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Related Concept Videos

Computed Tomography01:10

Computed Tomography

Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...

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Four-Dimensional CT Analysis Using Sequential 3D-3D Registration
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Published on: November 23, 2019

Variability of four-dimensional computed tomography patient models.

Jan-Jakob Sonke1, Joos Lebesque, Marcel van Herk

  • 1Department of Radiation Oncology, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands. j.sonke@nki.nl

International Journal of Radiation Oncology, Biology, Physics
|November 27, 2007
PubMed
Summary

Interfractional baseline variations in lung cancer radiation therapy are significant, necessitating larger safety margins. Four-dimensional cone-beam computed tomography (4D-CBCT) can monitor tumor motion and enable margin reduction.

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Area of Science:

  • Radiation Oncology
  • Medical Imaging
  • Tumor Motion Analysis

Background:

  • Lung tumor motion introduces geometric uncertainties in radiation therapy.
  • Accurate tumor targeting is crucial for effective treatment and minimizing dose to healthy tissues.

Purpose of the Study:

  • To quantify interfractional variability in lung tumor trajectory and mean position during radiation therapy.
  • To assess the impact of baseline variations on planning target volume margins.

Main Methods:

  • Analysis of repeat four-dimensional (4D) cone-beam computed tomography (CBCT) scans from 56 lung cancer patients.
  • Tumor motion assessed using local rigid registration of a region of interest.
  • Interfractional baseline variations calculated using time-weighted averaging of motion curves.

Main Results:

  • Tumor trajectory shape showed stable interfractional variability (<1 mm).
  • Significant interfractional baseline variations were observed: systematic (1.6-3.9 mm) and random (1.2-2.4 mm).
  • Soft-tissue guidance to eliminate baseline variations can decrease planning target volume margins by approximately 50%.

Conclusions:

  • Systematic and random baseline variations are substantial components of geometric variability in lung cancer treatment.
  • Reliance on setup/immobilization or bony anatomy requires generous safety margins.
  • Four-dimensional cone-beam computed tomography (4D-CBCT) enables accurate monitoring and image-guided correction, allowing for safe margin reduction.