Jonathan Hindmarsh , Scott Crowe , Julia Johnson , Chandrima Sengupta , Jemma Walsh , Sonja Dieterich , Jeremy Booth , Paul Keall
{"title":"A dosimetric comparison of helical tomotherapy treatment delivery with real-time adaption and no motion correction","authors":"Jonathan Hindmarsh , Scott Crowe , Julia Johnson , Chandrima Sengupta , Jemma Walsh , Sonja Dieterich , Jeremy Booth , Paul Keall","doi":"10.1016/j.phro.2025.100741","DOIUrl":null,"url":null,"abstract":"<div><div>This study assesses the ability of a helical tomotherapy system equipped with kV imaging and optical surface guidance to adapt to motion traces in real-time. To assess the delivery accuracy with motion, a unified testing framework was used. The average 2 %/2 mm γ-fail rates across all lung traces were 0.1 % for motion adapted and 17.4 % for no motion correction. Average 2 %/2 mm γ-fail rates across all prostate traces were 0.4 % for motion adapted and 12.2 % for no motion correction. Real-time motion adaption was shown to improve the accuracy of dose delivered to a moving phantom compared with no motion adaption.</div><div><strong>MeSH Keywords:</strong> Radiotherapy, image-guided; Radiation therapy, targeted.</div></div>","PeriodicalId":36850,"journal":{"name":"Physics and Imaging in Radiation Oncology","volume":"34 ","pages":"Article 100741"},"PeriodicalIF":3.4000,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physics and Imaging in Radiation Oncology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405631625000466","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
This study assesses the ability of a helical tomotherapy system equipped with kV imaging and optical surface guidance to adapt to motion traces in real-time. To assess the delivery accuracy with motion, a unified testing framework was used. The average 2 %/2 mm γ-fail rates across all lung traces were 0.1 % for motion adapted and 17.4 % for no motion correction. Average 2 %/2 mm γ-fail rates across all prostate traces were 0.4 % for motion adapted and 12.2 % for no motion correction. Real-time motion adaption was shown to improve the accuracy of dose delivered to a moving phantom compared with no motion adaption.