abstract：:This study evaluated unexpected dosimetric errors caused by machine control accuracy, patient setup errors, and patient weight changes/internal organ deformations. Trajectory log files for 13 gynecologic plans with seven- or nine-beam dynamic multileaf collimator (MLC) intensity-modulated radiation therapy (IMRT), and...

journal_title：Journal of applied clinical medical physics

authors： Utena Y,Takatsu J,Sugimoto S,Sasai K

更新日期：2021-01-10 00:00:00

abstract：:Stereotactic body radiotherapy (SBRT) of lung tumors via the ring-mounted Halcyon Linac, a fast kilovoltage cone beam CT-guided treatment with coplanar geometry, a single energy 6MV flattening filter free (FFF) beam and volumetric modulated arc therapy (VMAT) is a fast, safe, and feasible treatment modality for select...

journal_title：Journal of applied clinical medical physics

authors： Pokhrel D,Visak J,Critchfield LC,Stephen J,Bernard ME,Randall M,Kudrimoti M

更新日期：2020-12-20 00:00:00

abstract：BACKGROUND:We analyzed the clinical and imaging characteristics of patients with breast ductal carcinoma in situ with microinvasion (DCISM) and breast ductal carcinoma in situ (DCIS). METHODS:We analyzed the records of 40 patients diagnosed with DCISM and 61 patients with DCIS who were hospitalized at Shengjing Hospit...

journal_title：Journal of applied clinical medical physics

authors： Han S,Qiu F,Han Y,Xu Y,Yin J,Xing F,Bian X,He G

更新日期：2020-12-17 00:00:00

abstract：PURPOSE:To determine the optimal dose-volume constraint for laryngeal sparing using three commonly employed intensity modulated radiation therapy (IMRT) approaches in patients with oropharyngeal cancer treated to the bilateral neck. MATERIALS AND METHODS:Thirty patients with stage II-IVA oropharynx cancers received de...

journal_title：Journal of applied clinical medical physics

authors： Wilke C,Takiar V,Wang H,Moreno AC,Tung SS,Quinlan-Davidson SR,Garden AS,Rosenthal DI,Fuller CD,Gunn GB,Reddy JP,Morrison WH,Wang C,Zhao G,Hutcheson KA,Phan J

更新日期：2020-12-05 00:00:00

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

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

更新日期：2020-12-01 00:00:00

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

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

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

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

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

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

abstract：PURPOSE:We introduce an automated, quantitative image analysis package for gamma camera and single photon emission computed tomography quality control. Our focus was to produce consistent methods that are feasible in clinical settings and use standard phantoms. METHODS:Four gamma cameras were used to acquire planar im...

journal_title：Journal of applied clinical medical physics

authors： Tazegul TE,Polemi AM,Snyder A,Snyder C,Collins PG

更新日期：2020-11-03 00:00:00

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

authors： Tulik M,Tulik P,Kowalska T

更新日期：2020-10-27 00:00:00

abstract：INTRODUCTION:Increased modulation and dynamical delivery of external beam radiotherapy (EBRT), such as volumetric modulated arc therapy (VMAT) with dynamic gantry rotation, continuously variable dose rate (CVDR) and field shapes that change during the beam, place greater demands on the performance of linear accelerator...

journal_title：Journal of applied clinical medical physics

authors： van Appeldoorn AA,Kok JGM,Wolthaus JWH

更新日期：2020-10-23 00:00:00

abstract：PURPOSE:The objective of this study was to evaluate the impact of the magnetic field regulation in conjunction with the volumetric repainting technique on the spot positions and range in pencil beam scanning proton therapy. METHODS:"Field regulation" - a feature to reduce the switching time between layers by applying ...

journal_title：Journal of applied clinical medical physics

authors： Rana S,Bennouna J,Gutierrez AN,Rosenfeld AB

更新日期：2020-10-15 00:00:00

abstract：INTRODUCTION:This study aimed to investigate the feasibility of generating pseudo dual-energy CT (DECT) from one 120-kVp CT by using convolutional neural network (CNN) to derive additional information for quantitative image analysis through phantom study. METHODS:Dual-energy scans (80/140 kVp) and single-energy scans ...

journal_title：Journal of applied clinical medical physics

authors： Huang WH,Jhan KJ,Yang CC

更新日期：2020-10-14 00:00:00

abstract：PURPOSE:To investigate the differences between internal target volumes (ITVs) contoured on the simulation 4DCT and daily 4DCBCT images for lung cancer patients treated with stereotactic body radiotherapy (SBRT) and determine the dose delivered on 4D planning technique. METHODS:For nine patients, 4DCBCTs were acquired ...

journal_title：Journal of applied clinical medical physics

authors： Dumas M,Laugeman E,Sevak P,Snyder KC,Mao W,Chetty IJ,Ajlouni M,Wen N

更新日期：2020-10-12 00:00:00

abstract：PURPOSE:This study evaluates the clinical use of the RUBY modular QA phantom for linac QA to validate the integrity of IGRT workflows including the congruence of machine isocenter, imaging isocenter, and room lasers. The results have been benchmarked against those obtained with widely used systems. Additionally, the RU...

