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The potential for systematic errors in radiotherapy of a breathing patient is considered using the statistical model of Bortfeld et al (2002 Phys. Med. Biol. 47 2203-20). It is shown that although averaging over 30 fractions does ...
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The potential for systematic errors in radiotherapy of a breathing patient is considered using the statistical model of Bortfeld et al (2002 Phys. Med. Biol. 47 2203-20). It is shown that although averaging over 30 fractions does result in a narrow Gaussian distribution of errors, as predicted by the central limit theorem, the fact that one or a few samples of the breathing patient's motion distribution are used for treatment planning (in contrast to the many treatment fractions that are likely to be delivered) may result in a much larger error with a systematic component. The error distribution may be particularly large if a scan at breath-hold is used for planning.
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Th e initial objective of the project was to investigate whether uplift had occurred in a single event, or whether it was gradual, and if the motion was gradual, to attempt to put a constraint on the recent uplift rate. Th e metho...
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Th e initial objective of the project was to investigate whether uplift had occurred in a single event, or whether it was gradual, and if the motion was gradual, to attempt to put a constraint on the recent uplift rate. Th e method was simple. We set out to collect the shells of encrusting or boring marine organisms in transects up the cliff face between present-day sea level and the uplift ed shoreline, at a number of diff erent localities. If uplift was sudden, the samples should all have approximately the same age (with a tail to older ages). If uplift was gradual, one might expect to see a progression of ages with height.
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This study tested whether multiple-object tracking-the ability to visually index objects on the basis of their spatiotemporal history-is scene based or image based. Initial experiments showed equivalent tracking accuracy for objec...
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This study tested whether multiple-object tracking-the ability to visually index objects on the basis of their spatiotemporal history-is scene based or image based. Initial experiments showed equivalent tracking accuracy for objects in 2-D and 3-D motion. Subsequent experiments manipulated the speeds of objects independent of the speed of the scene as a whole. Results showed that tracking accuracy was influenced by object speed but not by scene speed. This held true whether the scene underwent translation, zoom, rotation, or even combinations of all 3 motions. A final series of experiments interfered with observers' ability to see a coherent scene by moving objects at different speeds from one another and by distorting the perception of 3-D space. These reductions in scene coherence led to reduced tracking accuracy, confirming that tracking is accomplished using a scene-based, or allocentric, frame of reference.
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For intensity modulated radiotherapy (IMRT) of deep-seated tumours, dosimetric variations of the original static dose profiles due to breathing motion can be primarily considered as blurring effects known from conventional radioth...
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For intensity modulated radiotherapy (IMRT) of deep-seated tumours, dosimetric variations of the original static dose profiles due to breathing motion can be primarily considered as blurring effects known from conventional radiotherapy. The purpose of this dosimetric study was to clarify whether these results are transferable to superficial targets and to quantify the additional effect of fractionation. A solid polystyrene phantom and an anthropomorphic phantom were used for film and ion chamber dose measurements. The phantoms were installed on an electric driven device and moved with a frequency of 6 or 12 cycles per minute and an amplitude of 4 mm or 10 mm. A split beam geometry of two adjacent asymmetric fields and an IMRT treatment plan with 12 fields for irradiation of the breast were investigated. For the split beam geometry the dose modifications due to unintended superposition of partial fields were reduced by fractionation and completely smoothed out after 20 fractions. IMRT applied to the moving phantom led to a more homogeneous dose distribution compared to the static phantom. The standard deviation of the target dose which is a measure of the dose homogeneity was 10.3 cGy for the static phantom and 7.7 cGy for a 10 mm amplitude. The absolute dose values, measured with ionization chambers, remained unaffected. Irradiation of superficial targets by IMRT in the step-and-shoot technique did not result in unexpected dose perturbations due to breathing motion. We conclude that regular breathing motion does not jeopardize IMRT of superficial target volumes.
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In-room magnetic resonance imaging (MRI) allows the acquisition of fast 2D cine-MRI centered in the tumor for advanced motion management in radiotherapy. To achieve 3D information during treatment, patient-specific motion models c...
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In-room magnetic resonance imaging (MRI) allows the acquisition of fast 2D cine-MRI centered in the tumor for advanced motion management in radiotherapy. To achieve 3D information during treatment, patient-specific motion models can be considered the most viable solution. However, conventional global motion models are built using a single motion surrogate, independently from the anatomical location.
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Background: Prior studies have documented biological motion perception deficits in schizophrenia, but it remains unclear whether the impairments arise from poor social cognition, perceptual organization, basic motion processing, o...
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Background: Prior studies have documented biological motion perception deficits in schizophrenia, but it remains unclear whether the impairments arise from poor social cognition, perceptual organization, basic motion processing, or sustained attention/motivation. To address the issue, we had 24 chronic schizophrenia patients and 27 healthy controls perform three tasks: coherent motion, where subjects indicated whether a cloud of dots drifted leftward or rightward; dynamic rigid form, where subjects determined the tilt direction of a translating, point-light rectangle; and biological motion, where subjects judged whether a human point-light figure walked leftward or rightward. Task difficulty was staircase controlled and depended on the directional variability of the background dot motion. Catch trials were added to verify task attentiveness and engagement.
