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Background: The aim of this study was to evaluate the inter-fraction reproducibility and intra-fraction stability of breast radiotherapy using voluntary deep-inspiration breath hold (DIBH) and free breathing (FB) based on an optical surface imaging system (OSIS). Methods: Seventeen patients (510 breath-hold sessions) treated using a field-in-field (FiF) technique and twenty patients (600 breath-free sessions) treated with a volume-modulated arc therapy (VMAT) technique were included in this retrospective study. All the patients were positioned with the guidance of CBCT and OSIS, and also monitored with OSIS throughout the whole treatment session. Eight setup variations in three directions were extracted from the treatment reports of OSIS for all sessions and were subsequently manually introduced to treatment plans, resulting in a total of 296 perturbed plans. All perturbed plans were recalculated, and the dose volume histograms (DVH) for the target and organs at risk (OAR) were analyzed. Results: The OSIS and CBCT for both DIBH and FB treatments showed a good agreement of less than 0.30 cm in each direction. The intra-fraction respiratory motion data during DIBH were −0.06 ± 0.07 cm, 0.12 ± 0.15 cm, and 0.12 ± 0.12 cm in the lateral, longitudinal, and vertical directions, respectively; for FB, the respiratory motion data were −0.02 ± 0.12 cm, 0.08 ± 0.18 cm, and 0.14 ± 0.20 cm, respectively. For the target, DIBH plans were more sensitive to setup errors; the mean deviations in D95 for CTV were 39.78 Gy–40.17 Gy for DIBH and 38.46 Gy–40.52 Gy for FB, respectively. For the OARs, the mean deviations of V10, V20, and Dmean to the heart; V5, V20, and Dmean to the ipsilateral lung; and Dmean to the breast were lower for the FB plan compared with the DIBH plan. Conclusion: Based on OSIS, our results indicate that both DIBH and FB can provide good reproducibility in the inter-fractions and stability in the intra-fractions. When the patient respiratory motion is large, the FB technology has greater possibility for the undercoverage of the target volume, while DIBH technology is more likely to result in increases in dose to OARs (the lung, heart, and contralateral breast). [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to clarify the applicability of smartphone-based three-dimensional (3D) surface imaging for clinical use in oral and maxillofacial surgery, comparing two smartphone-based approaches to the gold standard. Methods: Facial surface models (SMs) were generated for 30 volunteers (15 men, 15 women) using the Vectra M5 (Canfield Scientific, USA), the TrueDepth camera of the iPhone 14 Pro (Apple Inc., USA), and the iPhone 14 Pro with photogrammetry. Smartphone-based SMs were superimposed onto Vectra-based SMs. Linear measurements and volumetric evaluations were performed to evaluate surface-to-surface deviation. To assess inter-observer reliability, all measurements were performed independently by a second observer. Statistical analyses included Bland–Altman analyses, the Wilcoxon signed-rank test for paired samples, and Intraclass correlation coefficients. Results: Photogrammetry-based SMs exhibited an overall landmark-to-landmark deviation of M = 0.8 mm (SD = ± 0.58 mm, n = 450), while TrueDepth-based SMs displayed a deviation of M = 1.1 mm (SD = ± 0.72 mm, n = 450). The mean volumetric difference for photogrammetry-based SMs was M = 1.8 cc (SD = ± 2.12 cc, n = 90), and M = 3.1 cc (SD = ± 2.64 cc, n = 90) for TrueDepth-based SMs. When comparing the two approaches, most landmark-to-landmark measurements demonstrated 95% Bland–Altman limits of agreement (LoA) of ≤ 2 mm. Volumetric measurements revealed LoA > 2 cc. Photogrammetry-based measurements demonstrated higher inter-observer reliability for overall landmark-to-landmark deviation. Conclusion: Both approaches for smartphone-based 3D surface imaging exhibit potential in capturing the face. Photogrammetry-based SMs demonstrated superior alignment and volumetric accuracy with Vectra-based SMs than TrueDepth-based SMs. [ABSTRACT FROM AUTHOR]

Digitalizing all aspects of dental care is a contemporary approach to ensuring the best possible clinical outcomes. Ongoing advancements in 3D face acquisition have been driven by continuous research on craniofacial structures and treatment effects. An array of 3D surface-imaging systems are currently available for generating photorealistic 3D facial images. However, choosing a purpose-specific system is challenging for clinicians due to variations in accuracy, reliability, resolution, and portability. Therefore, this review aims to provide clinicians and researchers with an overview of currently used or potential 3D surface imaging technologies and systems for 3D face acquisition in craniofacial research and daily practice. Through a comprehensive literature search, 71 articles meeting the inclusion criteria were included in the qualitative analysis, investigating the hardware, software, and operational aspects of these systems. The review offers updated information on 3D surface imaging technologies and systems to guide clinicians in selecting an optimal 3D face acquisition system. While some of these systems have already been implemented in clinical settings, others hold promise. Furthermore, driven by technological advances, novel devices will become cost-effective and portable, and will also enable accurate quantitative assessments, rapid treatment simulations, and improved outcomes. [ABSTRACT FROM AUTHOR]

SUMMARY: We present a novel strategy for performing joint inversion with guided fuzzy c-means (GFCM) clustering coupling and apply it to electrical resistivity tomography (ERT) and ambient noise surface wave (ANSW) data. To accurately extract a priori clustering information, we use density peak clustering (DPC) rather than fuzzy c-means (FCM). The number and centres of resistivity and shear-wave velocity a priori clusters are extracted by DPC and then used to guide the joint inversion with the GFCM clustering coupling of ERT and ANSW data. Synthetic and field data are used to evaluate the flow and algorithm of DPC-GFCM clustering joint inversion. The results of synthetic examples show that the models recovered by the DPC-GFCM clustering joint inversion are nearly the same as the true models and are more accurate than those inverted using individual inversion and FCM-GFCM clustering joint inversion. In the field case, the depths of the stratigraphic interfaces shown in the resistivity and shear-wave velocity models inverted by DPC-GFCM clustering joint inversion are nearly consistent with those from the drilling data. In contrast, the strata recovered by the individual inversion and FCM-GFCM clustering joint inversion significantly differ from the drilling results. Both the synthetic and field examples verify the effectiveness of the DPC-GFCM clustering coupling method used for the joint inversion of ERT and ANSW data acquired from the near surface with strong heterogeneity. This novel approach can also be applied to other types of geophysical data. [ABSTRACT FROM AUTHOR]

This paper reports a pioneering attempt at simultaneously analyzing gadolinium (Gd) distribution and surface imaging of surrogate debris samples with homogeneous and heterogeneous composition using a fiber-coupled acoustic wave-assisted microchip laser-induced breakdown spectroscopy (AW-mLIBS) system. This system must be applied to the remote analysis of fuel debris at the Fukushima Daiichi Nuclear Power Station (FDNPS). In the AW-mLIBS system, a microchip LIBS was used to measure the Gd distribution maps in the mixed oxide samples. Whereas, during elemental mapping by microchip LIBS, the laser-plasma acoustic waves were simultaneously recorded by microphone and applied for surface imaging of the samples. Additionally, the laser-plasma acoustic waves can be used to adjust the best-focusing position of the microchip LIBS because the acoustic wave amplitude is the strongest at the near best-focusing position. According to the measurement results, the emission spectra of the surrogate debris showed that the optical emission lines at 501.5 nm and 510.3 nm were suitable for Gd detection in the fuel debris sample. For Gd quantification, calibration curves were established from the intensity ratio of Gd/Ce emission lines, yielding the detection limits for Gd in the range of 0.04–0.09 wt% with a relative standard deviation of 3.9%. The surface imaging for the surrogate debris samples was successfully performed by collecting the laser-plasma acoustic waveforms during LIBS elemental mapping. [ABSTRACT FROM AUTHOR]

