Effect of electron contamination on in vivo dosimetry for lung block shielding during TBI.

Abstract:

:Our institution performs in vivo verification measurement for each of our total body irradiation (TBI) patients with optically stimulated luminescent dosimeters (OSLD). The lung block verification measurements were commonly higher than expected. The aim of this work is to understand this discrepancy and improve the accuracy of these lung block verification measurements. Initially, the thickness of the lung block was increased to provide adequate lung sparing. Further tests revealed the increase was due to electron contamination dose emanating from the lung block. The thickness of the bolus material covering the OSLD behind the lung block was increased to offset the electron contamination. In addition, the distance from the lung block to the dosimeter was evaluated for its effect on the OSLD reading and found to be clinically insignificant over the range of variability in our clinic. The results show that the improved TBI treatment technique provides for better accuracy of measured dose in vivo and consistency of patient setup.

journal_name

J Appl Clin Med Phys

authors

Narayanasamy G,Cruz W,Saenz DL,Stathakis S,Papanikolaou N,Kirby N

doi

10.1120/jacmp.v17i3.6128

subject

Has Abstract

pub_date

2016-05-08 00:00:00

pages

486-491

issue

3

issn

1526-9914

journal_volume

17

pub_type

杂志文章
  • Understanding the impact of RapidArc therapy delivery errors for prostate cancer.

    abstract::The purpose of this study is to simulate random and systematic RapidArc delivery errors for external beam prostate radiotherapy plans in order to determine the dose sensitivity for each error type. Ten prostate plans were created with a single 360° arc. The DICOM files for these treatment plans were then imported into...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v12i3.3409

    authors: Oliver M,Bush K,Zavgorodni S,Ansbacher W,Beckham WA

    更新日期:2011-05-20 00:00:00

  • Commissioning of the Mobius3D independent dose verification system for TomoTherapy.

    abstract::In radiation therapy, a secondary independent dose verification is an important component of a quality control system. Mobius3D calculates three-dimensional (3D) patient dose using reference beam data and a collapsed cone convolution algorithm and analyzes dose-volume histogram automatically. There are currently no pu...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12572

    authors: Kodama T,Saito Y,Hatanaka S,Hariu M,Shimbo M,Takahashi T

    更新日期:2019-05-01 00:00:00

  • Estimation of lung tumor position from multiple anatomical features on 4D-CT using multiple regression analysis.

    abstract::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 radiotherap...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12121

    authors: Ono T,Nakamura M,Hirose Y,Kitsuda K,Ono Y,Ishigaki T,Hiraoka M

    更新日期:2017-09-01 00:00:00

  • Minimizing dose variation from the interplay effect in stereotactic radiation therapy using volumetric modulated arc therapy for lung cancer.

    abstract::It is important to improve the magnitude of dose variation that is caused by the interplay effect. The aim of this study was to investigate the impact of the number of breaths (NBs) to the dose variation for VMAT-SBRT to lung cancer. Data on respiratory motion and multileaf collimator (MLC) sequence were collected fro...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12264

    authors: Kubo K,Monzen H,Tamura M,Hirata M,Ishii K,Okada W,Nakahara R,Kishimoto S,Kawamorita R,Nishimura Y

    更新日期:2018-03-01 00:00:00

  • Effect of audio instruction on tracking errors using a four-dimensional image-guided radiotherapy system.

    abstract::The Vero4DRT (MHI-TM2000) is capable of performing X-ray image-based tracking (X-ray Tracking) that directly tracks the target or fiducial markers under continuous kV X-ray imaging. Previously, we have shown that irregular respiratory patterns increased X-ray Tracking errors. Thus, we assumed that audio instruction, w...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v14i5.4488

    authors: Nakamura M,Sawada A,Mukumoto N,Takahashi K,Mizowaki T,Kokubo M,Hiraoka M

    更新日期:2013-09-06 00:00:00

  • Frameless stereotactic body radiation therapy for multiple lung metastases.

    abstract::Two patients with multiple lung metastases (≥ 5) were treated using frameless stereotactic body radiation therapy (SBRT) on an Elekta Axesse linear accelerator equipped with an interdigitation-capable multileaf collimator and four-dimensional cone-beam CT (4D CBCT). The technique and the early clinical outcomes were e...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v15i4.4737

    authors: Li Q,Mu J,Gu W,Chen Y,Ning Z,Jin J,Pei H

    更新日期:2014-07-08 00:00:00

  • Estimating and reducing dose received by cardiac devices for patients undergoing radiotherapy.

