MLC is practical and routine in clinics with multiple MLC-equipped linacs. However, the reverse transfer presents a challenge because the high-definition MLC aperture shapes must be adapted for delivery with the lower definition device...
July 20, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28727284/technical-note-using-k-means-clustering-to-determine-the-number-and-position-of-isocenters-in-mlc-based-multiple-target-intracranial-radiosurgery
#4
Adam D Yock, Gwe-Ya Kim
PURPOSE: To present the k-means clustering algorithm as a tool to address treatment planning considerations characteristic of stereotactic radiosurgery using a single isocenter for multiple targets. METHODS: For 30 patients treated with stereotactic radiosurgery for multiple brain metastases, the geometric centroids and radii of each met were determined from the treatment planning system. In-house software used this as well as weighted and unweighted versions of the k-means clustering algorithm to group the targets to be treated with a single isocenter, and to position each isocenter...
July 20, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28719019/initial-testing-of-a-pixelated-silicon-detector-prototype-in-proton-therapy
#5
Andrew J Wroe, Grant McAuley, Anthony V Teran, Jeannie Wong, Marco Petasecca, Michael Lerch, James M Slater, Anatoly B Rozenfeld
As technology continues to develop, external beam radiation therapy is being employed, with increased conformity, to treat smaller targets. As this occurs, the dosimetry methods and tools employed to quantify these fields for treatment also have to evolve to provide increased spatial resolution. The team at the University of Wollongong has developed a pixelated silicon detector prototype known as the dose magnifying glass (DMG) for real-time small-field metrology. This device has been tested in photon fields and IMRT...
July 18, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28707776/re-effect-of-beam-profile-measurement-on-arc-therapy-plan-quality-assurance-a-case-study
#6
LETTER
Leonard H Kim, Badal Juneja
No abstract text is available yet for this article.
July 14, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28699243/comparison-between-electromagnetic-transponders-and-radiographic-imaging-for-prostate-localization-a-pelvic-phantom-study-with-rotations-and-translations
#7
Daniel G Hamilton, Dean P McKenzie, Anne E Perkins
The aim of this study was to evaluate the differences in target localization between Calypso(®) , kV orthogonal imaging and cone-beam computed tomography (CBCT) for combined translations and rotations of an anthropomorphic pelvic phantom. The phantom was localized using all three systems in 50 different positions, with applied translational and rotational offsets randomly sampled from representative normal distributions of prostate motion. Lin's concordance correlation coefficient (ρc) and 95% confidence intervals were calculated to assess the agreement between the localization systems...
July 12, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28691343/efficacy-of-robust-optimization-plan-with-partial-arc-vmat-for-photon-volumetric-modulated-arc-therapy-a-phantom-study
#8
Hideharu Miura, Shuichi Ozawa, Yasushi Nagata
This study investigated position dependence in planning target volume (PTV)-based and robust optimization plans using full-arc and partial-arc volumetric modulated arc therapy (VMAT). The gantry angles at the periphery, intermediate, and center CTV positions were 181°-180° (full-arc VMAT) and 181°-360° (partial-arc VMAT). A PTV-based optimization plan was defined by 5 mm margin expansion of the CTV to a PTV volume, on which the dose constraints were applied. The robust optimization plan consisted of a directly optimized dose to the CTV under a maximum-uncertainties setup of 5 mm...
July 10, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28691256/clinical-usefulness-of-mlcs-in-robotic-radiosurgery-systems-for-prostate-sbrt
#9
Masashi Tomida, Takeshi Kamomae, Junji Suzuki, Yoichi Ohashi, Yoshiyuki Itoh, Hiroshi Oguchi, Takahito Okuda
Stereotactic body radiation therapy (SBRT) using recently introduced multileaf collimators (MLC) is preferred over circular collimators in the treatment of localized prostate cancer. The objective of this study was to assess the clinical usefulness of MLCs in prostate SBRT by comparing the effectiveness of treatment plans using fixed collimators, variable collimators, and MLCs and by ensuring delivery quality assurance (DQA) for each. For each patient who underwent conventional radiation therapy for localized prostate cancer, mock SBRT plans were created using a fixed collimator, a variable collimator, and an MLC...
