PURPOSE: A study of real-time adaptive radiotherapy systems was performed to test the hypothesis that, across delivery systems and institutions, the dosimetric accuracy is improved with adaptive treatments over non-adaptive radiotherapy in the presence of patient-measured tumor motion. METHODS AND MATERIALS: Ten institutions with robotic(2), gimbaled(2), MLC(4) or couch tracking(2) used common materials including CT and structure sets, motion traces and planning protocols to create a lung and a prostate plan. For each motion trace, the plan was delivered twice to a moving dosimeter; with and without real-time adaptation. Each measurement was compared to a static measurement and the percentage of failed points for γ-tests recorded. RESULTS: For all lung traces all measurement sets show improved dose accuracy with a mean 2%/2mm γ-fail rate of 1.6% with adaptation and 15.2% without adaptation (p<0.001). For all prostate the mean 2%/2mm γ-fail rate was 1.4% with adaptation and 17.3% without adaptation (p<0.001). The difference between the four systems was small with an average 2%/2mm γ-fail rate of <3% for all systems with adaptation for lung and prostate. CONCLUSIONS: The investigated systems all accounted for realistic tumor motion accurately and performed to a similar high standard, with real-time adaptation significantly outperforming non-adaptive delivery methods.
A dosimetric comparison of real-time adaptive and non-adaptive radiotherapy: A multi-institutional study encompassing robotic, gimbaled, multileaf collimator and couch tracking:A multi-institutional study encompassing robotic, gimbaled, multileaf collimator and couch tracking
01.04.2016
Colvill , E , Booth , J , Nill , S , Fast , M , Bedford , J , Oelfke , U , Nakamura , M , Poulsen , P , Worm , E , Hansen , R , Ravkilde , T , Scherman Rydhög , J , Pommer , T , Munck Af Rosenschold , P , Lang , S , Guckenberger , M , Groh , C , Herrmann , C , Verellen , D , Poels , K , Wang , L , Hadsell , M , Sothmann , T , Blanck , O & Keall , P 2016 , ' A dosimetric comparison of real-time adaptive and non-adaptive radiotherapy: A multi-institutional study encompassing robotic, gimbaled, multileaf collimator and couch tracking : A multi-institutional study encompassing robotic, gimbaled, multileaf collimator and couch tracking ' , Radiotherapy & Oncology , vol. 119 , no. 1 , pp. 159-65 . https://doi.org/10.1016/j.radonc.2016.03.006
Aufsatz (Zeitschrift)
Elektronische Ressource
Englisch
DDC: | 629 |
Compensation of intra-fractional organ motion through multileaf collimator tracking
BASE | 2012
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