临床技术:在表面导向放射治疗中评估检测准确度,使用来自不同治疗计划系统的CT参考
Masahide Saito1, Koji Ueda2, Hikaru Nemoto2
1Department of Radiology, University of Yamanashi, 1110 Shimokato, Chuo-City, Yamanashi, 409-3898, Japan. masahides@yamanashi.ac.jp.
Radiological physics and technology
|June 23, 2025
概括
沃克塞兰表面导向辐射疗法 (SGRT) 系统显示检测精度在1毫米以内,但不同辐射治疗计划系统 (RTPS) 发生变化. 建议一致使用RTPS,以获得可靠的SGRT性能.
科学领域:
- 医学物理 医学物理
- 辐射瘤学 辐射瘤学
- 图像指导疗法是指导图像的疗法.
背景情况:
- 表面导向辐射疗法 (SGRT) 提高了治疗的精度.
- 准确的患者定位对于有效的辐射输送至关重要.
- 治疗计划系统的变化可能会影响SGRT的性能.
研究的目的:
- 为了评估VOXELAN SGRT系统的检测准确度.
- 评估不同辐射治疗计划系统 (RTPS) 对VOXELAN准确性的影响.
- 为了确定CT切片厚度对SGRT检测的影响.
主要方法:
- 用了两个幻影来评估6轴位置匹配的准确性.
- 使用多个具有默认设置的RTPS生成CT参考体表面.
- 评估了使用1毫米和2毫米切片厚度的VOXELAN SGRT系统性能.
主要成果:
- 沃克塞兰通常在1毫米内达到检测准确度.
- 在不同RTPS之间观察到大约2毫米的轮变化.
- 一些RTPS组合导致纵向和横向的误差超过1mm.
- CT切片厚度对检测准确度的影响最小.
结论:
- 使用的RTPS对VOXELAN SGRT检测准确度有轻微的影响.
- 建议一致使用RTPS以获得最佳和可解释的SGRT结果.
- 在SGRT中依赖RTPS的错误可能是复杂的,难以管理.
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