    abstract::The objectives of this project are to quantify the dose reduction effect provided by a lead shield for patients with cardiac implantable electronic devices (CIED) during a clinically realistic radiation treatment on phantom and to provide a simple model of dose estimation to predict dose received by CIED in a wide ran...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v16i6.5317

    authors: Bourgouin A,Varfalvy N,Archambault L

    更新日期:2015-11-08 00:00:00

  • Radiation treatment planning and delivery strategies for a pregnant brain tumor patient.

    abstract::The management of a pregnant patient in radiation oncology is an infrequent event requiring careful consideration by both the physician and physicist. The aim of this manuscript was to highlight treatment planning techniques and detail measurements of fetal dose for a pregnant patient recently requiring treatment for ...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12262

    authors: Labby ZE,Barraclough B,Bayliss RA,Besemer AE,Dunkerley DAP,Howard SP

    更新日期:2018-09-01 00:00:00

  • Modeling Elekta VersaHD using the Varian Eclipse treatment planning system for photon beams: A single-institution experience.

    abstract::The aim of this study was to report a single-institution experience and commissioning data for Elekta VersaHD linear accelerators (LINACs) for photon beams in the Eclipse treatment planning system (TPS). Two VersaHD LINACs equipped with 160-leaf collimators were commissioned. For each energy, the percent-depth-dose (P...

    journal_title:Journal of applied clinical medical physics

    pub_type: 临床试验,杂志文章

    doi:10.1002/acm2.12709

    authors: Zhang Y,Le AH,Tian Z,Iqbal Z,Chiu T,Gu X,Pugachev A,Reynolds R,Park YK,Lin MH,Stojadinovic S

    更新日期:2019-10-01 00:00:00

  • Improved dosimetric accuracy with semi-automatic contour propagation of organs-at-risk in glioblastoma patients undergoing chemoradiation.

    abstract:BACKGROUND:We study the changes in organs-at-risk (OARs) morphology as contoured on serial MRIs during chemoradiation therapy (CRT) of glioblastoma (GBM). The dosimetric implication of assuming non-deformable OAR changes and the accuracy and feasibility of semi-automatic OAR contour propagation are investigated. METHO...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12758

    authors: Lee S,Stewart J,Lee Y,Myrehaug S,Sahgal A,Ruschin M,Tseng CL

    更新日期:2019-12-01 00:00:00

  • Validation of the preconfigured Varian Ethos Acuros XB Beam Model for treatment planning dose calculations: A dosimetric study.

    abstract::Varian (Palo Alto, California, United States) recently released an online adaptation treatment platform, Ethos, which has introduced a new Dose Preview and Automated Plan Generation module despite sharing identical beam data with the existing Halcyon linac. The module incorporates a preconfigured beam model and the Ac...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.13056

    authors: Hu Y,Byrne M,Archibald-Heeren B,Collett N,Liu G,Aland T

    更新日期:2020-12-01 00:00:00

  • Dose calculation differences between Monte Carlo and pencil beam depend on the tumor locations and volumes for lung stereotactic body radiation therapy.

    abstract::Stereotactic body radiation therapy (SBRT) has been increasingly used as an efficacious treatment modality for early-stage non-small cell lung cancer. The accuracy of dose calculations is compromised due to the presence of inhomogeneity. For the purpose of a consistent prescription, radiation doses were calculated wit...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v14i2.4011

    authors: Zhuang T,Djemil T,Qi P,Magnelli A,Stephans K,Videtic G,Xia P

    更新日期:2013-03-04 00:00:00

  • Evaluation of deep learning-based auto-segmentation algorithms for delineating clinical target volume and organs at risk involving data for 125 cervical cancer patients.

    abstract:OBJECTIVE:To evaluate the accuracy of a deep learning-based auto-segmentation mode to that of manual contouring by one medical resident, where both entities tried to mimic the delineation "habits" of the same clinical senior physician. METHODS:This study included 125 cervical cancer patients whose clinical target volu...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.13097

    authors: Wang Z,Chang Y,Peng Z,Lv Y,Shi W,Wang F,Pei X,Xu XG

    更新日期:2020-12-01 00:00:00

  • Optimal slice thickness for object detection with longitudinal partial volume effects in computed tomography.

