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https://www.readbyqxmd.com/read/28205452/in-vivo-dosimetry-in-uk-external-beam-radiotherapy-current-and-future-usage
#1
Niall D MacDougall, Michael Graveling, Vibeke N Hansen, Kevin Brownsword, Andrew Morgan
OBJECTIVES: Towards Safer Radiotherapy (1) recommended that radiotherapy centres should have protocols in place for in vivo dosimetry (IVD) monitoring at the beginning of patient treatment courses. This report determines IVD implementation in the UK in 2014, the methods used and makes recommendations on future use. METHODS: Evidence from peer-reviewed journals was used in conjunction with the first survey of UK radiotherapy centres' IVD practice since the publication of TSRT...
February 16, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28154882/transperineal-gold-marker-implantation-for-image-guided-external-beam-radiotherapy-of-prostate-cancer-a-single-institution-prospective-study
#2
Kliton Jorgo, Péter Ágoston, Tibor Major, Zoltán Takácsi-Nagy, Csaba Polgár
PURPOSE: To present the feasibility and complications of transperineal fiducial marker implantation in prostate cancer patients undergoing image-guided radiotherapy (IGRT) METHODS AND MATERIALS: Between November 2011 and April 2016, three radiopaque, gold-plated markers were transperineally implanted into the prostate of 300 patients under transrectal ultrasound guidance and with local anaesthesia. A week after the procedure patients filled in a questionnaire regarding pain, dysuria, urinary frequency, nocturia, rectal bleeding, hematuria, hematospermia or fever symptoms caused by the implantation...
February 2, 2017: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
https://www.readbyqxmd.com/read/28113225/system-integration-and-in-vivo-testing-of-a-robot-for-ultrasound-guidance-and-monitoring-during-radiotherapy
#3
Hasan Sen, Muyinatu Lediju Bell, Yin Zhang, Kai Ding, Emad Boctor, John Wong, Iulian Iordachita, Peter Kazanzides
We are developing a cooperatively-controlled robot system for image-guided radiation therapy (IGRT) in which a clinician and robot share control of a 3D ultrasound (US) probe. IGRT involves two main steps: (1) planning/ simulation and (2) treatment delivery. The goals of the system are to provide guidance for patient setup and realtime target monitoring during fractionated radiotherapy of soft tissue targets, especially in the upper abdomen. To compensate for soft tissue deformations created by the probe, we present a novel workflow where the robot holds the US probe on the patient during acquisition of the planning computerized tomography (CT) image, thereby ensuring that planning is performed on the deformed tissue...
October 3, 2016: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/28102960/nine-degrees-of-freedom-flexmap-for-a-cone-beam-computed-tomography-imaging-device-with-independently-movable-source-and-detector
#4
Peter Keuschnigg, Daniel Kellner, Karl Fritscher, Andrea Zechner, Ulrich Mayer, Philipp Huber, Felix Sedlmayer, Heinz Deutschmann, Philipp Steininger
PURPOSE: Couch-mounted cone-beam computed tomography (CBCT) imaging devices with independently rotatable x-ray source and flat-panel detector arms for acquisitions of arbitrary regions of interest (ROI) have recently been introduced in image-guided radiotherapy (IGRT). This work analyzes mechanical limitations and gravity-induced effects influencing the geometric accuracy of images acquired with arbitrary angular constellations of source and detector in nonisocentric trajectories, which is considered essential for IGRT...
January 2017: Medical Physics
https://www.readbyqxmd.com/read/28090640/in-the-era-of-igrt-and-small-and-focal-field-external-beam-radiotherapy-brachytherapy-is-a-dying-modality
#5
E Ishmael Parsai, Zoubir Ouhib, Colin G Orton
No abstract text is available yet for this article.
November 29, 2016: Medical Physics
https://www.readbyqxmd.com/read/28069053/influence-of-daily-imaging-on-plan-quality-and-normal-tissue-toxicity-for-prostate-cancer-radiotherapy
#6
Katharina Bell, Marina Heitfeld, Norbert Licht, Christian Rübe, Yvonne Dzierma
BACKGROUND: Modern radiotherapy offers various possibilities for image guided verification of patient positioning. Different clinically relevant IGRT (image guided radiotherapy) scenarios were considered with regard to their influence on dosimetric plan quality and normal tissue complication probability (NTCP). METHODS: This study is based on treatment plans of 50 prostate patients. We evaluate the clinically performed IGRT and simulate the influence of different daily IGRT scenarios on plan quality...
