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Detection of setup uncertainties with 3D surface registration system for conformal radiotherapy of breast cancer.

Authors :
Deantonio, Letizia
Masini, Laura
Loi, Gianfranco
Gambaro, Giuseppina
Bolchini, Cesare
Krengli, Marco
Source :
Reports of Practical Oncology & Radiotherapy; May2011, Vol. 16 Issue 3, p77-81, 5p
Publication Year :
2011

Abstract

Abstract: Aim: To investigate the clinical application of a technique for patient set-up verification in breast cancer radiotherapy based on a 3D surface image registration system. Background: Accurate and reproducible patient set-up is a prerequisite to correctly deliver fractionated radiotherapy. Various approaches are available to verify and correct patient setup for 3D image acquisition in a radiation treatment room. Materials and methods: The study analyzed the setup reproducibility of 15 patients affected by breast cancer and candidates for conformal radiotherapy by using the AlignRT system (VisionRT, London, UK). At the initial setup, electronic portal imaging device (EPID) images were compared with Digitally Reconstructed Radiographs (DRRs) and a reference three-dimensional (3D) surface image was obtained by AlignRT. Surface images were acquired prior to every subsequent setup procedure. The systematic and random errors along longitudinal and vertical directions were measured and compared for the two systems. Results: The procedure for surface registration, image acquisition and comparison with the reference image took less than 1min on average. The T test for systematic error showed no significant difference between the 2 verification systems along the longitudinal (p =0.69) and vertical (p =0.67) axes. The T-test for random error showed a significant difference between the 2 systems along the vertical axis (p =0.05). Conclusion: AlignRT is fast, simple, non-invasive and seems to be reliable in detecting patient setup errors. Our results suggest that it could be used to assess the setup reproducibility for breast cancer patients. [Copyright &y& Elsevier]

Details

Language :
English
ISSN :
15071367
Volume :
16
Issue :
3
Database :
Supplemental Index
Journal :
Reports of Practical Oncology & Radiotherapy
Publication Type :
Academic Journal
Accession number :
60163440
Full Text :
https://doi.org/10.1016/j.rpor.2011.02.003