A new frontier of image guidance: Organs at risk avoidance with MRI-guided respiratory-gated intensity modulated radiotherapy: Technical note and report of a case.

Abstract:

:The case of a 50-year-old man affected by a rhabdomiosarcoma metastatic lesion in the left flank Is reported. The patient was addressed to 50.4 Gy radiotherapy with concomitant chemotherapy in order to locally control the lesion. A Tri-60-Co magnetic resonance hybrid radiotherapy unit was used for treatment delivery and a respiratory gating protocol was applied for the different breathing phases (Free Breathing, Deep Inspiration Breath Hold and Final Expiration Breath Hold). Three intensity modulated radiation therapy (IMRT) plans were calculated and Final Expiration Breath Hold plan was finally selected due to the absence of PTV coverage differences and better organs at risk sparing (i.e. kidneys). This case report suggests that organs at risk avoidance with MRI-guided respiratory-gated Radiotherapy is feasible and particularly advantageous whenever sparing the organs at risk is of utmost dosimetric or clinical importance.

journal_name

J Appl Clin Med Phys

authors

Massaccesi M,Cusumano D,Boldrini L,Dinapoli N,Fionda B,Teodoli S,Azario L,Mattiucci GC,Balducci M,Cellini F,Valentini V

doi

10.1002/acm2.12575

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

194-198

issue

6

issn

1526-9914

journal_volume

20

pub_type

杂志文章
  • 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

  • Utilization of a 3D printer to fabricate boluses used for electron therapy of skin lesions of the eye canthi.

    abstract::This work describes the use of 3D printing technology to create individualized boluses for patients treated with electron beam therapy for skin lesions of the eye canthi. It aimed to demonstrate the effectiveness of 3D-printed over manually fabricated paraffin boluses. The study involved 11 patients for whom the const...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12013

    authors: Łukowiak M,Jezierska K,Boehlke M,Więcko M,Łukowiak A,Podraza W,Lewocki M,Masojć B,Falco M

    更新日期:2017-01-01 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

  • 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

  • A new homogeneity index based on statistical analysis of the dose-volume histogram.

    abstract::The goal of the present study was to develop a new dose-volume histogram (DVH)- based homogeneity index for effectively evaluating the dose homogeneity of intensity-modulated radiotherapy plans. The new index, called the sigma-index ("S-index") is defined as the standard deviation of the normalized differential DVH cu...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v8i2.2390

    authors: Yoon M,Park SY,Shin D,Lee SB,Pyo HR,Kim DY,Cho KH

    更新日期:2007-03-20 00:00:00

  • Distributive quality assurance and delivery of stereotactic ablative radiotherapy treatments amongst beam matched linear accelerators: A feasibility study.

    abstract:PURPOSE:Beam matching occurs on all linacs to some degree and when two are more are matched to each other, patients are able to be transferred between machines. Quality assurance of plans can also be performed "distributively" on any of the matched linacs. The degree to which machines are matched and how this translate...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12567

    authors: Rijken J,Schachenmayr H,Crowe S,Kairn T,Trapp J

    更新日期:2019-04-01 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

  • Dosimetric verification of inverse planned step and shoot multileaf collimator fields from a commercial treatment planning system.

    abstract::An inverse treatment planning (ITP) module on a commercial treatment planning system (TPS) (Helax AB, Uppsala, Sweden) is being used for an in-house clinical trial for treatment of nasopharyngeal cancer with contralateral parotid sparing. Intensity modulated radiation therapy (IMRT) fields are delivered by step and sh...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v3i2.2580

    authors: MacKenzie MA,Lachaine M,Murray B,Fallone BG,Robinson D,Field GC

    更新日期:2002-04-01 00:00:00

  • Deep learning and level set approach for liver and tumor segmentation from CT scans.

    abstract:PURPOSE:Segmentation of liver organ and tumors from computed tomography (CT) scans is an important task for hepatic surgical planning. Manual segmentation of liver and tumors is tedious, time-consuming, and biased to the clinician experience. Therefore, automatic segmentation of liver and tumors is highly desirable. It...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.13003

    authors: Alirr OI

    更新日期:2020-10-01 00:00:00

  • Assessment of potential jaw-tracking advantage using control point sequences of VMAT planning.

    abstract::This study aims to evaluate the potential jaw-tracking advantage using control point sequences of volume volumetric modulated arc therapy (VMAT) planning. VMAT plans for patients with prostate and head and neck (H&N) cancers were converted into new static arc (SA) plans. The SA plan consisted of a series of static fie...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v15i2.4625

    authors: Kim JI,Park JM,Park SY,Choi CH,Wu HG,Ye SJ

    更新日期:2014-03-06 00:00:00

  • Development of a stereoscopic CT metal artifact management algorithm using gantry angle tilts for head and neck patients.