journal_title：Journal of applied clinical medical physics

authors： Poppinga D,Kretschmer J,Brodbek L,Meyners J,Poppe B,Looe HK

更新日期：2020-10-01 00:00:00

abstract：:Independent treatment planning system (TPS) check with Mobius3D software, log files based quality assurance (QA) with MobiusFX, and phantom measurement-based QA with ArcCHECK were performed and cross verified for head-and-neck (17 patients), chest (16 patients), and abdominal (19 patients) cancer patients who underwen...

journal_title：Journal of applied clinical medical physics

authors： Han C,Yi J,Zhu K,Zhou Y,Ai Y,Zheng X,Xie C,Jin X

更新日期：2020-10-01 00:00:00

abstract：PURPOSE:The aim of this study was to develop and assess the performance of supervised machine learning technique to classify magnetic resonance imaging (MRI) voxels as cancerous or noncancerous using noncontrast multiparametric MRI (mp-MRI), comprised of T2-weighted imaging (T2WI), diffusion-weighted imaging (DWI), and...

journal_title：Journal of applied clinical medical physics

authors： Gholizadeh N,Simpson J,Ramadan S,Denham J,Lau P,Siddique S,Dowling J,Welsh J,Chalup S,Greer PB

更新日期：2020-10-01 00:00:00

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

authors： Alirr OI

更新日期：2020-10-01 00:00:00

abstract：PURPOSE:The goal of this study was to find the optimal combination of collimator, photopeak and scatter correction for 177 Lutetium (177 Lu) SPECT/CT imaging. METHODS:Three experiments [sphere-to-background ratios (SBR) 50:1, 10:1, and 2:1] were performed with the NEMA Image Quality phantom filled with 177 Lu-trichlor...

journal_title：Journal of applied clinical medical physics

authors： Huizing DMV,Sinaasappel M,Dekker MC,Stokkel MPM,de Wit-van der Veen BJ

更新日期：2020-09-01 00:00:00

abstract：INTRODUCTION:Aim of this study is to dosimetrically characterize a new inorganic scintillator designed for magnetic resonance-guided radiotherapy (MRgRT) in the presence of 0.35 tesla magnetic field (B). METHODS:The detector was characterized in terms of signal to noise ratio (SNR), reproducibility, dose linearity, an...

journal_title：Journal of applied clinical medical physics

authors： Cusumano D,Placidi L,D'Agostino E,Boldrini L,Menna S,Valentini V,De Spirito M,Azario L

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND AND PURPOSE:Along with the increasing demand for high-quality radiotherapy and the growing number of high-precision radiotherapy devices, precise radiotherapy workflow management and accurate time evaluation of the entire radiotherapy process are crucial to providing appropriate, timely treatment for cancer ...

journal_title：Journal of applied clinical medical physics

authors： Guo C,Huang P,Li Y,Dai J

更新日期：2020-09-01 00:00:00

abstract：PURPOSE:To present an open-source software (https://github.com/CHUSRadOncPhys/FluoMV) for monitoring intrafraction motion that is based on the visualization of superimposed contours of projected region-of-interests from DICOM RTSTRUCT files on cine-MV images acquired and displayed in real-time during radiation therapy ...

journal_title：Journal of applied clinical medical physics

authors： Lessard R,Tremblay NM,Plourde MÉ,Guillot M

更新日期：2020-08-01 00:00:00

abstract：:Peripheral lung lesions treated with a single fraction of stereotactic ablative body radiotherapy (SABR) utilizing volumetric modulated arc therapy (VMAT) delivery and flattening filter-free (FFF) beams represent a potentially high-risk scenario for clinically significant dose blurring effects due to interplay between...

journal_title：Journal of applied clinical medical physics

authors： Burton A,Offer K,Hardcastle N

更新日期：2020-08-01 00:00:00

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

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

abstract：PURPOSE:To investigate the daily setup, interfraction motion, variability in the junction areas, and dosimetric effect in craniospinal irradiation (CSI) patients. METHODS:Fifteen CSI patients who had undergone split-field IMRT were followed in the study. Previous, middle, and posttreatment, each target volume position...

journal_title：Journal of applied clinical medical physics

authors： Duan X,Zhou Y,Dai H,Zhao L,Qian J,Yang D,Zhang L,Luo C,Li G

更新日期：2020-08-01 00:00:00

abstract：PURPOSE:To provide insight into the types of questions asked to medical physicists by patients during one-on-one physicist-patient consults at one institution. MATERIALS AND METHODS:Medical physicists trained in patient communication techniques met with patients to provide an overview of the treatment planning and del...

journal_title：Journal of applied clinical medical physics

authors： Atwood TF,Brown DW,Juang T,Moore KL,McConnell KA,Steers JM,Murphy JD,Mundt AJ,Pawlicki T

更新日期：2020-08-01 00:00:00

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

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

更新日期：2020-07-01 00:00:00

abstract：PURPOSE:Volumetric modulated arc therapy (VMAT) is gaining popularity for stereotactic treatment of lung lesions for medically inoperable patients. Due to multiple beamlets in delivery of highly modulated VMAT plans, there are dose delivery uncertainties associated with small-field dosimetry error and interplay effects...