July 10, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28681976/mixed-integer-programming-with-dose-volume-constraints-in-intensity-modulated-proton-therapy
#10
Pengfei Zhang, Neng Fan, Jie Shan, Steven E Schild, Martin Bues, Wei Liu
BACKGROUND: In treatment planning for intensity-modulated proton therapy (IMPT), we aim to deliver the prescribed dose to the target yet minimize the dose to adjacent healthy tissue. Mixed-integer programming (MIP) has been applied in radiation therapy to generate treatment plans. However, MIP has not been used effectively for IMPT treatment planning with dose-volume constraints. In this study, we incorporated dose-volume constraints in an MIP model to generate treatment plans for IMPT...
July 6, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28661100/estimation-of-lung-tumor-position-from-multiple-anatomical-features-on-4d-ct-using-multiple-regression-analysis
#11
Tomohiro Ono, Mitsuhiro Nakamura, Yoshinori Hirose, Kenji Kitsuda, Yuka Ono, Takashi Ishigaki, Masahiro Hiraoka
To estimate the lung tumor position from multiple anatomical features on four-dimensional computed tomography (4D-CT) data sets using single regression analysis (SRA) and multiple regression analysis (MRA) approach and evaluate an impact of the approach on internal target volume (ITV) for stereotactic body radiotherapy (SBRT) of the lung. Eleven consecutive lung cancer patients (12 cases) underwent 4D-CT scanning. The three-dimensional (3D) lung tumor motion exceeded 5 mm. The 3D tumor position and anatomical features, including lung volume, diaphragm, abdominal wall, and chest wall positions, were measured on 4D-CT images...
June 29, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28656739/estimation-of-the-shielding-ability-of-a-tungsten-functional-paper-for-diagnostic-x-rays-and-gamma-rays
#12
Hajime Monzen, Ikuo Kanno, Takahiro Fujimoto, Masahiro Hiraoka
Tungsten functional paper (TFP) is a novel paper-based radiation-shielding material. We measured the shielding ability of TFP against x-rays and gamma rays. The TFP was supplied in 0.3-mm-thick sheets that contained 80% tungsten powder and 20% cellulose (C6 H10 O5 ) by mass. In dose measurements for x-rays (60, 80, 100, and 120 kVp), we measured doses after through 1, 2, 3, 5, 10, and 12 TFP sheets, as well as 0.3 and 0.5 mm of lead. In lead equivalence measurements, we measured doses after through 2 and 10 TFP sheets for x-rays (100 and 150 kVp), and 0, 7, 10, 20, and 30 TFP sheets for gamma rays from cesium-137 source (662 keV)...
June 28, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28656685/impacts-of-lung-and-tumor-volumes-on-lung-dosimetry-for-nonsmall-cell-lung-cancer
#13
Weijie Lei, Jing Jia, Ruifen Cao, Jing Song, Liqin Hu
The purpose of this study was to determine the impacts of lung and tumor volumes on normal lung dosimetry in three-dimensional conformal radiotherapy (3DCRT), step-and-shoot intensity-modulated radiotherapy (ssIMRT), and single full-arc volumetric-modulated arc therapy (VMAT) in treatment of nonsmall cell lung cancers (NSCLC). All plans were designed to deliver a total dose of 66 Gy in 33 fractions to PTV for the 32 NSCLC patients with various total (bilateral) lung volumes, planning target volumes (PTVs), and PTV locations...
June 28, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28649749/the-more-igrt-systems-the-merrier
#14
EDITORIAL
Baozhou Sun, Jenghwa Chang, Yi Rong
No abstract text is available yet for this article.
June 26, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28649722/comparison-of-dvh-based-plan-verification-methods-for-vmat-arccheck-3dvh-system-and-dynalog-based-dose-reconstruction
#15
Masahide Saito, Noriyuki Kadoya, Kiyokazu Sato, Kengo Ito, Suguru Dobashi, Ken Takeda, Hiroshi Onishi, Keiichi Jingu
The purpose of this study was comparing dose-volume histogram (DVH)-based plan verification methods for volumetric modulated arc therapy (VMAT) pretreatment QA. We evaluated two 3D dose reconstruction systems: ArcCHECK-3DVH system (Sun Nuclear corp.) and Varian dynalog-based dose reconstruction (DBDR) system, developed in-house. Fifteen prostate cancer patients (67.6 Gy/26 Fr), four head and neck cancer patient (66 Gy/33 Fr), and four esophagus cancer patients (60 Gy/30 Fr) treated with VMAT were studied...
