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Published byBrittany Thornton Modified over 6 years ago
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Clinical evaluation of interfractional variations for whole breast radiotherapy using 3- dimensional surface imaging Amish P. Shah, PhD, Tomas Dvorak, MD, Michael S. Curry, MS, Daniel J. Buchholz, MD, Sanford L. Meeks, PhD Practical Radiation Oncology Volume 3, Issue 1, Pages (January 2013) DOI: /j.prro Copyright © 2013 American Society for Radiation Oncology Terms and Conditions
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Figure 1 Examples of AlignRT reference and verification surface images: (A) reference (pink) and verification surface (green) daily registration and (B) the registered region of interest within 2 mm of the reference surface after registration. Practical Radiation Oncology 2013 3, 16-25DOI: ( /j.prro ) Copyright © 2013 American Society for Radiation Oncology Terms and Conditions
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Figure 2 Schematic showing the sequence of events for patient setup for whole breast radiotherapy when using the AlignRT system. MV, megavoltage; ROI, regions of interest; RT, radiotherapy. Practical Radiation Oncology 2013 3, 16-25DOI: ( /j.prro ) Copyright © 2013 American Society for Radiation Oncology Terms and Conditions
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Figure 3 Initial target offsets for each fraction: left/right (○), sup/inf (+), ant/post (◊), and 3-dimensional (3D) vector length (■) for (A) 1 patient (No. 7) with moderate AlignRT offsets from skin marks and (B) 1 patient (No. 32) with excessive AlignRT offsets from skin marks. Practical Radiation Oncology 2013 3, 16-25DOI: ( /j.prro ) Copyright © 2013 American Society for Radiation Oncology Terms and Conditions
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Figure 4 Histograms showing percent of fractions binned by size of initial target offsets for all patients and all fractions: (A) ant/post; (B) sup/inf; (C) left/right; (D) 3-dimensional (3D) vector length. Practical Radiation Oncology 2013 3, 16-25DOI: ( /j.prro ) Copyright © 2013 American Society for Radiation Oncology Terms and Conditions
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Figure 5 Planned and delivered dose-volume histograms of heart, lung, and volume of prescription isodose line from the treatment plan for (A) patient (No.7) with moderate AlignRT offsets from skin marks; (B) patient (No. 32) with excessive AlignRT offsets from skin marks (data displayed in Fig 3); and (C) left-sided breast cancer patient's treatment (Tx) plan, combined with a separate patient's daily offsets in order to display a possible “worst-case” scenario from daily laser and skin mark alignments with large systematic error. Practical Radiation Oncology 2013 3, 16-25DOI: ( /j.prro ) Copyright © 2013 American Society for Radiation Oncology Terms and Conditions
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