    abstract::Longitudinal partial volume effects (z-axial PVE), which occur when an object partly occupies a slice, degrade image resolution and contrast in computed tomography (CT). Z-axial PVE is unavoidable for subslice objects and reduces their contrast according to their fraction contained within the slice. This effect can be...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12005

    authors: Monnin P,Sfameni N,Gianoli A,Ding S

    更新日期:2017-01-01 00:00:00

  • Electron energy constancy verification using a double-wedge phantom.

    abstract::Routine constancy checks of electron energy are often time consuming because of the necessity to measure a dose at two depths. A technique is described that uses a double-wedge shaped phantom positioned on a Profiler diode array for measuring an electron energy constancy metric similar to R(50). The double-wedge elect...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v4i3.2516

    authors: Wells DM,Picco PJ,Ansbacher W

    更新日期:2003-07-01 00:00:00

  • Assessment of an organ-based tube current modulation in thoracic computed tomography.

    abstract::Recently, specific computed tomography (CT) scanners have been equipped with organ-based tube current modulation (TCM) technology. It is possible that organ-based TCM will replace the conventional dose-reduction technique of reducing the effective milliampere-second. The aim of this study was to determine if organ-bas...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v13i2.3731

    authors: Matsubara K,Sugai M,Toyoda A,Koshida H,Sakuta K,Takata T,Koshida K,Iida H,Matsui O

    更新日期:2012-03-08 00:00:00

  • Applying three different methods of measuring CTDIfree air to the extended CTDI formalism for wide-beam scanners (IEC 60601-2-44): A comparative study.

    abstract:PURPOSE:The weighted CT dose index (CTDIw ) has been extended for a nominal total collimation width (nT) greater than 40 mm and relies on measurements of CTDIfreeair. The purpose of this work was to compare three methods of measuring CTDIfreeair and subsequent calculations of CTDIw to investigate their clinical appropr...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12363

    authors: Bujila R,Kull L,Danielsson M,Andersson J

    更新日期:2018-07-01 00:00:00

  • The impact of spectral filtration on image quality in micro-CT system.

    abstract::This paper aims to evaluate the impact of spectral filtration on image quality in a microcomputed tomography (micro-CT) system. A mouse phantom comprising 11rods for modeling lung, muscle, adipose, and bones was scanned with 17 s and 2min, respectively. The current (μA) for each scan was adjusted to achieve identical ...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v17i1.5714

    authors: Ren L,Ghani MU,Wu D,Zheng B,Chen Y,Yang K,Wu X,Liu H

    更新日期:2016-01-08 00:00:00

  • Surface and build-up dose comparison between Elekta 6 MV flattening filter and flattening-filter-free beams using an advanced Markus ionization chamber and a solid water-equivalent phantom.

    abstract::Using a plane-parallel advanced Markus ionization chamber and a stack of water-equivalent solid phantom blocks, percentage surface and build-up doses of Elekta 6 MV flattening filter (FF) and flattening-filter-free (FFF) beams were measured as a function of the phantom depth for field sizes ranging from 2 × 2 to 10 × ...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.13094

    authors: Imae T,Takenaka S,Watanabe Y,Aoki A,Matsuda K,Sasaki K,Saegusa S,Nawa K,Nakagawa K,Abe O

    更新日期:2020-12-01 00:00:00

  • Dose deviations induced by respiratory motion for radiotherapy of lung tumors: Impact of CT reconstruction, plan complexity, and fraction size.

    abstract::A thorax phantom was used to assess radiotherapy dose deviations induced by respiratory motion of the target volume. Both intensity modulated and static, non-modulated treatment plans were planned on CT scans of the phantom. The plans were optimized using various CT reconstructions, to investigate whether they had an ...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12847

    authors: Sande EPS,Acosta Roa AM,Hellebust TP

    更新日期:2020-04-01 00:00:00

  • New adaptive statistical iterative reconstruction ASiR-V: Assessment of noise performance in comparison to ASiR.

    abstract:PURPOSE:To assess the noise characteristics of the new adaptive statistical iterative reconstruction (ASiR-V) in comparison to ASiR. METHODS:A water phantom was acquired with common clinical scanning parameters, at five different levels of CTDIvol . Images were reconstructed with different kernels (STD, SOFT, and BONE...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12253

    authors: De Marco P,Origgi D

    更新日期:2018-03-01 00:00:00

  • On the sensitivity of TG-119 and IROC credentialing to TPS commissioning errors.

