Sci-Fri PM: Radiation Therapy, Planning, Imaging, and Special Techniques - 11: Quantification of chest wall motion during deep inspiration breast hold treatments using cine EPID images and a physics based algorithm

Purpose: This work presents an algorithm used to quantify intra-fraction motion for patients treated using deep inspiration breath hold (DIBH). The algorithm quantifies the position of the chest wall in breast tangent fields using electronic portal images. Methods: The algorithm assumes that image p...

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Vydané v:Medical physics (Lancaster) Ročník 43; číslo 8; s. 4958
Hlavní autori: Alpuche Aviles, Jorge E., Sasaki, David, Rivest, Ryan, VanBeek, Timothy, Akra, Mohamed
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States American Association of Physicists in Medicine 01.08.2016
Predmet:
60 APPLIED LIFE SCIENCES
ALGORITHMS
BIOMEDICAL RADIOGRAPHY
CHEST
Image guided radiation therapy
Lungs
MAMMARY GLANDS
Medical image smoothing
PATIENTS
RADIATION PROTECTION AND DOSIMETRY
Radiation treatment
WALLS
ISSN:0094-2405, 2473-4209
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Shrnutí:Purpose: This work presents an algorithm used to quantify intra-fraction motion for patients treated using deep inspiration breath hold (DIBH). The algorithm quantifies the position of the chest wall in breast tangent fields using electronic portal images. Methods: The algorithm assumes that image profiles, taken along a direction perpendicular to the medial border of the field, follow a monotonically and smooth decreasing function. This assumption is invalid in the presence of lung and can be used to calculate chest wall position. The algorithm was validated by determining the position of the chest wall for varying field edge positions in portal images of a thoracic phantom. The algorithm was used to quantify intra-fraction motion in cine images for 7 patients treated with DIBH. Results: Phantom results show that changes in the distance between chest wall and field edge were accurate within 0.1 mm on average. For a fixed field edge, the algorithm calculates the position of the chest wall with a 0.2 mm standard deviation. Intra-fraction motion for DIBH patients was within 1 mm 91.4% of the time and within 1.5 mm 97.9% of the time. The maximum intra-fraction motion was 3.0 mm. Conclusions: A physics based algorithm was developed and can be used to quantify the position of chest wall irradiated in tangent portal images with an accuracy of 0.1 mm and precision of 0.6 mm. Intra-fraction motion for patients treated with DIBH at our clinic is less than 3 mm.
ISSN:0094-2405
2473-4209
DOI:10.1118/1.4961854