Effect of residual patient motion on dose distribution during image-guided robotic radiosurgery for skull tracking based on log file analysis

Springer Science and Business Media LLC - Tập 32 - Trang 461-466 - 2014
Mitsuhiro Inoue1,2, Hiroya Shiomi3, Kengo Sato4, Junichi Taguchi1, Kohei Okawa1,2, Kosaku Inada1, Taro Murai5, Izumi Koike2, Koshi Tatewaki6, Seiji Ota6, Tomio Inoue2
1Department of Quality Management with Radiotherapy, Yokohama CyberKnife Center, Shinryoku Neurosurgical Clinic, Yokohama, Japan
2Department of Radiology, Yokohama City University, Graduate School of Medicine, Yokohama, Japan
3Department of Radiation Oncology, Osaka University Graduate School of Medicine, Osaka, Japan
4Department of Neurosurgery, CyberKnife Center, Japanese Red Cross Medical Center, Shibuya, Japan
5Department of Radiation Oncology, Yokohama CyberKnife Center, Shinryoku Neurosurgical Clinic, Yokohama, Japan
6Department of Neurosurgery, Yokohama CyberKnife Center, Shinryoku Neurosurgical Clinic, Yokohama, Japan

Tóm tắt

The present study aimed to assess the effect of residual patient motion on dose distribution during intracranial image-guided robotic radiosurgery by analyzing the system log files. The dosimetric effect was analyzed according to the difference between the original and estimated dose distributions, including targeting error, caused by residual patient motion between two successive image acquisitions. One hundred twenty-eight treatments were analyzed. Forty-two patients were treated using the isocentric plan, and 86 patients were treated using the conformal (non-isocentric) plan. The median distance from the imaging center to the target was 55 mm, and the median interval between the acquisitions of sequential images was 79 s. The median translational residual patient motion was 0.1 mm for each axis, and the rotational residual patient motion was 0.1° for Δpitch and Δroll and 0.2° for Δyaw. The dose error for D 95 was within 1 % in more than 95 % of cases. The maximum dose error for D 10 to D 90 was within 2 %. None of the studied parameters, including the interval between the acquisitions of sequential images, was significantly related to the dosimetric effect. The effect of residual patient motion on dose distribution was minimal.

Tài liệu tham khảo

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