Knowledge of fracture properties and associated flow processes is important for geoscience applications such as nuclear waste disposal, geothermal energy and hydrocarbons. An important tool established in recent years are hydro-mechanical models which provide a useful alternative to experimental methods determining single fracture parameters such as hydraulic aperture. A crucial issue for meaningful numerical modeling is precise imaging of the fracture surfaces to capture geometrical information. Hence, we apply and compare three distinct fracture surface imaging methods: (1) handheld laser scanner (HLS), (2) mounted laser scanner (MLS) and (3) Structure from Motion (SfM) to a bedding plane fracture of sandstone. The imaging reveals that the resolution of the fracture surface obtained from handheld laser scanner (HLS) is insufficient for any numerical simulations, which was therefore rejected. The remaining surfaces are subsequently matched and the resulting fracture dataset is used for detailed fracture flow simulations. The resulting hydraulic aperture is calibrated with laboratory measurements using a handheld air permeameter. The air permeameter data provide a hydraulic aperture of 81 ± 1 µm. For calibration, mechanical aperture fields are calculated using stepwise increasing contact areas up to 15%. At 5% contact area, the average hydraulic aperture obtained by MLS (85 µm) is close to the measurement. For SfM, the measurements are fitted at 7% contact area (83 µm). The flow simulations reveal preferential flow through major channels that are structurally and geometrically predefined. Thus, this study illustrates that resolution and accuracy of the imaging device strongly affect the quality of fluid flow simulations and that SfM provides a promising low-cost method for fracture imaging on cores or even outcrops. Highlights: We evaluate a handheld laser scanner, a mounted laser scanner and the Structure from Motion method for imaging of fracture surfaces. We use the scanned geometries for flow simulations and calibrate the results with air permeameter measurements. Our study reveals that the handheld laser scanner is unsuitable for fracture surface imaging due to low resolution and accuracy. The simulations performed with geometries obtained by the mounted laser scanner and the Structure from Motion method provided comparable results. The Structure from Motion method seems to be promising for fracture investigations in field applications due to the high flexibility and low costs. [ABSTRACT FROM AUTHOR]

Purpose: With the clinical implementation of kV‐CBCT‐based daily online‐adaptive radiotherapy, the ability to monitor, quantify, and correct patient movement during adaptive sessions is paramount. With sessions lasting between 20–45 min, the ability to detect and correct for small movements without restarting the entire session is critical to the adaptive workflow and dosimetric outcome. The purpose of this study was to quantify and evaluate the correlation of observed patient movement with machine logs and a surface imaging (SI) system during adaptive radiation therapy. Methods: Treatment machine logs and SGRT registration data log files for 1972 individual sessions were exported and analyzed. For each session, the calculated shifts from a pre‐delivery position verification CBCT were extracted from the machine logs and compared to the SGRT registration data log files captured during motion monitoring. The SGRT calculated shifts were compared to the reported shifts of the machine logs for comparison for all patients and eight disease site categories. Results: The average (±STD) net displacement of the SGRT shifts were 2.6 ± 3.4 mm, 2.6 ± 3.5 mm, and 3.0 ± 3.2 in the lateral, longitudinal, and vertical directions, respectively. For the treatment machine logs, the average net displacements in the lateral, longitudinal, and vertical directions were 2.7 ± 3.7 mm, 2.6 ± 3.7 mm, and 3.2 ± 3.6 mm. The average difference (Machine–SGRT) was −0.1 ± 1.8 mm, 0.2 ± 2.1 mm, and −0.5 ± 2.5 mm for the lateral, longitudinal, and vertical directions. On average, a movement of 5.8 ± 5.6 mm and 5.3 ± 4.9 mm was calculated prior to delivery for the CBCT and SGRT systems, respectively. The Pearson correlation coefficient between CBCT and SGRT shifts was r = 0.88. The mean and median difference between the treatment machine logs and SGRT log files was less than 1 mm for all sites. Conclusion: Surface imaging should be used to monitor and quantify patient movement during adaptive radiotherapy. [ABSTRACT FROM AUTHOR]

Visualization of latent fingerprints (LFPs) using conventional powders has faced challenges on multicolor surfaces. However, these challenges are addressed by the advent of fluorescent powders in LFP detection, and they have redefined the effectiveness of the powder dusting method. In this study, color-tunable YOF:Tb3+,Eu3+ nanophosphors were examined for LFP recognition and were evaluated for their practicality on different types of surfaces. Under 254 nm UV irradiation, the LFPs developed using these nanophosphors showed clear and distinct ridge patterns with level 1, 2, and 3 details. The ultrafine particles of these nanophosphors adhered to the ridge patterns and replicated the minutiae of the LFPs. Meanwhile, the variation of the Tb3+/Eu3+ ratio demonstrated multicolor fluorescence emission from the nanophosphors, which provided better contrast between the ridge patterns on complex surfaces. Furthermore, the high luminescence quantum yield of the nanophosphors ensured high-resolution fluorescence images of the LFPs with a well-defined pattern that was recognizable even without any microscope or sophisticated instrumentation. [ABSTRACT FROM AUTHOR]

The controlled rotation of individual cells plays a crucial role in enabling three-dimensional multi-angle observation of cellular structure, function, and dynamic processes. Reported cell rotation techniques often struggle to strike a balance between high precision and simple control, and they exhibit limited control flexibility, typically achieving only uniaxial cell rotation. In this study, we propose a cell rotation technique in three dimensions based on optofluidics, which utilizes optical tweezers to immobilize the cell and exploits the asymmetry of the surrounding flow to drive cell rotation. By adjusting the focal position of the optical tweezers, cells can be positioned within various flow profiles, enabling control of the rotation speed, rotation direction, and rotation axis of cells. This approach simplifies the manipulation procedure, achieving desirable control precision and greater rotation flexibility. Using our approach, multi-angle surface imaging projections of target cells can be rapidly obtained, followed by capturing the cell contour data from the images. By combining the cell contour data with corresponding angular position information, we have reconstructed the 3D surface of the target cell. We have employed this technique in experiments for the analysis of red blood cell morphology. Based on the constructed 3D surface images of diverse-shaped red blood cells, we quantified structural parameters including cell surface area, volume, sphericity, and surface roughness, which demonstrates the potential application of this cell rotation technique for cellular morphological analysis. [ABSTRACT FROM AUTHOR]

Featured Application: This review provides an overview of commercially available 3D surface imaging systems that provide body composition estimates for practitioners and researchers, encouragement for system manufacturers to increase the public availability of user and system details, and a call for standardisation within this field. Recent literature has suggested 3D surface imaging to be a potential method of estimating body composition. The aim of this study was to provide an overview of commercially available 3D surface imaging systems that provide body composition estimates. User and system details of complete commercially available whole body 3D surface imaging systems, which estimate body composition, were collated from May to June 2022. Six 3D body surface imaging systems were identified, each of which provided varying amounts of user and system details. As this information is necessary to ensure the correct selection of system, appropriate use, and interpretation of outputs, manufacturers should seek to publicly present more detailed user and system details, international standards groups and training associations should seek to encourage standardisation, and practitioners and researchers should request additional details where necessary and validate their system prior to use, and end users should cautiously interpret outputs without the availability of comprehensive user and system details. [ABSTRACT FROM AUTHOR]