January 10, 2017: Radiation Oncology
https://www.readbyqxmd.com/read/28048827/su-f-t-163-improve-proton-therapy-efficiency-report-of-a-workshop
#7
Y Zheng, J Flanz, D Mah, M Pankuch, C Beltran, B Robison, B Kreydick, A Schreuder
PURPOSE: The technology of proton therapy, especially the pencil beam scanning technique, is evolving very quickly. However, the efficiency of proton therapy seems to lag behind conventional photon therapy. The purpose of the abstract is to report on the findings of a workshop on improvement of QA, planning and treatment efficiency in proton therapy. METHODS: A panel of physicists, clinicians, and vendor representatives from over 18 institutions in the United States and internationally were convened in Knoxville, Tennessee in November, 2015...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048728/tu-a-201-01-introduction-to-in-room-imaging-system-characteristics
#8
J Chang
: Recent years have seen a widespread proliferation of available in-room image guidance systems for radiation therapy target localization with many centers having multiple in-room options. In this session, available imaging systems for in-room IGRT will be reviewed highlighting the main differences in workflow efficiency, targeting accuracy and image quality as it relates to target visualization. Decision-making strategies for integrating these tools into clinical image guidance protocols that are tailored to specific disease sites like H&N, lung, pelvis, and spine SBRT will be discussed...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048706/tu-ab-bra-06-best-in-physics-joint-imaging-therapy-an-mri-compatible-externally-and-internally-deformable-lung-motion-phantom-for-multi-modality-igrt
#9
P Sabouri, T Arai, A Sawant
PURPOSE: MRI has become an attractive tool for tumor motion management. Current MR-compatible phantoms are only capable of reproducing translational motion. This study describes the construction and validation of a more realistic, MRI-compatible lung phantom that is deformable internally as well as externally. We demonstrate a radiotherapy application of this phantom by validating the geometric accuracy of the open-source deformable image registration software NiftyReg (UCL, UK). METHODS: The outer shell of a commercially-available dynamic breathing torso phantom was filled with natural latex foam with eleven water tubes...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048705/su-f-j-33-on-line-daily-kv-image-protocol-of-lung-patient-setup-with-minimal-cbct
#10
J Zhou, K Prado, A Gopal, W D'souza, G Lasio, B Yi
PURPOSE: This study's intent is to test if the first 3 fractions of an IGRT protocol consisting of a kV orthogonal pair and subsequent CBCT are representative of all remaining treatment fractions. METHODS: At our institution the standard IGRT protocol includes CBCT after kV imaging for the first 3 fractions followed by daily kV and weekly CBCT. We randomly selected 20 lung patients who have at least 8 CBCTs in the entire treatment course (total 187 sets of orthogonal kV images plus CBCT)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048698/tu-fg-bra-02-assure-the-quality-of-treatment-planning-when-time-is-constrained
#11
J Chang
Optimizing Radiation Therapy Process The radiotherapy (RT) process has evolved over the years with innovations in CT and MR simulations, treatment planning, and treatment delivery. Image-Guided Radiotherapy (IGRT) has been widely adopted for patient setup, leading to margin reduction and isocenter repositioning after simulation. Stereotactic Body Radiotherapy (SBRT) and Stereotactic Radiosurgery (SRS) have gradually become the standard of care for many treatment sites, which demand a higher throughput for the simulation/plan/treatment even if the number of treatments per day remains the same...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048660/tu-b-201-01-an-overview-of-tg-180
#12
G Ding
: Radiotherapy is in the era of image guided radiation therapy (IGRT) in which imaging procedures are routinely performed for patient positioning, and target localization. The additional imaging dose delivered may increase risk to the patient and therefore needs to be managed. This lecture provides an overview of the AAPM TG-180 which is charged with: providing an overview on imaging dose including megavoltage electronic portal imaging (MV EPI), kilovoltage digital radiography (kV DR), Tomotherapy MV-CT, megavoltage cone-beam CT (MV-CBCT) and kilovoltage cone-beam CT (kV-CBCT) as well as providing general guidelines for commissioning and managing imaging dose calculations...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048654/su-f-t-233-evaluation-of-treatment-delivery-parameters-using-high-resolution-elekta-log-files
#13
C Kabat, D Defoor, A Alexandrian, N Papanikolaou, S Stathakis
PURPOSE: As modern linacs have become more technologically advanced with the implementation of IGRT and IMRT with HDMLCs, a requirement for more elaborate tracking techniques to monitor components' integrity is paramount. ElektaLog files are generated every 40 milliseconds, which can be analyzed to track subtle changes and provide another aspect of quality assurance. This allows for constant monitoring of fraction consistency in addition to machine reliability. With this in mind, it was the aim of the study to evaluate if ElektaLog files can be utilized for linac consistency QA...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048637/su-f-t-324-experimental-measurement-of-optically-stimulated-luminescence-detectors-in-a-mr-igrt-environment-toward-assessing-magnetic-field-effects-on-these-devices-and-their-use-as-an-in-vivo-dosimeter