journal_title：Journal of applied clinical medical physics

authors： Pokhrel D,Visak J,Sanford L

更新日期：2020-07-01 00:00:00

abstract：PURPOSE:To assess the impact of isocenter shifts due to linac gantry and table rotation during cranial stereotactic radiosurgery on D98 , target volume coverage (TVC), conformity (CI), and gradient index (GI). METHODS:Winston-Lutz (WL) checks were performed on two Elekta Synergy linacs. A stereotactic quality assuranc...

journal_title：Journal of applied clinical medical physics

authors： Wack LJ,Exner F,Wegener S,Sauer OA

更新日期：2020-05-01 00:00:00

abstract：:The assessment of the coincidence of imaging and radiation isocenters is an important task of regular quality assurance of medical linear accelerators (linacs) as recommended in national and international quality assurance guidelines. A previously reported investigation of the accuracy of the Elekta XVI software to lo...

journal_title：Journal of applied clinical medical physics

authors： Chojnowski JM,Warr GB,Sykes JR,Thwaites DI

更新日期：2020-05-01 00:00:00

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

authors： Sande EPS,Acosta Roa AM,Hellebust TP

更新日期：2020-04-01 00:00:00

abstract：:Four-dimensional computerized tomography (4DCT) is required for stereotactic ablative body radiotherapy (SABR) of mobile targets to account for tumor motion during treatment planning and delivery. In this study, we report on the impact of an image review quality assurance process performed prior to treatment planning ...

journal_title：Journal of applied clinical medical physics

authors： Antony R,Lonski P,Ungureanu E,Hardcastle N,Yeo A,Siva S,Kron T

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND AND PURPOSE:The purpose of this study of pancreatic cancer patients treated with respiratory-guided stereotactic body radiotherapy (SBRT) on a standard linac was to investigate (a) the intrafractional relationship change (IRC) between a breathing signal and the tumor position, (b) the impact of IRC on the de...

journal_title：Journal of applied clinical medical physics

authors： Pettersson N,Oderinde OM,Murphy J,Simpson D,Cerviño LI

更新日期：2020-03-01 00:00:00

abstract：:In this work, the feasibility of using flattening filter free (FFF) beams in volumetric modulated arc therapy (VMAT) total body irradiation (TBI) treatment planning to decrease protracted beam-on times for these treatments was investigated. In addition, a methodology was developed to generate standardized VMAT TBI tre...

journal_title：Journal of applied clinical medical physics

authors： Frederick R,Hudson A,Balogh A,Cao JQ,Pierce G

更新日期：2020-03-01 00:00:00

abstract：PURPOSE:Prescription practice in SRS plans for brain tumors differs significantly for different modalities. In this retrospective study, the strategies to optimize SRS plans for brain tumors with volumetric arc therapy (VMAT) were presented. METHODS:Fifty clinically treated cases were stratified by the maximum target ...

journal_title：Journal of applied clinical medical physics

authors： Wang D,DeNittis A,Hu Y

更新日期：2020-03-01 00:00:00

abstract：PURPOSE:Adaptive radiotherapy (ART) has potential to reduce toxicity and facilitate safe dose escalation. Dose calculations with the planning CT deformed to cone beam CT (CBCT) have shown promise for estimating the "dose of the day". The purpose of this study is to investigate the "dose of the day" calculation accuracy...

journal_title：Journal of applied clinical medical physics

authors： Yuan Z,Rong Y,Benedict SH,Daly ME,Qiu J,Yamamoto T

更新日期：2020-01-01 00:00:00

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

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

更新日期：2019-12-01 00:00:00

abstract：PURPOSE:Elekta XVI 5.0 allows for four-dimensional cone beam computed tomography (4D CBCT) image acquisition during treatment delivery to monitor intrafraction motion. These images can have poorer image quality due to undersampling of kV projections and treatment beam MV scatter effects. We determine if a universal int...

journal_title：Journal of applied clinical medical physics

authors： Liang J,Lack D,Zhou J,Liu Q,Grills I,Yan D

更新日期：2019-12-01 00:00:00

abstract：:Patient dose from 2.5 MV images on the TrueBeam linear accelerator is not easily quantified, primarily because this beam energy is not normally modeled by commercial treatment planning systems. In this work we present the feasibility of using the Eclipse® treatment planning system to model this beam. The Acuros XB and...

journal_title：Journal of applied clinical medical physics

authors： Ferris WS,Culberson WS,Anderson DR,Labby ZE

更新日期：2019-12-01 00:00:00

abstract：PURPOSE:The GammaPod is a dedicated prone breast stereotactic radiosurgery (SRS) machine composed of 25 cobalt-60 sources which rotate around the breast to create highly conformal dose distributions for boosts, partial-breast irradiation, or neo-adjuvant SRS. We describe the development and validation of a patient-spec...

journal_title：Journal of applied clinical medical physics

authors： Becker SJ,Niu Y,Mutaf Y,Chen S,Poirier Y,Nichols EM,Yi B

更新日期：2019-12-01 00:00:00