    abstract::Dental amalgams are a common source of artifacts in head and neck (HN) images. Commercial artifact reduction techniques have been offered, but are substantially ineffectual at reducing artifacts from dental amalgams, can produce additional artifacts, provide inaccurate HU information, or require extensive computation ...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12922

    authors: Branco D,Kry S,Taylor P,Rong J,Zhang X,Peterson C,Frank S,Followill D

    更新日期:2020-08-01 00:00:00

  • Feasibility of a GATE Monte Carlo platform in a clinical pretreatment QA system for VMAT treatment plans using TrueBeam with an HD120 multileaf collimator.

    abstract:PURPOSE:To evaluate the quality of patient-specific complicated treatment plans, including commercialized treatment planning systems (TPS) and commissioned beam data, we developed a process of quality assurance (QA) using a Monte Carlo (MC) platform. Specifically, we constructed an interface system that automatically c...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12718

    authors: Lee B,Jeong S,Chung K,Yoon M,Park HC,Han Y,Jung SH

    更新日期:2019-10-01 00:00:00

  • A seed specific dose kernel method for low-energy brachytherapy dosimetry.

    abstract::We describe a method for independently verifying the dose distributions from pre- and post-implant brachytherapy source distributions. Monte Carlo calculations have been performed to characterize the three-dimensional dose distribution in water phantom from a low-energy brachytherapy source. The calculations are perfo...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v4i1.2543

    authors: DeMarco JJ,Solberg TD,Agazaryan N

    更新日期:2003-01-01 00:00:00

  • Feasibility of the new copper pipe method for evaluating half-value layer in computed tomography: A measurement and Monte Carlo simulation study.

    abstract::This study aimed to verify the accuracy of half-value layer (HVL) measured using the new copper pipe method with the CT ionization chamber while the X-ray tube is rotating and to compare it with the conventional nonrotating method and Monte Carlo simulation method based on the actual measurement and geometry of the ne...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12780

    authors: Okubo R,Matsubara K,Chusin T,Hibino T,Ito Y

    更新日期:2019-12-01 00:00:00

  • Preclinical assessment of comfort and secure fit of thermobrachytherapy surface applicator (TBSA) on volunteer subjects.

    abstract::A thermobrachytherapy surface applicator (TBSA) was developed for simultaneous heat and brachytherapy treatment of chest wall (CW) recurrence of breast cancer. The ability to comfortably secure the applicator over the upper torso relative to the CW target throughout treatment is assessed on volunteers. Male and postma...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v13i5.3845

    authors: Arunachalam K,Craciunescu OI,Markewitz EJ,Maccarini PF,Schlorff JL,Stauffer PR

    更新日期:2012-09-06 00:00:00

  • Quantification and reduction of peripheral dose from leakage radiation on Siemens Primus accelerators in electron therapy mode.

    abstract::In this work, leakage radiation from EA200 series electron applicators on Siemens Primus accelerators is quantified, and its penetration ability in water and/or the shielding material Xenolite-NL established. Initially, measurement of leakage from 10 x 10 - 25 x 25 cm2 applicators was performed as a function of height...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v11i3.3105

    authors: Yeboah C,Karotki A,Hunt D,Holly R

    更新日期:2010-06-15 00:00:00

  • Effect of skull shape approximations in Gamma Knife dose calculations.

    abstract::Doses in Leksell GammaPlan (Elekta, Stockholm, Sweden) are calculated for each shot by summing the contribution from the 201 radiation beams emitted by the Gamma Knife (Elekta), weighted for attenuation in the tissue traversed. The patient's head is modeled based on 24 skull measurements, from which the depth to the c...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v8i3.2377

    authors: Berndt A,Beck J

    更新日期:2007-07-17 00:00:00

  • Impact of incorporating visual biofeedback in 4D MRI.

    abstract::Precise radiation therapy (RT) for abdominal lesions is complicated by respiratory motion and suboptimal soft tissue contrast in 4D CT. 4D MRI offers improved con-trast although long scan times and irregular breathing patterns can be limiting. To address this, visual biofeedback (VBF) was introduced into 4D MRI. Ten v...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v17i3.6017

    authors: To DT,Kim JP,Price RG,Chetty IJ,Glide-Hurst CK

    更新日期:2016-05-08 00:00:00

  • Method and phantom to study combined effects of in-plane (x,y) and z-axis resolution for 3D CT imaging.

    abstract::Increasingly, the advent of multislice CT scanners, volume CT scanners, and total body spiral acquisition modes has led to the use of Multi Planar Reconstruction and 3D datasets. In considering 3D resolution properties of a CT system it is important to note that both the in-plane (x,y) and z-axis (slice thickness) inf...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v17i5.6294

    authors: Goodenough D,Levy J,Kristinsson S,Fredriksson J,Olafsdottir H,Healy A

    更新日期:2016-09-08 00:00:00

  • Analysis of esophageal-sparing treatment plans for patients with high-grade esophagitis.

    abstract::We retrospectively generated IMRT plans for 14 NSCLC patients who had experienced grade 2 or 3 esophagitis (CTCAE version 3.0). We generated 11-beam and reduced esophagus dose plan types to compare changes in the volume and length of esophagus receiving doses of 50, 55, 60, 65, and 70 Gy. Changes in planning target vo...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v14i4.4248

    authors: Niedzielski J,Bluett JB,Williamson RT,Liao Z,Gomez DR,Court LE

    更新日期:2013-07-08 00:00:00

  • Independent calculation of dose from a helical TomoTherapy unit.