Purpose: To commission and assess the clinical performance of a new commercial surface imaging (SI) system by analyzing intra‐fraction motion from the initial cohort of patients treated with frameless stereotactic radiosurgery (fSRS). Methods: The IDENTIFYTM SI system was commissioned for clinical use on an Edge (Varian Medical Systems, Palo Alto, CA) linear accelerator. All patients who received intracranial radiotherapy with HyperArcTM (Varian Medical Systems, Palo Alto, CA) were immobilized with the EncompassTM (Qfix, Avondale, PA) thermoplastic mask and monitored for intra‐fraction motion with SI. IDENTIFYTM log files were correlated with trajectory log files to correlate treatment parameters with SI‐reported offsets. IDENTIFYTM reported offsets were correlated with gantry and couch angles to assess system performance for obstructed and clear camera field of view. Data were stratified by race to evaluate performance differences due to skin tone. Results: All commissioning data were found to meet recommended tolerances. IDENTIFYTM was used to monitor intra‐fraction motion on 1164 fractions from 386 patients. The median magnitude of translational SI reported offsets at the end of treatment was 0.27 mm. SI reported offsets were shown to increase when camera pods are blocked by the gantry with larger increases seen at non‐zero couch angles. With camera obstruction, the median magnitude of the SI reported offset was 0.50 and 0.80 mm for White and Black patients, respectively. Conclusions: IDENTIFYTM performance during fSRS is comparable to other commercially available SI systems where offsets are shown to increase at non‐zero couch angles and during camera pod blockage. [ABSTRACT FROM AUTHOR]

This paper introduces a simple three-dimensional (3D) stereoscopic method using a single unit of an imaging device consisting of a charge-coupled device (CCD) and a zoom lens. Unlike conventional stereoscopy, which requires a pair of imaging devices, 3D surface imaging is achieved by 3D image reconstruction of two images obtained from two different camera positions by scanning. The experiments were performed by obtaining two images of the measurement target in two different ways: (1) by moving the object while the imaging device is stationary, and (2) by moving the imaging device while the object is stationary. Conventional stereoscopy is limited by disparity errors in 3D image reconstruction because a pair of imaging devices is not ideally identical and alignment errors are always present in the imaging system setup. The proposed method significantly reduced the disparity error in 3D image reconstruction, and the calibration process of the imaging system became simple and convenient. The proposed imaging system showed a disparity error of 0.26 in the camera pixel. [ABSTRACT FROM AUTHOR]

The eye possesses a paravascular solute transport pathway that is driven by physiological pulsations, resembling the brain glymphatic pathway. We developed synchronous multimodal imaging tools aimed at measuring the driving pulsations of the human eye, using an eye-tracking functional eye camera (FEC) compatible with magnetic resonance imaging (MRI) for measuring eye surface pulsations. Special optics enabled integration of the FEC with MRI-compatible video ophthalmoscopy (MRcVO) for simultaneous retinal imaging along with functional eye MRI imaging (fMREye) of the BOLD (blood oxygen level dependent) contrast. Upon optimizing the fMREye parameters, we measured the power of the physiological (vasomotor, respiratory, and cardiac) eye and brain pulsations by fast Fourier transform (FFT) power analysis. The human eye pulsated in all three physiological pulse bands, most prominently in the respiratory band. The FFT power means of physiological pulsation for two adjacent slices was significantly higher than in one-slice scans (RESP1 vs. RESP2; df = 5, p = 0.045). FEC and MRcVO confirmed the respiratory pulsations at the eye surface and retina. We conclude that in addition to the known cardiovascular pulsation, the human eye also has respiratory and vasomotor pulsation mechanisms, which are now amenable to study using non-invasive multimodal imaging of eye fluidics. [ABSTRACT FROM AUTHOR]

Purpose: Beam gating with deep inspiration breath hold (DIBH) usually depends on some external surrogate to infer internal target movement, and the exact internal movement is unknown. In this study, we tracked internal targets and characterized residual motion during DIBH treatment, guided by a surface imaging system, for gastrointestinal cancer. We also report statistics on treatment time. Methods and materials: We included 14 gastrointestinal cancer patients treated with surface imaging‐guided DIBH volumetrically modulated arc therapy, each with at least one radiopaque marker implanted near or within the target. They were treated in 25, 15, or 10 fractions. Thirteen patients received treatment for pancreatic cancer, and one underwent separate treatments for two liver metastases. The surface imaging system monitored a three‐dimensional surface with ± 3 mm translation and ± 3° rotation threshold. During delivery, a kilovolt image was automatically taken every 20° or 40° gantry rotation, and the internal marker was identified from the image. The displacement and residual motion of the markers were calculated. To analyze the treatment efficiency, the treatment time of each fraction was obtained from the imaging and treatment timestamps in the record and verify system. Results: Although the external surface was monitored and limited to ± 3 mm and ± 3°, significant residual internal target movement was observed in some patients. The range of residual motion was 3–21 mm. The average displacement for this cohort was 0–3 mm. In 19% of the analyzed images, the magnitude of the instantaneous displacement was > 5 mm. The mean treatment time was 17 min with a standard deviation of 4 min. Conclusions: Precaution is needed when applying surface image guidance for gastrointestinal cancer treatment. Using it as a solo DIBH technique is discouraged when the correlation between internal anatomy and patient surface is limited. Real‐time radiographic verification is critical for safe treatments. [ABSTRACT FROM AUTHOR]

Near‐surface seismic structure, particularly the shear wave velocity (Vs), can strongly affect local site response, and should be accurately estimated for ground motion prediction during seismic hazard assessment. The Imperial Valley (California), occupying the southern end of the Salton Trough, is a seismically active basin with thick surficial lacustrine sedimentary deposits. In this study, we utilize ambient noise records and local earthquake events for high‐resolution near‐surface characterization and site effect estimation with an unlit fiber‐optic telecommunication infrastructure (dark fiber) in Imperial Valley by using the distributed acoustic sensing (DAS) technique. We apply ambient noise interferometry to retrieve coherent surface waves from DAS records, and evaluate performances of three different surface wave methods on DAS ambient noise dispersion imaging. We develop a quality control workflow to improve the dispersion measurement of noisy portions of the DAS data set by using a data selection strategy. Using the joint inversion of both the fundamental mode and higher overtones of Rayleigh waves, a high resolution two‐dimensional (2D) Vs structure down to 70 m depth is obtained. We successfully achieve an improved Vs30 (the time‐averaged shear‐wave velocity in the top 30 m) model with higher spatial‐resolution and reliability compared to the existing community model for the area. We also explore the potential for utilizing DAS earthquake events for site amplification estimation. The preliminary results reveal a clear anti‐correlation between the approximated site response and the Vs30 profile. Our results indicate the potential utility of DAS deployed on dark fiber for near‐surface characterization in appropriate contexts. Plain Language Summary: Site effects play a critical role in earthquake ground motions. During an earthquake, the soft sedimentary basin can strongly amplify both the amplitudes and duration of ground motion. Earthquakes are a common occurrence across the soft and thick Imperial Valley Basin in Southern California, where they have been observed for more than two decades. Therefore, the engineering seismology community urgently needs cost‐effective and reliable approaches to evaluate the high‐resolution site effect across the densely populated Imperial Valley Basin. We utilize a ∼28 km‐long existing unused telecommunication fiber as an array of seismic sensors using a new sensing technology called distributed acoustic sensing (DAS) to characterize the near‐surface structure as well as site response. Our results reveal a high‐resolution soil profile of the time‐averaged shear‐wave velocity in the top 30 m of the basin using DAS ambient noise data, and an approximated site response profile using DAS earthquake events. A clear correlation has been observed between the soil velocity profile and the site response profile from two independent data sets, which corroborates the accuracy of DAS seismic observations and indicates that DAS is a promising tool for high‐resolution near‐surface site effect estimation as well as seismic hazard mapping. Key Points: We evaluated the performance of a range of surface wave methods on distributed acoustic sensing (DAS) ambient noise dispersion imaging in an urban areaWe developed a quality control workflow to attenuate the nonuniform source effects on the DAS ambient noise dataWe utilized ambient noise records and local earthquake events observed on DAS for high‐resolution site effect estimation [ABSTRACT FROM AUTHOR]

