Technical Note: Comprehensive performance tests of the first clinical real-time motion tracking and compensation system using MLC and jaws
| Autor: | T. Keiper, X. Allen Li, G. P. Chen, An Tai, S.N. Lim |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_treatment
tomotherapy Dose profile Tomotherapy 030218 nuclear medicine & medical imaging THERAPEUTIC INTERVENTIONS 03 medical and health sciences Motion 0302 clinical medicine Match moving medicine Technical Note Dosimetry Radiometry Physics Motion compensation Phantoms Imaging Radiotherapy Planning Computer-Assisted synchrony Motion detection General Medicine Multileaf collimator Jaw 030220 oncology & carcinogenesis Radiotherapy Intensity-Modulated motion tracking Fiducial marker Biomedical engineering |
| Zdroj: | Medical Physics |
| ISSN: | 2473-4209 |
| Popis: | PURPOSE To evaluate the performance of the first clinical real-time motion tracking and compensation system using multileaf collimator (MLC) and jaws during helical tomotherapy delivery. METHODS Appropriate mechanical and dosimetry tests were performed on the first clinical real-time motion tracking system (Synchrony on Radixact, Accuray Inc) recently installed in our institution. kV radiography dose was measured by CTDIw using a pencil chamber. Changes of beam characteristics with jaw offset and MLC leaf shift were evaluated. Various dosimeters and phantoms including A1SL ion chamber (Standard Imaging), Gafchromic EBT3 films (Ashland), TomoPhantom (Med Cal), ArcCheck (Sun Nuclear), Delta4 (ScandiDos), with fiducial or high contrast inserts, placed on two dynamical motion platforms (CIRS dynamic motion-CIRS, Hexamotion-ScandiDos), were used to assess the dosimetric accuracy of the available Synchrony modalities: fiducial tracking with nonrespiratory motion (FNR), fiducial tracking with respiratory modeling (FR), and fiducial free (e.g., lung tumor tracking) with respiratory modeling (FFR). Motion detection accuracy of a tracking target, defined as the difference between the predicted and instructed target positions, was evaluated with the root mean square (RMS). The dose accuracy of motion compensation was evaluated by verifying the dose output constancy and by comparing measured and planned (predicted) three-dimensional (3D) dose distributions based on gamma analysis. RESULTS The measured CTDIw for a single radiograph with a 120 kVp and 1.6 mAs protocol was 0.084 mGy, implying a low imaging dose of 8.4 mGy for a typical Synchrony motion tracking fraction with 100 radiographs. The dosimetric effect of the jaw swing or MLC leaf shift was minimal on depth dose ( |
| Databáze: | OpenAIRE |
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