VMAT to arclet plan conversion in a treatment planning system : Feasibility and dosimetric relationship between VMAT, arclet, and stationary fields.

Aim: The aim of this study was to make dynamic rotation treatment with mARC available for the non-dedicated Philips Pinnacle treatment planning system by converting SmartArc plans, offering insight into the relationship between SmartArc, mARC, and stationary field irradiation.Methods: A scripting so...

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Publicado en:Strahlentherapie und Onkologie Vol. 191; no. 12; pp. 961 - 970
Autores principales: Dzierma, Yvonne, Licht, Norbert, Norton, Ian, Nuesken, Frank, Rübe, Christian, Fleckenstein, Jochen
Formato: research Journal Article
Publicado: Springer Nature Dec2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2015
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      pub: Springer Nature
      place: New York, New York
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        atl: VMAT to arclet plan conversion in a treatment planning system : Feasibility and dosimetric relationship between VMAT, arclet, and stationary fields.
      aug:
        au:
          Dzierma, Yvonne
          Licht, Norbert
          Norton, Ian
          Nuesken, Frank
          Rübe, Christian
          Fleckenstein, Jochen
          Rübe, Christian
        affil: Department of Radiotherapy, Saarland University Medical Center, Kirrberger Straße 6.5 66421 Homburg/Saar Germany
      sug:
        subj:
          Radiotherapy, Computer-Assisted Methods
          Radiotherapy, Conformal Methods
          Image Processing, Computer Assisted
          Tomography, X-Ray Computed Methods
          Software Design
          Human
          Algorithms
          Image Enhancement Methods
          Radiometry
          Imaging, Three-Dimensional Methods
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
      ab:
        Aim: The aim of this study was to make dynamic rotation treatment with mARC available for the non-dedicated Philips Pinnacle treatment planning system by converting SmartArc plans, offering insight into the relationship between SmartArc, mARC, and stationary field irradiation.Methods: A scripting solution is presented that can be run in the Pinnacle system. This allows for the conversion of SmartArc plans into mARC format. The dose distribution of the converted mARC plan can be evaluated both in the form of a "real" mARC plan with arclets and-as is generally done in treatment planning systems certified for mARC planning-by approximating the arclets as stationary fields. We present the proof of principle and dosimetric comparisons.Results: The converted plans were irradiated without problems. For the measured 3D dose distributions, on average over 90 % points agreed with the calculated dose distributions (mARC and stationary field plans) within the gamma criteria of 3 % deviation in the local dose, 3-mm distance to agreement, for all dose values above 10 % of the maximum. The agreement between the three calculated dose distributions (SmartArc with both converted plans) was above 87 % (above 92 % when comparing mARC with stationary fields).Conclusion: Our solution offers the possibility of mARC planning in Pinnacle. The dose comparisons furthermore prove that the dosimetric differences between SmartArc and mARC, when appropriately translated, are minor.
        Ziel: Diese Studie präsentiert die Konversion von SmartArc-Plänen in mARC-Format innerhalb des Philips Pinnacle Bestrahlungsplanungssystems und vergleicht SmartArc, mARC und Stehfeldbestrahlungstechniken. Methoden: Innerhalb des Pinnacle-Systems wird die Konversion von SmartArc- zu mARC-Plänen skriptbasiert durchgeführt. Die resultierenden Dosisverteilungen werden sowohl mit einem Plan mit Arclet-Abstrahlung als auch mit angenäherten Stehfelder-Plänen verglichen. Ergebnisse: Die konvertierten Pläne können problemlos abgestrahlt werden. Die gemessenen 3D-Dosisverteilungen liegen innerhalb der Gamma-Kriterien (über 90 % der Punkte innerhalb 3 % lokaler Dosis und 3 mm Distanz zur Übereinstimmung, für alle Dosiswerte oberhalb 10 % des Maximums). Die 3 berechneten Dosisverteilungen (SmartArc, mARC, Stehfelder) weisen über 87 % Übereinstimmung auf (mARC mit Stehfeld-Plänen über 92 %). Schlussfolgerung: Unsere Lösung erlaubt die mARC-Planung im Philips-Pinnacle-Bestrahlungsplanungssystem. Die Dosisvergleiche zeigen, dass vernachlässigbare Unterschiede zwischen SmartArc und mARC bestehen, wenn die Pläne angemessen umgewandelt werden.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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