Distance-to-agreement investigation of Tomotherapy's bony anatomy-based autoregistration and planning target volume contour-based optimization.

Purpose: To compare Tomotherapy's megavoltage computed tomography bony anatomy autoregistration with the best achievable registration, assuming no deformation and perfect knowledge of planning target volume (PTV) location. Methods and Materials: Distance-to-agreement (DTA) of the PTV was determined...

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Published in:International Journal of Radiation Oncology, Biology, Physics Vol. 85; no. 3; pp. 862 - 866
Main Authors: Suh S, Schultheiss TE, Suh, Steve, Schultheiss, Timothy E
Format: research Journal Article
Published: Pergamon Press - An Imprint of Elsevier Science Mar2013
Online Access:View this record in EBSCOhost
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      jtl: International Journal of Radiation Oncology, Biology, Physics
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      dt: Mar2013
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      pub: Pergamon Press - An Imprint of Elsevier Science
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        10.1016/j.ijrobp.2012.06.015
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        atl: Distance-to-agreement investigation of Tomotherapy's bony anatomy-based autoregistration and planning target volume contour-based optimization.
      aug:
        au:
          Suh S
          Schultheiss TE
          Suh, Steve
          Schultheiss, Timothy E
        affil: Division of Radiation Oncology, City of Hope National Medical Center, Duarte, California, USA
      sug:
        subj:
          Body Regions Radiography
          Prostatic Neoplasms Radiography
          Radiotherapy, Computer-Assisted Standards
          Radiotherapy, Conformal Standards
          Tomography, X-Ray Computed Standards
          Human
          Male
          Prostate Radiography
          Prostatic Neoplasms Radiotherapy
          Radiotherapy, Computer-Assisted Equipment and Supplies
          Radiotherapy, Conformal Equipment and Supplies
          Tomography, X-Ray Computed Equipment and Supplies
          Tomography, X-Ray Computed Methods
          Male
      ab: Purpose: To compare Tomotherapy's megavoltage computed tomography bony anatomy autoregistration with the best achievable registration, assuming no deformation and perfect knowledge of planning target volume (PTV) location. Methods and Materials: Distance-to-agreement (DTA) of the PTV was determined by applying a rigid-body shift to the PTV region of interest of the prostate from its reference position, assuming no deformations. Planning target volume region of interest of the prostate was extracted from the patient archives. The reference position was set by the 6 degrees of freedom (dof)-x, y, z, roll, pitch, and yaw-optimization results from the previous study at this institution. The DTA and the compensating parameters were calculated by the shift of the PTV from the reference 6-dof to the 4-dof-x, y, z, and roll-optimization. In this study, the effectiveness of Tomotherapy's 4-dof bony anatomy-based autoregistration was compared with the idealized 4-dof PTV contour-based optimization. Results: The maximum DTA (maxDTA) of the bony anatomy-based autoregistration was 3.2 ± 1.9 mm, with the maximum value of 8.0 mm. The maxDTA of the contour-based optimization was 1.8 ± 1.3 mm, with the maximum value of 5.7 mm. Comparison of Pearson correlation of the compensating parameters between the 2 4-dof optimization algorithms shows that there is a small but statistically significant correlation in y and z (0.236 and 0.300, respectively), whereas there is very weak correlation in x and roll (0.062 and 0.025, respectively). Conclusions: We find that there is an average improvement of approximately 1 mm in terms of maxDTA on the PTV going from 4-dof bony anatomy-based autoregistration to the 4-dof contour-based optimization. Pearson correlation analysis of the 2 4-dof optimizations suggests that uncertainties due to deformation and inadequate resolution account for much of the compensating parameters, but pitch variation also makes a statistically significant contribution.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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