June 26, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28649708/potential-benefits-of-crawl-position-for-prone-radiation-therapy-in-breast-cancer
#16
Bert Boute, Wilfried De Neve, Bruno Speleers, Annick Van Greveling, Christel Monten, Tom Van Hoof, Joris Van de Velde, Leen Paelinck, Werner De Gersem, Tom Vercauteren, Jan Detand, Liv Veldeman
PURPOSE: To investigate crawl position with the arm at the treated side alongside the body and at the opposite side above the head for prone treatment in patients requiring breast and regional lymph node irradiation. METHODS: Patient support devices for crawl position were built for CT simulation and treatment. An asymmetric fork design resulted from an iterative process of prototype construction and testing. The fork's large horn supports the hemi-thorax, shoulder, and elevated arm at the nontreated side and the head...
June 26, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28594085/preliminary-study-of-clinical-application-on-imrt-three-dimensional-dose-verification-based-epid-system
#17
Miaoyun Huang, David Huang, Jianping Zhang, Yuangui Chen, Benhua Xu, Lixin Chen
The three-dimensional dose (3D) distribution of intensity-modulated radiation therapy (IMRT) was verified based on electronic portal imaging devices (EPIDs), and the results were analyzed. Thirty IMRT plans of different lesions were selected for 3D EPID-based dose verification. The gamma passing rates of the 3D dose verification-based EPID system (Edose, Version 3.01, Raydose, Guangdong, China) and Delta4 measurements were then compared with treatment planning system (TPS) calculations using global gamma criteria of 5%/3 mm, 3%/3 mm, and 2%/2 mm...
June 8, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28594079/development-of-the-breast-immobilization-system-in-prone-setup-the-effect-of-bra-in-prone-position-to-improve-the-breast-setup-error
#18
Mariko Kawamura, Yoshikazu Maeda, Kazutaka Yamamoto, Shigeyuki Takamatsu, Yoshitaka Sato, Hiroki Minami, Yusuke Saga, Kyo Kume, Yuji Tameshige, Makoto Sasaki, Hiroyasu Tamamura, Kouji Ohta, Yoshiyuki Itoh, Shinji Naganawa
PURPOSE/OBJECTIVE(S): Accurate and reproducible positioning of the breast is difficult due to its deformability and softness; thus, targeting a breast tumor or tumor bed with fractionated radiotherapy using external beam radiation is difficult. The aim of this study was to develop a novel bra to aid in breast immobilization in the prone position. MATERIALS & METHODS: To assess the accuracy of prone position fixation of breast tumors, 33 breast cancer patients with 34 lesions were recruited...
June 8, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28585732/cost-effective-immobilization-for-whole-brain-radiation-therapy
#19
Ashley E Rubinstein, W Scott Ingram, Brian M Anderson, Skylar S Gay, Xenia J Fave, Rachel B Ger, Rachel E McCarroll, Constance A Owens, Tucker J Netherton, Kelly D Kisling, Laurence E Court, Jinzhong Yang, Yuting Li, Joonsang Lee, Dennis S Mackin, Carlos E Cardenas
To investigate the inter- and intra-fraction motion associated with the use of a low-cost tape immobilization technique as an alternative to thermoplastic immobilization masks for whole-brain treatments. The results of this study may be of interest to clinical staff with severely limited resources (e.g., in low-income countries) and also when treating patients who cannot tolerate standard immobilization masks. Setup reproducibility of eight healthy volunteers was assessed for two different immobilization techniques...
June 6, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28585724/assessment-of-volumetric-absorbed-dose-for-mobile-fluoroscopic-3d-image-acquisition
#20
Stephanie Leon
Mobile fluoroscopy (c-arm) units offering 3D image reconstruction are becoming more common in surgical settings. Although these images are "CT-like" and sometimes replace the postoperative CT, the acquisition is technically very different from a traditional CT acquisition. Dose assessment is complicated by a large beam width, automatic exposure rate control, and a rotation of less than 360°. The purpose of this work was to explore the impact of these factors on the volumetric dose calculation and to provide practical recommendations for clinical physicists assessing dose from these units using commonly available equipment...
June 6, 2017: Journal of Applied Clinical Medical Physics
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