#14
M Reilly, A Curcuru, S Yaddanapudi, O Green
PURPOSE: To characterize magnetic field effects on Optically Stimulated Luminescence Detectors (OSLDs) for use as an in-vivo dosimeter in an MRIGRT machine. METHODS: Landauer OSLD nano-dots and the MicroStar II reader were used to measure and record OSLDs exposed in and on a solid water phantom in a 10.5 × 10.5 cm(2) field, Co-60, 0.32-Tesla MR-IGRT machine - with and without the presence of the magnetic field. Two orthogonal gantry angles were considered to assess orientation effects on the OSLDs with respect to the incident angle of the radiation beam and magnetic field...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048493/su-g-jep3-14-positioning-and-dosimetric-uncertainties-in-image-guided-radiation-therapy-with-respiratory-gating
#15
I Ali, S Hossain, O Algan, E Syzek, S Ahmad
PURPOSE: To investigate quantitatively positioning and dosimetric uncertainties due to 4D-CT intra-phase motion in the internal-target-volume (ITV) associated with radiation therapy using respiratory-gating for patients setup with image-guidance-radiation-therapy (IGRT) using free-breathing or average-phase CT-images. METHODS: A lung phantom with an embedded tissue-equivalent target is imaged with CT while it is stationary and moving. Four-sets of structures are outlined: (a) the actual target on CT-images of the stationary-target, (b) ITV on CT-images for the free-moving phantom, (c) ITV's from the ten different phases (10-100%) and (d) ITV on the CT-images generated from combining 3 phases: 40%-50%-60%...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048467/su-g-jep2-08-image-guided-radiation-therapy-using-synthetic-cts-in-brain-cancer
#16
R G Price, J Kim, W Zheng, I J Chetty, C Glide-Hurst
PURPOSE: Synthetic-CTs(synCTs) are essential for MR-only treatment planning. However, the performance of synCT for IGRT must be carefully assessed. This work evaluated the accuracy of synCT and synCT-generated DRRs and determined their performance for IGRT in brain cancer radiation therapy. METHODS: MR-SIM and CT-SIM images were acquired of a novel anthropomorphic phantom and a cohort of 12 patients. SynCTs were generated by combining an ultra-short echo time (UTE) sequence with other MRI datasets using voxel-based weighted summation...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048438/th-ab-bra-01-a-novel-doubly-focused-multileaf-collimator-design-for-mr-guided-radiation-therapy
#17
H Li, S Mutic, D Low, O Green, G Fought, I Kawrakow, A Sharma, S Shvartsman, J Dempsey
PURPOSE: To describe the physical and dosimetric properties of a novel double-stack multileaf collimator (MLC). METHODS: One of the compromises made in the MLC design has been to employ linear-motion singly-divergent shapes. Because the MLC leading edge moves linearly, it is rounded to provide a consistent, albeit compromised penumbra. The MLC employed in the new linac-based MR-IGRT unit is designed to be doubly focused in that each leaf moves in an arc centered at the source, and the sides of the leaves are machined such that they lie parallel to a line between the leaf edge and the source...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048346/su-f-t-660-evaluating-the-benefit-of-using-dual-function-fiducial-markers-for-in-situ-delivery-of-radiosenistizing-gold-nanoparticles-during-image-guided-radiotherapy
#18
S AlMansour, J Chin, E Sajo, W Ngwa
PURPOSE: Dual-function fiducials loaded with radiosensitizers, like gold nanoparticles (GNP), offer an innovative approach for ensuring geometric accuracy during image-guided radiotherapy (IGRT) and significantly increasing therapeutic efficacy due to controlled in-situ release of the radiosensitizers. This study retrospectively investigates the dosimetric benefit of using up to two such dual-function fiducial markers instead of traditional single function fiducials during IGRT. METHODS: A computational code was developed to investigate the dosimetric benefit for 10 real patient tumor volumes of up to 6...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048209/su-f-p-55-testicular-scatter-dose-determination-during-prostate-sbrt-with-and-without-pelvic-lymph-nodes
#19
C Venencia, A Germanier, E Garrigo, P Castro Pena, J Torres, S Zunino
PURPOSE: The elective irradiation of pelvis lymph node for prostate cancer is still controversial. Including pelvic lymph node as part of the planning target volume could increase the testicular scatter dose, which could have a clinical impact. The objective of this work was to measure testicular scatter dose for prostate SBRT treatment with and without pelvic lymph nodes using TLD dosimetry. METHODS: A 6MV beam (1000UM/min) produce by a Novalis TX (BrainLAB-VARIAN) equipped HDMLC was used...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048202/we-h-brc-02-failure-mode-and-effect-analysis-of-liver-stereotactic-body-radiotherapy
#20
I Rusu, T Thomas, J Roeske, J Price, C Perino, I Mescioglu, M Surucu
PURPOSE: To identify areas of improvement in our liver stereotactic body radiation therapy (SBRT) program, using failure mode and effect analysis (FMEA). METHODS: A multidisciplinary group consisting of one physician, three physicists, one dosimetrist and two therapists was formed. A process map covering 10 major stages of the liver SBRT program from the initial diagnosis to post treatment follow-up was generated. A total of 102 failure modes, together with their causes and effects, were identified...
June 2016: Medical Physics
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