Evaluation of patient-specific motion management for radiotherapy planning computed tomography using a statistical method
| Autor: | Yoshinori Tanabe, Hidetoshi Eto |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Lung Neoplasms Oncology Radiological and Ultrasound Technology Radiotherapy Planning Computer-Assisted Humans Radiology Nuclear Medicine and imaging Radiotherapy Dosage Radiotherapy Intensity-Modulated Cone-Beam Computed Tomography Four-Dimensional Computed Tomography Radiosurgery Tomography X-Ray Computed |
| Zdroj: | Medical dosimetry : official journal of the American Association of Medical Dosimetrists. 47(2) |
| ISSN: | 1873-4022 |
| Popis: | We evaluated the probabilistic randomness of predictions by using individual numerical data based on general data for treatment planning computed tomography (CT) and evaluated the importance of patient-specific management through statistical analysis of our facility's data in lung stereotactic body radiotherapy (SBRT) and prostate volumetric modulated arc therapy (VMAT). The subjects were 30 patients who underwent lung SBRT with fiducial markers and 24 patients who underwent prostate VMAT. The average 3-dimensional (3D) displacement error between the fiducial marker and lung mass in 4DCT of lung SBRT was calculated and then compared with the 3D displacement error between the upper-lobe group (UG) and middle- or lower-lobe group (LG). The duty cycles between the lung tumor and fiducial marker at the 8 mm exceeded the control limit. In lung SBRT and prostate VMAT, overall statistical data from planning CT showed probabilistic randomness in predictions during the treatment period, and patient-specific motion management was needed to increase accuracy. A radiotherapy planning CT report showing a statistical analysis graph would be useful to objective share with staff. |
| Databáze: | OpenAIRE |
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