Surface topography for patient repositioning

For many years, this group has been interested in the measurement of patient surface contours in order to prepare radiotherapy compensators. Recently, these surface measurements have been made using optical ranging techniques (Medical Physics 16:425; 1989). A laser line is projected onto the patient surface and the video image of the line is digitized and used to calculate the coordinates of each point on the line. This surface information can be used not only for the calculation of compensators but can also be used to verify patient position from simulation to treatment and from one treatment to another. Because the calculation of surface coordinates takes approximately 30 seconds, the technique has been modified to allow the comparison of setup position in real time. In the new system, a series of narrow fan beams is projected to intersect the patient surface. At simulation, the reference video image of the lines is digitized and stored. At treatment setup, repeat video images are digitized and compared with the reference in real time. Operator adjustments to patient position are immediately shown on the composite image, and a congruency value is calculated to help in this process of alignment. Uses and accuracy of the technique will be discussed.