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Stereotactic Radiosurgery for Gynecologic Cancer
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TU-E-BRB-11: End-To-End Positioning Quality Assurance for Image-Guided Radiosurgery of Multiple Targets Using a

R Popple1, J Fiveash1, J Duan1

  • 1The University of Alabama at Birmingham, Birmingham, AL.

Medical Physics
|May 19, 2017
PubMed
Summary

A new multi-target test (MTT) verifies accurate patient positioning for radiosurgery. This quality assurance method ensures precision from imaging to beam delivery in complex, multiple target treatments.

Keywords:
CollimatorsComputed tomographyImage guided radiation therapyMedical image qualityMedical imagingMedical treatment planningMultileaf collimatorsQuality assuranceRadiosurgeryRobotics

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Area of Science:

  • Medical Physics
  • Radiation Oncology
  • Radiosurgery Technology

Background:

  • Single isocenter techniques reduce radiosurgery delivery times for multiple targets.
  • Conventional Winston-Lutz tests are unsuitable for multitarget radiosurgery when targets are not at the isocenter.

Purpose of the Study:

  • To describe and validate a novel multi-target test (MTT) for accurate patient positioning in radiosurgery.
  • To provide a quality assurance tool for multitarget radiosurgery workflows.

Main Methods:

  • A phantom with three spheres was scanned using high-resolution CT.
  • Custom software determined optimal beam and aperture parameters for centering spheres.
  • The phantom was repositioned using a robotic couch, and MV EPID images verified sphere centering within apertures.

Main Results:

  • Calculated maximum distance between sphere and aperture center was 0.07 mm.
  • Median differences measured from MV images ranged from 0.1 mm to 1.4 mm, with a median of 0.8 mm.
  • The test demonstrated feasibility with selected beam angles and aperture configurations.

Conclusions:

  • The multi-target test (MTT) is a practical end-to-end quality assurance solution.
  • It effectively verifies the entire positioning process in multitarget radiosurgery.
  • The MTT ensures accuracy from CT scanning through to beam delivery.