Background: Breast symmetry is an essential component of breast cosmesis. The Harvard Cosmesis scale is the most widely adopted method of breast symmetry assessment. However, this scale lacks reproducibility and reliability, limiting its application in clinical practice. The VECTRA® XT 3D (VECTRA®) is a novel breast surface imaging system that, when combined with breast contour measuring software (Mirror®), aims to produce a more accurate and reproducible measurement of breast contour to aid operative planning in breast surgery. Objectives: This study aims to compare the reliability and reproducibility of subjective (Harvard Cosmesis scale) with objective (VECTRA®) symmetry assessment on the same cohort of patients. Methods: Patients at a tertiary institution had 2D and 3D photographs of their breasts. Seven assessors scored the 2D photographs using the Harvard Cosmesis scale. Two independent assessors used Mirror® software to objectively calculate breast symmetry by analysing 3D images of the breasts. Results: Intra-observer agreement ranged from none to moderate (kappa − 0.005–0.7) amongst the assessors using the Harvard Cosmesis scale. Inter-observer agreement was weak (kappa 0.078–0.454) amongst Harvard scores compared to VECTRA® measurements. Kappa values ranged 0.537–0.674 for intra-observer agreement (p < 0.001) with Root Mean Square (RMS) scores. RMS had a moderate correlation with the Harvard Cosmesis scale (rs = 0.613). Furthermore, absolute volume difference between breasts had poor correlation with RMS (R2 = 0.133). Conclusion: VECTRA® and Mirror® software have potential in clinical practice as objectifying breast symmetry, but in the current form, it is not an ideal test. Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. [ABSTRACT FROM AUTHOR]

The article titled "Correction: 'Commissioning and clinical evaluation of the IDENTIFYTM surface imaging system for frameless stereotactic radiosurgery'" provides a correction to the original manuscript. It states that an incorrect table was mistakenly included in the original manuscript and provides the correct values for the median and interquartile range of the IDENTIFY™ surface imaging system before beam-on at non-zero couch angles. The corrected table includes values for vertical, longitudinal, and lateral offsets at different couch angles. The authors of the article are Elizabeth L. Covington, Dennis N. Stanley, Rodney J. Sullivan, Kristen O. Riley, John B. Fiveash, and Richard A. Popple. [Extracted from the article]

Objective: To the knowledge of the authors, no data about the reproducibility and accuracy of 3‐dimensional surface imaging of the face using a whole‐body scanner are available. Thus, the objective of this investigation was to assess the reproducibility of facial scans acquired using a whole‐body imaging device. Material and Methods: This investigation investigated 220 3‐D scans of a total of 22 healthy volunteers (with a mean age of 29.36 years). Two consecutive 3‐D images using a Vectra WB360 of the volunteers were obtained utilizing a whole‐body imaging device. Predefined distances in the face were performed in each scan and compared. Furthermore, surface deviation between two consecutively captured scans was assessed. Results: The distance with the smallest statistical significance was found to be at the nose with p = 0.998, while the biggest statistical significance was found in the midface with p = 0.658. The area with the biggest surface deviation between the superimposed scans was the neck with a root mean square (RMS) of 1.62 ± 1.71, and the area with the smallest surface deviation was the forehead with a RMS of 0.17 ± 0.05. Conclusion: The whole‐body imaging device investigated in this study can be utilized to capture the face and provides enough accuracy to compare scans. Even though not directly investigated, it can be hypothesized that the error caused by repositioning the patient between a baseline and a follow‐up scan will not be too big to consider measurements performed with the whole‐body imaging device as impractical. [ABSTRACT FROM AUTHOR]

Purpose: To validate surface imaging (SI)‐reported offsets using a six degree‐of‐freedom couch and an anthropomorphic phantom for commissioning and routine quality assurance of an SI system used for stereotactic radiosurgery (SRS). Methods: An anthropomorphic phantom with a radiopaque ball bearing (BB) placed either anterior, midline, or posterior, was tracked with SI with a typical SRS region of interest. Couch motion in all six degrees of freedom was programmed and delivered on a linac. SI system logs were synchronized with linac trajectory logs. Ten random couch positions were selected at couch 0°, 45°, 90°, 270°, 315° with megavolt (MV) images taken to account for couch walkout. The SI residual error (ε), the difference between SI reported offset and MV or trajectory log position, was calculated. Residual errors were measured with and without one SI pod blocked. Results: The median [range] of magnitude of translational ε was 0.13 [0.07, 0.21], 0.16 [0.11, 0.26], 0.61 [0.50, 0.68], 0.49 [0.42, 0.55], 0.55 [0.38, 0.72] mm for couch rotations of 0°, 45°, 90°, 270°, 315°, respectively, for the midline BB and no pod blocked. The range of all translational ε from all couch angles (with and without pod block) at different BB positions is [0.05, 0.96] mm. The absolute range of difference when changing BB position when no pod is blocked in median translational ε is [0.01, 0.40] mm with the maximum at BB posterior. The absolute range of difference when not changing BB positions with and without pod block in median translational ε is [0.01, 0.37] mm with the maximum at BB posterior and couch 315°. Conclusion: SI system and linac trajectory log analysis can be used to assess SI system performance with automated couch motion to validate SI accuracy. [ABSTRACT FROM AUTHOR]