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PURPOSE/INTRODUCTION: To assess the variation in the doses received by the organs at risk (OARs) that can occur during treatment planning of cervical cancer by image-based brachytherapy.
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Purpose This study investigates the potential application of image‐based motion tracking and real‐time motion correction to a helical tomotherapy system. Methods A kV x‐ray imaging system was added to a helical tomotherapy syst...
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Purpose This study investigates the potential application of image‐based motion tracking and real‐time motion correction to a helical tomotherapy system. Methods A kV x‐ray imaging system was added to a helical tomotherapy system, mounted 90 degrees offset from the MV treatment beam, and an optical camera system was mounted above the foot of the couch. This experimental system tracks target motion by acquiring an x‐ray image every few seconds during gantry rotation. For respiratory (periodic) motion, software correlates internal target positions visible in the x‐ray images with marker positions detected continuously by the camera, and generates an internal–external correlation model to continuously determine the target position in three‐dimensions (3D). Motion correction is performed by continuously updating jaw positions and MLC leaf patterns to reshape (effectively re‐pointing) the treatment beam to follow the 3D target motion. For motion due to processes other than respiration (e.g., digestion), no correlation model is used — instead, target tracking is achieved with the periodically acquired x‐ray images, without correlating with a continuous camera signal. Results The system's ability to correct for respiratory motion was demonstrated using a helical treatment plan delivered to a small (10 mm diameter) target. The phantom was moved following a breathing trace with an amplitude of 15 mm. Film measurements of delivered dose without motion, with motion, and with motion correction were acquired. Without motion correction, dose differences within the target of up to 30% were observed. With motion correction enabled, dose differences in the moving target were less than 2%. Nonrespiratory system performance was demonstrated using a helical treatment plan for a 55 mm diameter target following a prostate motion trace with up to 14 mm of motion. Without motion correction, dose differences up to 16% and shifts of greater than 5 mm were observed. Motion correction reduced these to less than a 6% dose difference and shifts of less than 2 mm. Conclusions Real‐time motion tracking and correction is technically feasible on a helical tomotherapy system. In one experiment, dose differences due to respiratory motion were greatly reduced. Dose differences due to nonrespiratory motion were also reduced, although not as much as in the respiratory case due to less frequent tracking updates. In both cases, beam‐on time was not increased by motion correction, since the system tracks and corrects for motion simultaneously with treatment delivery.
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The authors developed a three-dimensionally movable phantom system (3D movable phantom system) which can reproduce three-dimensional movements to experimentally verify the impact of radiotherapy treatment-related movements on dose...
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The authors developed a three-dimensionally movable phantom system (3D movable phantom system) which can reproduce three-dimensional movements to experimentally verify the impact of radiotherapy treatment-related movements on dose distribution. The phantom system consists of three integrated components: a three-dimensional driving mechanism (3D driving mechanism), computer control system, and phantoms for film dosimetry. The 3D driving mechanism is a quintessential part of this system. It is composed of three linear-motion tables (single-axis robots) which are joined orthogonally to each other. This mechanism has a motion range of 100 mm, with a maximum velocity of 200 mm/s in each dimension, and 3D motion ability of arbitrary patterns. These attributes are sufficient to reproduce almost all organ movements. The positional accuracy of this 3D movable phantom system in a state of geostationary is less than 0.1 mm. The maximum error in terms of the absolute position on movement was 0.56 mm. The positional reappearance error on movement was up to 0.23 mm. The observed fluctuation of time was 0.012 s in the cycle of 4.5 s of oscillation. These results suggested that the 3D movable phantom system exhibited a sufficient level of accuracy in terms of geometry and timing to reproduce interfractional organ movement or setup errors in order to assess the influence of these errors on high-precision radiotherapy such as stereotactic irradiation and intensity-modulated radiotherapy. In addition, the authors 3D movable phantom system will also be useful in evaluating the adequacy and efficacy of new treatment techniques such as gating or tracking radiotherapy.
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Purpose: The use of medical technology capable of tracking patient motion or positioning patients along 6 degree-of-freedom (6DOF) has steadily increased in the field of radiation therapy. However, due to the complex nature of tra...
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Purpose: The use of medical technology capable of tracking patient motion or positioning patients along 6 degree-of-freedom (6DOF) has steadily increased in the field of radiation therapy. However, due to the complex nature of tracking and performing 6DOF motion, it is critical that such technology is properly verified to be operating within specifications in order to ensure patient safety. In this study, a robotic motion phantom is presented that can be programmed to perform highly accurate motion along any X (left-right), Y (superior-inferior), Z (anterior-posterior), pitch (around X), roll (around Y), and yaw (around Z) axes. In addition, highly synchronized motion along all axes can be performed in order to simulate the dynamic motion of a tumor in 6D. The accuracy and reproducibility of this 6D motion were characterized.
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