    abstract::We investigate the sensitivity of IMRT commissioning using the TG-119 C-shape phantom and credentialing with the IROC head and neck phantom to treatment planning system commissioning errors. We introduced errors into the various aspects of the commissioning process for a 6X photon energy modeled using the analytical a...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v17i1.5452

    authors: McVicker D,Yin FF,Adamson JD

    更新日期:2016-01-08 00:00:00

  • On the optimization of bone SPECT/CT in terms of image quality and radiation dose.

    abstract:INTRODUCTION:The purpose of this study was to present the optimization process of CT parameters to reduce patient exposure during bone SPECT/CT without affecting the quality of SPECT images with attenuation correction (AC). MATERIAL AND METHODS:A fillable phantom reflecting realistic bone scintigraphy conditions was d...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.13069

    authors: Tulik M,Tulik P,Kowalska T

    更新日期:2020-10-27 00:00:00

  • Ion chamber measurements of transverse gamma knife beam profiles.

    abstract::A microchamber, PTW Pinpoint 31006, was used to measure transverse beam profiles for an Elekta Gamma Knife, Model B, and compared with profiles measured with film dosimetry. The microchamber sensitive volume has a diameter of 2 mm, which is smaller than the gamma knife beams, and a length of 5 mm. The chamber was moun...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v3i1.2587

    authors: Bank MI

    更新日期:2002-01-01 00:00:00

  • A dosimetric comparison of stereotactic body radiation therapy techniques for lung cancer: robotic versus conventional linac-based systems.

    abstract::The aim of this study is to compare the dosimetric characteristics of robotic and conventional linac-based SBRT techniques for lung cancer, and to provide planning guidance for each modality. Eight patients who received linac-based SBRT were retrospectively included in this study. A dose of 60 Gy given in three fracti...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v11i3.3223

    authors: Ding C,Chang CH,Haslam J,Timmerman R,Solberg T

    更新日期:2010-06-29 00:00:00

  • An algorithm for automated modulation transfer function measurement using an edge of a PMMA phantom: Impact of field of view on spatial resolution of CT images.

    abstract:PURPOSE:The purpose of this study was to introduce a new algorithm for automated measurement of the modulation transfer function (MTF) using an edge of a readily available phantom and to evaluate the effect of reconstruction filter and field of view (FOV) on the spatial resolution in the CT images. METHODS:Our automat...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12476

    authors: Anam C,Fujibuchi T,Budi WS,Haryanto F,Dougherty G

    更新日期:2018-11-01 00:00:00

  • Introduction to passive electron intensity modulation.

    abstract::This work introduces a new technology for electron intensity modulation, which uses small area island blocks within the collimating aperture and small area island apertures in the collimating insert. Due to multiple Coulomb scattering, electrons contribute dose under island blocks and lateral to island apertures. By s...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12163

    authors: Hogstrom KR,Carver RL,Chambers EL,Erhart K

    更新日期:2017-11-01 00:00:00

  • On the selection of gantry and collimator angles for isocenter localization using Winston-Lutz tests.

    abstract::In Winston-Lutz (WL) tests, the isocenter of a linear accelerator (linac) is determined as the intersection of radiation central axes (CAX) from multiple gantry, collimator, and couch angles. It is well known that the CAX can wobble due to mechanical imperfections of the linac. Previous studies suggested that the wobb...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v17i1.5792

    authors: Du W,Johnson JL,Jiang W,Kudchadker RJ

    更新日期:2016-01-08 00:00:00

  • Effectiveness of a novel gas-release endorectal balloon in the removal of rectal gas for prostate proton radiation therapy.

    abstract::Endorectal balloons (ERBs) are routinely used in prostate proton radiation therapy to immobilize the prostate and spare the rectal wall. Rectal gas can distend the rectum and displace the prostate even in the presence of ERBs. The purpose of this work was to quantify the effects an ERB with a passive gas release condu...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v13i5.3945

    authors: Wootton LS,Kudchadker RJ,Beddar AS,Lee AK

    更新日期:2012-09-06 00:00:00

  • Accuracy of one algorithm used to modify a planned DVH with data from actual dose delivery.

    abstract::Detection and accurate quantification of treatment delivery errors is important in radiation therapy. This study aims to evaluate the accuracy of DVH based QA in quantifying delivery errors. Eighteen previously treated VMAT plans (prostate, H&N, and brain) were randomly chosen for this study. Conventional IMRT deliver...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v17i5.6344

    authors: Ma T,Podgorsak MB,Kumaraswamy LK

    更新日期:2016-09-08 00:00:00