Background: Traditional methods of radiotherapy positioning have shortcomings such as fragile skin‐markers, additional doses, and lack of information integration. Emerging technologies may provide alternatives for the relevant clinical practice. Purpose: To propose a noninvasive radiotherapy positioning system integrating augmented reality (AR) and optical surface, and to evaluate its feasibility in clinical workflow. Methods: AR and structured light‐based surface were integrated to implement the coarse‐to‐precise positioning through two coherent steps, the AR‐based coarse guidance and the optical surface‐based precise verification. To implement quality assurance, recognition of face and pattern was used for patient authentication, case association, and accessory validation in AR scenes. The holographic images reconstructed from simulation computed tomography (CT) images, guided the initial posture correction by virtual‐real alignment. The point clouds of body surface were fused, with the calibration and pose estimation of structured light cameras, and segmented according to the preset regions of interest (ROIs). The global‐to‐local registration for cross‐source point clouds was achieved to calculate couch shifts in six degrees‐of‐freedom (DoF), which were ultimately transmitted to AR scenes. The evaluation based on phantom and human‐body (4 volunteers) included, (i) quality assurance workflow, (ii) errors of both steps and correlation analysis, (iii) receiver operating characteristic (ROC), (iv) distance characteristics of accuracy, and (v) clinical positioning efficiency. Results: The maximum errors in phantom evaluation were 3.4 ± 2.5 mm in Vrt and 1.4 ± 1.0° in Pitch for the coarse guidance step, while 1.6 ± 0.9 mm in Vrt and 0.6 ± 0.4° in Pitch for the precise verification step. The Pearson correlation coefficients between precise verification and cone beam CT (CBCT) results were distributed in the interval [0.81, 0.85]. In ROC analysis, the areas under the curve (AUC) were 0.87 and 0.89 for translation and rotation, respectively. In human body‐based evaluation, the errors of thorax and abdomen (T&A) were significantly greater than those of head and neck (H&N) in Vrt (2.6 ± 1.1 vs. 1.7 ± 0.8, p < 0.01), Lng (2.3 ± 1.1 vs. 1.4 ± 0.9, p < 0.01), and Rtn (0.8 ± 0.4 vs. 0.6 ± 0.3, p = 0.01) while relatively similar in Lat (1.8 ± 0.9 vs. 1.7 ± 0.8, p = 0.07). The translation displacement range, after coarse guidance step, required for high accuracy of the optical surface component of the integrated system was 0–42 mm, and the average positioning duration of the integrated system was significantly less than that of conventional workflow (355.7 ± 21.7 vs. 387.7 ± 26.6 s, p < 0.01). Conclusions: The combination of AR and optical surface has utility and feasibility for patient positioning, in terms of both safety and accuracy. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to conduct a quantitative analysis on alar mobility of HAN females and provided referenced materials for alar dynamic aesthetic. Methods: One hundred and fifty healthy HAN females without rhinoplasty, nasal injury, nasal deformity and craniofacial deformity were included in this study. 3dMD surface imaging system was used for anthropometric analysis. All participants were instructed to perform the desired dynamic facial expression from rest to maximum smile without reveling teeth and recorded by 3dMD dynamic surface imaging system simultaneously. Two frames of rest status and alar maximum enlargement were selected for measuring alar width, alar base width and inner-canthal distance. The difference between two status represented alar mobility, which was generated through equation: MOBILITY = WIDTH smile - WIDTH rest WIDTH rest × 100 % . Results: Alar mobility consisted of alar flaring mobility and alar base mobility. The alar flaring mobility was (9.49 ± 4.90)%, reference range was(1.45, 17.53)% and regression equation between rest and maximum smile was Y = 7.953 + 0.886X (R2 = 0.641, p = 0.000); the alar base mobility was (17.94 ± 10.44)%, reference range was (0.88, 35.00)% and regression equation between rest and maximum smile was Y = 4.481 + 0.966X (R2 = 0.528, p = 0.000. Conclusion: Asian alar anatomy has great distinction from Caucasian, processing conspicuous alar movement and damaging alar aesthetic dynamically. This study novelly defined alar mobility by three-dimensional anthropometric analysis, providing objective references for alar dynamic aesthetic and arousing plastic surgeons' attention on keeping balance of static and dynamic aesthetic in rhinoplasty. Level of Evidence IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. [ABSTRACT FROM AUTHOR]

It has been clearly confirmed that radiation therapy (RT) after breast conserving surgery (BCS) is an effective treatment modality comparable to mastectomy for early breast cancer. The purpose of this study was to further evaluate the accuracy of 3D surface imaging system (Sentinel) for breast cancer patients received BCS. The optical surface scans and CBCT scans were acquired before and immediately after couch movement correction. The deviation of the CBCT scans from the reference planning CT was considered an estimate for the residual errors for patient setup correction. The planning target volume (PTV) margins for treatment sessions was calculated according to the setup errors. We obtained a total of 245 sets of data collected from 49 breast cancer patients. Compared with Sentinel setup errors, the residual setup errors as determined by the CBCT scans after couch movement correction were reduced in the six directions. The PTV margins derived from the CBCT residual errors were all less than 5 mm in X, Y, and Z directions. Our results suggested that Optical surface imaging can be applied in positioning for breast cancer patient accurately without unnecessary imaging dose. [ABSTRACT FROM AUTHOR]

Purpose: We evaluate an SGRT device (Voxelan HEV‐600 M/RMS) installed with Radixact, with the view angle of the Voxelan's camera at 74 degrees. The accuracy of Voxelan with this steep angle was evaluated with phantom experiments and inter‐fractional setup errors of patients. Methods: In the phantom experiments, the difference between the measured values of Voxelan from the truth was evaluated for translations and rotations. The inter‐fractional setup error between the setup using skin markers with laser localizer (laser setup: LS) and the setup using Voxelan (surface setup: SS) was compared for head and neck (N = 19), chest (N = 7) and pelvis (N = 9) cases. The inter‐fractional setup error was calculated by subtracting from bone matching by megavoltage computed tomography (MVCT) as ground truth. Results: From the phantom experiments, the average difference between the measured values of Voxelan from the truth was within 1 mm and 1 degree. In all cases, inter‐fractional setup error based on MVCT was not significantly different between LS and SS by Welch's t‐test (P > 0.05). The vector offset of the LS for head and neck, chest, and pelvis were 6.5, 9.6, and 9.6 mm, respectively, and that of the SS were 5.8, 8.6, and 12.6 mm, respectively. Slight improvement was observed for the head and neck, and chest cases, however, pelvis cases were not improved because the umbilical region could not be clearly visualized as a reference. Conclusion: The results show that SS in Voxelan with an installation angle of 74 degrees is equal to or better than LS. [ABSTRACT FROM AUTHOR]

Background: The use of free gracilis muscle flaps in reconstructive surgery of the lower leg is common practice to cover defects. However, there is still a lack of understanding of the morphometric changes that occur in the transferred muscle and area of interest over time, particularly the characteristic volume decrease that is observed over the course of the first year. This study aimed to assess volume changes in patients with free gracilis muscle flap reconstruction following infection, trauma, or malignancies of the lower extremity. Methods: Three-dimensional surface imaging was performed intraoperatively after 2 weeks, 6 months, and 12 months with the Vectra H2 system. A total of 31 patients were included in this study and analyzed. Results: There was an average volume increase of 146.67 ± 29.66% 2 weeks after reconstruction. Compared to this volume increase, there was a reduction of 108.44 ± 13.62% after 12 months (p < 0.05). Overall, we found a shrinkage to 85.53 ± 20.14% of the intraoperative baseline volume after 12 months. Conclusions: The use of non-invasive 3D surface imaging is a valuable tool for volume monitoring after free flap reconstruction of the lower extremity. The free gracilis muscle flap undergoes different phases of volume change over the first year, with the greatest influence on overall change being the development and decongestion of edema. Precise initial surgical tailoring is crucial for optimal long-term functional and cosmetic results. [ABSTRACT FROM AUTHOR]