    abstract::A new calculation algorithm has been developed for independently verifying doses calculated by the TomoTherapy Hi.Art treatment planning system (TPS). The algorithm is designed to confirm the dose to a point in a high dose, low dose-gradient region. Patient data used by the algorithm include the radiological depth to ...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v10i1.2772

    authors: Gibbons JP,Smith K,Cheek D,Rosen I

    更新日期:2009-02-05 00:00:00

  • Stereotactic radiotherapy of appropriately selected meningiomas and metastatic brain tumor beds with gamma knife icon versus volumetric modulated arc therapy.

    abstract:PURPOSE:To determine if the gamma knife icon (GKI) can provide superior stereotactic radiotherapy (SRT) dose distributions for appropriately selected meningioma and post-resection brain tumor bed treatments to volumetric modulated arc therapy (VMAT). MATERIALS AND METHODS:Appropriately selected targets were not proxim...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.13100

    authors: Buatti JS,Buatti JM,Yaddanapudi S,Pennington EC,Wang D,Gross B,St-Aubin JJ,Hyer DE,Smith MC,Flynn RT

    更新日期:2020-12-01 00:00:00

  • Production of neutrons in laminated barriers of radiotherapy rooms: comparison between the analytical methodology and Monte Carlo simulations.

    abstract::The necessity to build or adapt radiotherapy rooms in reduced areas leads to the search for unconventional solutions for shielding projects. In most cases, adding metals to the primary barriers is the best alternative to shield rooms properly. However, when photons with energies equal or higher than 10 MV interact wit...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v15i6.5035

    authors: Rezende GF,Da Rosa LA,Facure A

    更新日期:2014-11-08 00:00:00

  • On the complexity of helical tomotherapy treatment plans.

    abstract:PURPOSE:Multiple metrics are proposed to characterize and compare the complexity of helical tomotherapy (HT) plans created for different treatment sites. METHODS:A cohort composed of 208 HT plans from head and neck (105), prostate (51) and brain (52) tumor sites was considered. For each plan, 14 complexity metrics wer...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1002/acm2.12895

    authors: Santos T,Ventura T,Mateus J,Capela M,Lopes MDC

    更新日期:2020-07-01 00:00:00

  • Determination of the photon beam attenuation by the Brainlab imaging couch: angular and field size dependence.

    abstract::Highly attenuating radiation treatment couches are no longer useful in the present era of radiotherapy utilizing IMRT and IGRT. Carbon fibers couch tops with its high tensile strength and low density present a useful alternative. The objective of the current study was to quantify the attenuation of megavoltage photons...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v10i3.2979

    authors: Njeh CF,Raines TW,Saunders MW

    更新日期:2009-06-02 00:00:00

  • Case study of radiation therapy treatment of a patient with a cardiac ventricular assist device.

    abstract::A patient with a cardiac ventricular assist device (VAD) with computer-controlled driver presented to our department for radiation therapy. The treatment plan was 4500 cGy to the rectum over 25 fractions with 15MV photon beams. All beams avoided the pump and leads. The response to electromagnetic interference (EMI) wa...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v9i4.2851

    authors: Lasher DE,Wojcicka JB,Malcom R,Shears LL

    更新日期:2008-10-29 00:00:00

  • Automating checks of plan check automation.

    abstract::While a few physicists have designed new plan check automation solutions for their clinics, fewer, if any, managed to adapt existing solutions. As complex and varied as the systems they check, these programs must gain the full confidence of those who would run them on countless patient plans. The present automation ef...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v15i4.4889

    authors: Halabi T,Lu HM

    更新日期:2014-07-08 00:00:00

  • Using mean dose rate to compare relative dosimetric efficiency with respect to source type and source change schedules for HDR brachytherapy.

    abstract::Remote afterloading devices used for high-dose-rate (HDR) brachytherapy may be supplied with different sources, and these sources typically have differing initial source strengths. In addition, the proposed frequency for source changes may also vary, depending upon the source type. Dosimetric parameters unique to each...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章

    doi:10.1120/jacmp.v14i6.4239

    authors: Davis SD,Parker W,Evans MD

    更新日期:2013-11-04 00:00:00

  • AAPM Task Group 103 report on peer review in clinical radiation oncology physics.

    abstract::This report provides guidelines for a peer review process between two clinical radiation oncology physicists. While the Task Group's work was primarily focused on ensuring timely and productive independent reviews for physicists in solo practice, these guidelines may also be appropriate for physicists in a group setti...

    journal_title:Journal of applied clinical medical physics

    pub_type: 杂志文章,实务指引

    doi:10.1120/jacmp.v6i4.2142

    authors: Halvorsen PH,Das IJ,Fraser M,Freedman DJ,Rice RE 3rd,Ibbott GS,Parsai EI,Robin TT Jr,Thomadsen BR,American Association of Physicists in Medicine.

    更新日期:2005-10-01 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