دورية أكاديمية

Towards mid-position based Stereotactic Body Radiation Therapy using online magnetic resonance imaging guidance for central lung tumours

التفاصيل البيبلوغرافية
العنوان: Towards mid-position based Stereotactic Body Radiation Therapy using online magnetic resonance imaging guidance for central lung tumours
المؤلفون: Hans Ligtenberg, Sara L. Hackett, Laura G. Merckel, Louk Snoeren, Charis Kontaxis, Cornel Zachiu, Gijsbert H. Bol, Joost J.C. Verhoeff, Martin F. Fast
المصدر: Physics and Imaging in Radiation Oncology, Vol 23, Iss , Pp 24-31 (2022)
بيانات النشر: Elsevier, 2022.
سنة النشر: 2022
المجموعة: LCC:Medical physics. Medical radiology. Nuclear medicine
LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
مصطلحات موضوعية: MR-Linac, Mid-position planning, Dose accumulation, MRgRT, NSCLC, Medical physics. Medical radiology. Nuclear medicine, R895-920, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
الوصف: Background and purpose: Central lung tumours can be treated by magnetic resonance (MR)-guided radiotherapy. Complications might be reduced by decreasing the Planning Target Volume (PTV) using mid-position (midP)-based planning instead of Internal Target Volume (ITV)-based planning. In this study, we aimed to verify a method to automatically derive patient-specific PTV margins for midP-based planning, and show dosimetric robustness of midP-based planning for a 1.5T MR-linac.Materials and methods: Central(n = 12) and peripheral(n = 4) central lung tumour cases who received 8x7.5 Gy were included. A midP-image was reconstructed from ten phases of the 4D-Computed Tomography using deformable image registration. The Gross Tumor Volume (GTV) was delineated on the midP-image and the PTV margin was automatically calculated based on van Herk’s margin recipe, treating the standard deviation of all Deformation Vector Fields, within the GTV, as random error component. Dosimetric robustness of midP-based planning for MR-linac using automatically derived margins was verified by 4D dose-accumulation. MidP-based plans were compared to ITV-based plans. Automatically derived margins were verified with manually derived margins.Results: The mean D95% target coverage in GTV + 2 mm was 59.9 Gy and 62.0 Gy for midP- and ITV-based central lung plans, respectively. The mean lung dose was significantly lower for midP-based treatment plans (difference:-0.3 Gy; p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2405-6316
العلاقة: http://www.sciencedirect.com/science/article/pii/S2405631622000422Test; https://doaj.org/toc/2405-6316Test
DOI: 10.1016/j.phro.2022.05.002
الوصول الحر: https://doaj.org/article/f4dd142a7f6841a38f142e7a201ef7b8Test
رقم الانضمام: edsdoj.f4dd142a7f6841a38f142e7a201ef7b8
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:24056316
DOI:10.1016/j.phro.2022.05.002