Purpose: High‐quality CBCT and AI‐enhanced adaptive planning techniques allow CBCT‐guided stereotactic adaptive radiotherapy (CT‐STAR) to account for inter‐fractional anatomic changes. Studies of intra‐fractional respiratory motion management with a surface imaging solution for CT‐STAR have not been fully conducted. We investigated intra‐fractional motion management in breath‐hold Ethos‐based CT‐STAR and CT‐SBRT (stereotactic body non‐adaptive radiotherapy) using optical surface imaging combined with onboard CBCTs. Methods: Ten cancer patients with mobile lower lung or upper abdominal malignancies participated in an IRB‐approved clinical trial (Phase I) of optical surface image‐guided Ethos CT‐STAR/SBRT. In the clinical trial, a pre‐configured gating window (± 2 mm in AP direction) on optical surface imaging was used for manually triggering intra‐fractional CBCT acquisition and treatment beam irradiation during breath‐hold (seven patients for the end of exhalation and three patients for the end of inhalation). Two inter‐fractional CBCTs at the ends of exhalation and inhalation in each fraction were acquired to verify the primary direction and range of the tumor/imaging‐surrogate (donut‐shaped fiducial) motion. Intra‐fractional CBCTs were used to quantify the residual motion of the tumor/imaging‐surrogate within the pre‐configured breath‐hold window in the AP direction. Fifty fractions of Ethos RT were delivered under surface image‐guidance: Thirty‐two fractions with CT‐STAR (adaptive RT) and 18 fractions with CT‐SBRT (non‐adaptive RT). The residual motion of the tumor was quantified by determining variations in the tumor centroid position. The dosimetric impact on target coverage was calculated based on the residual motion. Results: We used 46 fractions for the analysis of intra‐fractional residual motion and 43 fractions for the inter‐fractional motion analysis due to study constraints. Using the image registration method, 43 pairs of inter‐fractional CBCTs and 100 intra‐fractional CBCTs attached to dose maps were analyzed. In the motion range study (image registration) from the inter‐fractional CBCTs, the primary motion (mean ± std) was 16.6 ± 9.2 mm in the SI direction (magnitude: 26.4 ± 11.3 mm) for the tumors and 15.5 ± 7.3 mm in the AP direction (magnitude: 20.4 ± 7.0 mm) for the imaging‐surrogate, respectively. The residual motion of the tumor (image registration) from intra‐fractional breath‐hold CBCTs was 2.2 ± 2.0 mm for SI, 1.4 ± 1.4 mm for RL, and 1.3 ± 1.3 mm for AP directions (magnitude: 3.5 ± 2.1 mm). The ratio of the actual dose coverage to 99%, 90%, and 50% of the target volume decreased by 0.95 ± 0.11, 0.96 ± 0.10, 0.99 ± 0.05, respectively. The mean percentage of the target volume covered by the prescribed dose decreased by 2.8 ± 4.4%. Conclusion: We demonstrated the intra‐fractional motion‐managed treatment strategy in breath‐hold Ethos CT‐STAR/SBRT using optical surface imaging and CBCT. While the controlled residual tumor motion measured at 3.5 mm exceeded the predetermined setup value of 2 mm, it is important to note that this motion still fell within the clinically acceptable range defined by the PTV margin of 5 mm. Nonetheless, additional caution is needed with intra‐fractional motion management in breath‐hold Ethos CT‐STAR/SBRT using optical surface imaging and CBCT. [ABSTRACT FROM AUTHOR]

Background: A proton therapy system with 190° gantries uses robotic couch rotations to change the treatment beam laterality. Couch rotations are typically validated clinically with post‐rotation radiographic imaging. Aims: This study assesses the specificity and sensitivity of a commercial 3D surface imaging system, AlignRT (Vision RT, London UK) for validating couch rotations. Materials & Methods: In clinical operation, a reference surface image of the patient is acquired after radiographic setup with couch at 270°, perpendicular to the gantry axis of rotation. The couch is then rotated ±90° to a typical treatment angle, and AlignRT reports a 3D displacement vector. Patient motion, changes in patient surface, non‐coincidence between AlignRT and couch isocenter, and mechanical couch run‐out all contribute to the 3D vector magnitude. To assess AlignRT sensitivity in detecting couch run‐out, volunteers were positioned orthogonal to the proton gantry and reference surface images were captured without x‐ray localization. Subjects were repeatedly rotated ±90⁰ to typical treatment angles and displacement vectors were recorded. Additionally, measurements were performed in which intentional translations of 2, 4, 6, and 8 mm were combined with the intended isocentric rotations. Data sets were collected using a phantom; subjects with a thoracic isocenter and no immobilization; and subjects with a cranial isocenter and thermoplastic immobilization. A total of 300 rotations were measured. Results: During isocentric rotations, the mean AlignRT displacement vectors for the phantom, immobilized, and non‐immobilized volunteers were 0.1 ± 0.1 mm, 0.8 ± 0.1 mm, and 1.1 ± 0.2 mm respectively. 95% of the AlignRT measurements for the immobilized and non‐immobilized subjects were within 1 mm and 2 mm of the actual displacement respectively. Discussion: After characterizing the accuracy using phantoms and volunteers, we have shown that a three‐pod surface imaging system can be used to identify gross non‐isocentric patient rotations. Significant positional deviations, either due to improper couch rotation or patient motion, should be followed by radiographic imaging and repositioning. Conculsion: AlignRT can be used to verify patient positioning following couch rotations that are applied after the initial x‐ray guided patient setup. Using a three‐pod AlignRt system, positional deviations exceeding 4 mm were flagged with sensitivity and specificity of 90% and 100% respectively. [ABSTRACT FROM AUTHOR]

Tidal volume monitoring may help minimize lung injury during respiratory assistance. Surface imaging using time-of-flight camera is a new, non-invasive, non-contact, radiation-free, and easy-to-use technique that enables tidal volume and respiratory rate measurements. The objectives of the study were to determine the accuracy of Time-of-Flight volume (VTTOF) and respiratory rate (RRTOF) measurements at the bedside, and to validate its application for spontaneously breathing patients under high flow nasal canula. Data analysis was performed within the ReaSTOC data-warehousing project (ClinicalTrials.gov identifier NCT02893462). All data were recorded using standard monitoring devices, and the computerized medical file. Time-of-flight technique used a Kinect V2 (Microsoft, Redmond, WA, USA) to acquire the distance information, based on measuring the phase delay between the emitted light-wave and received backscattered signals. 44 patients (32 under mechanical ventilation; 12 under high-flow nasal canula) were recorded. High correlation (r = 0.84; p < 0.001), with low bias (-1.7 mL) and acceptable deviation (75 mL) was observed between VTTOF and VTREF under ventilation. Similar performance was observed for respiratory rate (r = 0.91; p < 0.001; bias < 1b/min; deviation ≤ 5b/min). Measurements were possible for all patients under high-flow nasal canula, detecting overdistension in 4 patients (tidal volume > 8 mL/kg) and low ventilation in 6 patients (tidal volume < 6 mL/kg). Tidal volume monitoring using time-of-flight camera (VTTOF) is correlated to reference values. Time-of-flight camera enables continuous and non-contact respiratory monitoring under high-flow nasal canula, and enables to detect tidal volume and respiratory rate changes, while modifying flow. It enables respiratory monitoring for spontaneously patients, especially while using high-flow nasal oxygenation. [ABSTRACT FROM AUTHOR]

