Document Detail


Clinical evaluation of a commercial surface-imaging system for patient positioning in radiotherapy.
MedLine Citation:
PMID:  23138774     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Laser scanning-based patient surface positioning and surveillance may complement image-guided radiotherapy (IGRT) as a nonradiation-based approach. We investigated the performance of an optical system compared to standard kilovoltage cone-beam computed tomography (CBCT) and its potential to reduce the number of daily CBCTs. PATIENTS AND METHODS: We analyzed the patient positioning of 153 treatment fractions in 21 patients applied to three different treatment regions. Patients were first scanned with CBCT, shifted to the optimal isocenter position, and an optical scan was performed to verify the matching in relation to CBCT. RESULTS: For the head-and-neck region, the lateral/longitudinal/vertical/rotational/roll and pitch shift was 0.9 ± 1.8 mm/-2.7± 3.8 mm/-0.8± 3.6 mm/0.0± 1.1°/-0.5± 2.1°/0.2± 1.6°. For the thorax, the lateral/longitudinal/vertical/roll and pitch shift was -1.2± 3.6 mm/0.8± 5.1 mm/0.8± 4.3 mm/0.6± 1.4°/0.1± 0.9°/0.3± 1.0°. For the pelvis, the respective values were -2.5± 4.1 mm/4.6± 7.3 mm/-5.1± 7.4 mm/0.3± 1.1°/-0.5± 1.0°/0.3± 2.1°. In total, the recorded disagreement was -1.0± 3.6 mm/1.0± 6.3 mm/-1.8± 5.9 mm/0.3± 1.2°/-0.3± 1.5°/0.2± 1.7°. CONCLUSION: This analysis showed good agreement between the optical scanner approach and CBCT. The optical system holds potential to ensure precise patient positioning and reduced CBCT frequency in tumor locations with fixed relation to surface structures.
Authors:
F Stieler; F Wenz; D Scherrer; M Bernhardt; F Lohr
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-10
Journal Detail:
Title:  Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]     Volume:  -     ISSN:  1439-099X     ISO Abbreviation:  Strahlenther Onkol     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8603469     Medline TA:  Strahlenther Onkol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Radiation Therapy and Radiation Oncology, University Medical Center Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany, florian.stieler@umm.de.
Vernacular Title:
Klinische Bewertung eines kommerziellen Oberflächenbildgebungssystems zur Patientenpositionierung bei Strahlentherapie.
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