Surface imaging (SI) has been rapidly integrated into radiotherapy clinics across the country without specific guidelines and recommendations on its commissioning and use aside from vendor‐provided information. A survey was created under the auspices of AAPM TG‐302 to assess the current status of SI to identify if there is need for formal guidance. The survey was designed to determine the institutional setting of responders, availability and length of its use, commissioning procedures, and clinical applications. This survey was created in REDCap, and approved as IRB exempt to collect anonymized data. Questions were reviewed by multiple physicists to ensure concept validity and piloted by a small group of independent physicists to ensure process validity. All full members of AAPM self‐identified as "therapy" or "other" were sent the survey link by email. The survey was active from February to March 2018. Of 3677 members successfully contacted, 439 completed responses; the summary of these responses provides insight on current surface imaging clinical practices, though they should not be assumed to be representative of radiation oncology as a whole. Results showed that 53.3% of respondents have SI in their clinics, mostly in treatment rooms, rarely in simulation rooms. Half of those without SI plan on purchasing it within 3 years. Over 10% have SI but do not use it clinically, 36.8% classify themselves as "expert" users, and 85.5% agreed/strongly agreed that SI guidelines are needed. Initial positioning with SI is most common for breast/chestwall and SRS/SBRT treatments, least common for pediatrics. Use of SI for intra‐fraction monitoring follows a similar distribution. Gating with SI is most prevalent for breast/chestwall (66.0%) but also used in SBRT (33.0%), and non‐SBRT lung/abdomen (<30%) treatments. SI is a rapidly growing technology in the field with widespread use for several anatomic sites. Guidelines and recommendations on commissioning and clinical use are warranted. [ABSTRACT FROM AUTHOR]

Synthesis of two dithia[9]helicenes by means of a LED-based double photocyclization is reported. The compounds have sulfur atoms placed at the terminal rings of the helicene, and they display two alternative C2-symmetrical arrangements named exo (1) and endo (2). Separation of enantiomers of opposite helicity allowed the complete characterization in solution, in silico, by X-ray crystallography, and adsorbed on gold. The theoretical analysis confirms the unexpected finding that endo-dithia[9]helicene displays an experimental dissymmetry factor (glum) in CPL larger than its isomer exo-dithia[9]helicene (–0.0125 vs. −0.0042). This enhanced glum factor ranks among the largest for a helicene-type molecule. Comparison with smaller analogues, namely exo and endo-dithia[7]helicenes (10 and 11, respectively), is also presented. [ABSTRACT FROM AUTHOR]

The possibilities of mass spectrometric visualization in new areas of research are considered. It is shown that surface mass spectrometry can be used to study structural materials and monitor surfaces for corrosion damage, process contamination, and damage. The possibility of studying non-metallic materials is shown for the first time. It is found that studying the low molecular weight part of polymer films helps to detect technological impurities and irreversible deformation of the film surface. It is established this can be used to authenticate handwritten documents, make corrections to them, and successfully compete with the classical means of such research. [ABSTRACT FROM AUTHOR]

Purpose: In the last few years, there has been a growing interest in surface imaging for patient positioning in external radiation therapy. The aim of this study is to evaluate the accuracy of daily patient positioning using the Azure Kinect surface imaging. Methods: A total of 50 fractions in 10 patients including lung, pelvic, and head and neck tumors were analyzed in real time. A rigid registration algorithm, based on the iterative closest point (ICP) approach, is employed to estimate the patient position in 6 degrees of freedom (DOF). This position is compared to the reference values obtained by the radiograph imaging. The mean setup error and its standard deviation were calculated for all measured fractions. Results: The positioning error showed 1.1 ± 1.1 mm in lateral, 1.8 ± 2.1 mm in longitudinal, and 0.8 ± 1.1 mm in vertical, and 0.3°± 0.4° in yaw, 0.2°± 0.2° in pitch, and 0.2°± 0.2° in roll directions. The larger setup error occurred in pelvic regions. Conclusion: We have evaluated in a radiotherapy set‐up considering different patient anatomical locations, a depth measurement based surface imaging solution for patient positioning considering the 6 DOF couch motion. We showed that the proposed solution allows an accurate patient positioning without the need for patient markings or the use of additional radiation dose. [ABSTRACT FROM AUTHOR]

The method does not differ in difficulty from the standard surface temperature imaging method, which is its unquestionable advantage. The disadvantage is the need to use test models made of materials transmitting visible light in the full range (blue light for excitation and red as a recorded result), which, with more complex shapes, makes the model more expensive. Nevertheless, the presented method is a valuable supplement to the set of methods and techniques used so far for imaging temperature fields and estimating the heat flux in the steady state. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to evaluate and compare different system calibration methods from a large cohort of systems to establish a commissioning procedure for surface‐guided frameless cranial stereotactic radiosurgery (SRS) with intrafractional motion monitoring and gating. Using optical surface imaging (OSI) to guide non‐coplanar SRS treatments, the determination of OSI couch‐angle dependency, baseline drift, and gated‐delivered‐dose equivalency are essential. Methods: Eleven trained physicists evaluated 17 OSI systems at nine clinical centers within our institution. Three calibration methods were examined, including 1‐level (2D), 2‐level plate (3D) calibration for both surface image reconstruction and isocenter determination, and cube phantom calibration to assess OSI‐megavoltage (MV) isocenter concordance. After each calibration, a couch‐angle dependency error was measured as the maximum registration error within the couch rotation range. A head phantom was immobilized on the treatment couch and the isocenter was set in the middle of the brain, marked with the room lasers. An on‐site reference image was acquired at couch zero, the facial region of interest (ROI) was defined, and static verification images were captured every 10° for 0°–90° and 360°–270°. The baseline drift was assessed with real‐time monitoring of the motionless phantom over 20 min. The gated‐delivered‐dose equivalency was assessed using the electron portal imaging device and gamma test (1%/1mm) in reference to non‐gated delivery. Results: The maximum couch‐angle dependency error occurs in longitudinal and lateral directions and is reduced significantly (P < 0.05) from 1‐level (1.3 ± 0.4 mm) to 2‐level (0.8 ± 0.3 mm) calibration. The MV cube calibration does not further reduce the couch‐angle dependency error (0.8 ± 0.2 mm) on average. The baseline drift error plateaus at 0.3 ± 0.1 mm after 10 min. The gated‐delivered‐dose equivalency has a >98% gamma‐test passing rate. Conclusion: A commissioning method is recommended using the 3D plate calibration, which is verified by radiation isocenter and validated with couch‐angle dependency, baseline drift, and gated‐delivered‐dose equivalency tests. This method characterizes OSI uncertainties, ensuring motion‐monitoring accuracy for SRS treatments. [ABSTRACT FROM AUTHOR]

Whole-body three-dimensional surface imaging (3DSI) offers the ability to monitor morphologic changes in multiple areas without the need to individually scan every anatomical region of interest. One area of application is the digital quantification of leg volume. Certain types of morphology do not permit complete circumferential scan of the leg surface. A workflow capable of precisely estimating the missing data is therefore required. We thus aimed to describe and apply a novel workflow to collect bilateral leg volume measurements from whole-body 3D surface scans regardless of leg morphology and to assess workflow precision. For each study participant, whole-body 3DSI was conducted twice successively in a single session with subject repositioning between scans. Paired samples of bilateral leg volume were calculated from the 3D surface data, with workflow variations for complete and limited leg surface visibility. Workflow precision was assessed by calculating the relative percent differences between repeated leg volumes. A total of 82 subjects were included in this study. The mean relative differences between paired left and right leg volumes were 0.73 ± 0.62% and 0.82 ± 0.65%. The workflow variations for completely and partially visible leg surfaces yielded similarly low values. The workflow examined in this study provides a precise method to digitally monitor leg volume regardless of leg morphology. It could aid in objectively comparing medical treatment options of the leg in a clinical setting. Whole-body scans acquired using the described 3DSI routine may allow simultaneous assessment of other changes in body morphology after further validation. [ABSTRACT FROM AUTHOR]

The Catalyst HD (C‐RAD Positioning AB, Uppsala, Sweden) optical surface imaging (OSI) system is able to manage interfractional patient positioning, intrafractional motion monitoring, and non‐contact respiratory gating without x‐ray exposure for radiation therapy. In recent years, a novel high‐precision surface registration algorithm for stereotactic radiosurgery (SRS algorithm) has been released. This study aimed to evaluate the technical performance of the OSI system using rigid phantoms, by comparing the conventional and SRS algorithms. To determine the system's technical performance, isocenter displacements were calculated by surface image registration via the OSI system using head, thorax, and pelvis rigid phantoms. The reproducibility of positioning was evaluated by the mean value calculated by repeating the registration 10 times, without moving each phantom. The accuracy of positioning was evaluated by the mean value of the residual error, where the 10 offset values given to each phantom were subtracted from the isocenter displacement values. The stability of motion monitoring was evaluated by measuring isocenter drift during 20 min and averaging it over 10 measurements. For the head phantom, all tests were compared with the mask types and algorithms. As a result, for all sites and both algorithms, the reproducibility, accuracy, and stability for translation and rotation were <0.1 mm and <0.1°, <1.0 mm and <1.0°, and <0.1 mm and <0.1°, respectively. In particular, the SRS algorithm had a small absolute error and standard deviation of calculated isocenter displacement, and a significantly higher reproducibility and accuracy than the conventional algorithm (P < 0.01). There was no difference in the stability between the algorithms (P = 0.0280). The SRS algorithm was found to be suitable for the treatment of rigid body sites with less deformation and small area, such as the head and face. [ABSTRACT FROM AUTHOR]

Background/Objectives: Three-dimensional (3D) analysis of maxillofacial structures in dysmorphic patients offers clinical advantages over 2D analysis due to its high accuracy and precision in measuring many morphological parameters. Currently, no reliable gold standard exists for calculating 3D volumetric measurements of maxillofacial structures when captured by 3D surface imaging techniques. The aim of this scoping review is to provide an overview of the scientific literature related to 3D surface imaging methods used for volumetric analysis of the dysmorphic maxillofacial structures of patients affected by CL/P or other syndromes and to provide an update on the existing protocols, methods, and, when available, reference data. Methods: A total of 17 papers selected according to strict inclusion and exclusion criteria were reviewed for the qualitative analysis out of more than 4500 articles published between 2002 and 2024 that were retrieved from the main electronic scientific databases according to the PRISMA-ScR guidelines. A qualitative synthesis of the protocols used for the selection of the anatomical areas of interest and details on the methods used for the calculation of their volume was completed. Results: The results suggest a great degree of heterogeneity between the reviewed studies in all the aspects analysed (patient population, anatomical structure, area selection, and volume calculation), which prevents any chance of direct comparison between the reported volumetric data. Conclusions: Our qualitative analysis revealed dissimilarities in the procedures specified in the studies, highlighting the need to develop uniform methods and protocols and the need for comparative studies to verify the validity of methods in order to achieve high levels of scientific evidence, homogeneity of volumetric data, and clinical consensus on the methods to use for 3D volumetric surface-based analysis. [ABSTRACT FROM AUTHOR]

Simple Summary: As breast cancer rates rise, more patients choose breast reconstruction. Autologous breast reconstruction (ABR) may be more cost-effective and offer superior patient quality of life compared to prosthetic implant-based reconstruction but it involves heightened surgical complexity and extended operative time. Imaging facilitates surgical planning, patient selection, and reduces the time spent in the operating room, thereby enhancing the likelihood of surgical success and decreasing complication rates. Advanced imaging has also spurred innovative surgical techniques aimed at improving aesthetic outcomes and minimizing donor-site morbidity, including robotic-assisted deep inferior epigastric flap perforator (DIEP) flap harvest and stacked microsurgical flaps. The evolution of imaging actively shapes clinical management in the field. Ultrasonography (US), computed tomography angiography (CTA), and magnetic resonance angiography (MRA) stand out as the most extensively researched imaging modalities for ABR. Ongoing advancements include "real-time" angiography and three-dimensional (3D) surface imaging, and future prospects incorporate augmented or virtual reality (AR/VR) and artificial intelligence (AI). These technologies may further enhance perioperative efficiency, reduce donor-site morbidity, and improve surgical outcomes in ABR. [ABSTRACT FROM AUTHOR]

Purpose: To improve the setup reproducibility of neck curvature using real-time optical surface imaging (OSI) guidance on 2 regions of interest (ROIs) to infer cervical spine (c-spine) curvature for surface-guided radiotherapy (SGRT) of head-and-neck (HN) and c-spine cancer. Methods: A novel SGRT setup approach was designed to reproduce neck curvature with 2 ROIs: upper-chest ROI and open-face ROI. It was hypothesized that the neck curvature could be reproduced if both ROIs were aligned within ±3 mm/2˚ tolerance. This was tested prospectively in 7 volunteers using real-time 3D-OSI guidance and lateral 2D-photography verification after the 3D and 2D references were captured from the initial conventional setup. Real-time SGRT was performed to align chest-ROI and face-ROI, and the longitudinal distance between them was adjustable using a head-support slider. Verification of neck curvature anteriorly and posteriorly was achieved by overlaying edge-extracted lateral pictures. Retrospectively, the relationship between anterior surface and spinal canal alignment was checked in 11 patients using their simulation CT (simCT) and setup cone-beam CT (CBCT). After the anterior surface was rigidly aligned, the spinal canal alignment was checked and quantified using the mean-distance-to-agreement (MDA) and DICE similarity index, and surface-to-spine correlation was calculated. Results: The reproducibility of neck curvatures using the 2xROI SGRT setup is verified and the mean neck-outline-matching difference is within ±2 mm in lateral photographic overlays. The chest-ROI alignment takes 110 ± 58 s and the face-ROI takes 60 ± 35 s. When the anterior body surface is aligned (MDA = 1.1 ± 0.6 mm, DICE = 0.96 ± 0.02,) the internal spinal canal is also aligned (MDA = 1.0 ± 0.3 mm, DICE = 0.84 ± 0.04) in 11 patients. The surface-to-spine correlation is c = 0.90 (MDA) and c = 0.85 (DICE). Conclusion: This study demonstrates the feasibility of the novel 2-ROI SGRT setup technique to achieve reproducible neck and c-spine curvature regardless of neck visibility and availability as ROI. Staff training is needed to adopt this unconventional SGRT technique to improve patient setup. [ABSTRACT FROM AUTHOR]