Journal articleMed Phys · January 2025
BACKGROUND: The Joint AAPM-ESTRO TG-360 is developing a quantitative framework to evaluate treatment verification systems used for patient-specific quality assurance (PSQA). A subgroup was commissioned to determine which potential failure modes had the gre ...
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Journal articleMed Phys · September 2023
BACKGROUND: Many commercial tools are available for plan-specific quality assurance (QA) of radiotherapy plans, with their functionality assessed in isolation. However, multiple QA tools are required to review the full range of potential errors. It is impo ...
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Journal articleMed Phys · February 2020
Thermoluminescent dosimeters (TLD) and optically stimulated luminescent dosimeters (OSLD) are practical, accurate, and precise tools for point dosimetry in medical physics applications. The charges of Task Group 191 were to detail the methodologies for pra ...
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Journal articleJ Radiosurg SBRT · 2020
OBJECTIVE: To analyze and evaluate accuracy and efficiency of IGRT process for preoperative partial breast radiosurgery. METHODS: Patients were initially setup with skin marks and 5 steps were performed: (1) Initial orthogonal 2D kV images, (2) pre-treatme ...
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Journal articleInt J Radiat Oncol Biol Phys · May 1, 2017
PURPOSE: To determine clinic-specific linear accelerator quality assurance (QA) TG-142 test frequencies, to maximize physicist time efficiency and patient treatment quality. METHODS AND MATERIALS: A novel quantitative approach to failure mode and effect an ...
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Journal articleJ Appl Clin Med Phys · September 8, 2016
The purpose of this work was to evaluate the potential of a new transmission detector for real-time quality assurance of dynamic-MLC-based radiotherapy. The accuracy of detecting dose variation and static/dynamic MLC position deviations was measured, as we ...
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Journal articleJ Appl Clin Med Phys · September 2016
The purpose of this work was to evaluate the potential of a new transmission detector for real-time quality assurance of dynamic-MLC-based radiotherapy. The accuracy of detecting dose variation and static/dynamic MLC position deviations was measured, as we ...
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Journal articleMed Phys · February 2014
PURPOSE: As clinics begin to use 3D metrics for intensity-modulated radiation therapy (IMRT) quality assurance, it must be noted that these metrics will often produce results different from those produced by their 2D counterparts. 3D and 2D gamma analyses ...
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Journal articleJ Appl Clin Med Phys · January 7, 2013
The purpose of this study was to evaluate the sliced body volume (SBV) as a respiratory surrogate by comparing with the real-time position management (RPM) in phantom and patient cases. Using the SBV surrogate, breathing signals were extracted from unsorte ...
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Journal articleJournal of Applied Clinical Medical Physics · January 1, 2013
The purpose of this study was to evaluate the sliced body volume (SBV) as a respiratory surrogate by comparing with the real-time position management (RPM) in phantom and patient cases. Using the SBV surrogate, breathing signals were extracted from unsorte ...
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Journal articleInt J Radiat Oncol Biol Phys · October 1, 2012
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PURPOSE: To demonstrate a new three-dimensional (3D) quality assurance (QA) method that provides comprehensive dosimetry verification and facilitates evaluation of the clinical significance of QA data acquired in a phantom. Also to apply the method to inve ...
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Journal articleRadiother Oncol · May 2012
PURPOSE: To investigate (1) dosimetric differences between plans calculated using the anisotropic analytical algorithm (AAA) and pencil beam convolution (PBC) algorithm, (2) the plan quality achieved using AAA compared to PBC based on dosimetric parameters ...
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Journal articleInt J Radiat Oncol Biol Phys · April 1, 2012
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PURPOSE: To explore an effective and efficient end-to-end patient-specific quality-assurance (QA) protocol for volumetric modulated arc radiotherapy (VMAT) and to evaluate the suitability of a stationary radiotherapy QA device (two-dimensional [2D] ion cha ...
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Journal articleCancer J · 2011
In current standard radiation therapy process, patient anatomy is represented by the snapshot of computed tomographic images at the simulation for treatment planning. However, patient anatomy during the treatment course is not static, and the changes can b ...
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Journal articleRadiother Oncol · April 2010
PURPOSE: To investigate setup discrepancies measured with ExacTrac X-ray 6 degree-of-freedom (6D) and cone-beam computed tomography (CBCT) for patients under treatments of stereotactic body radiation therapy (SBRT). MATERIALS AND METHODS: In this work, pha ...
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Journal articleJournal of Physics Conference Series · January 1, 2010
The purpose of this study was to test a patient-specific quality assurance (QA) protocol for intensity-modulated arc radiotherapy (IMAT), and to evaluate the use of an intensity-modulated stationary radiotherapy QA device (2D ion chamber array). Thirty-nin ...
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Journal articlePhys Med Biol · September 7, 2009
This study investigated the integration of the Calypso real-time tracking system, based on implanted ferromagnetic transponders and a detector array, into the current process for image-guided radiation treatment (IGRT) of prostate cancer at our institution ...
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Journal articleInt J Radiat Oncol Biol Phys · September 1, 2008
PURPOSE: Auto-propagation of anatomic regions of interest from the planning computed tomography (CT) scan to the daily CT is an essential step in image-guided adaptive radiotherapy. The goal of this study was to quantitatively evaluate the performance of t ...
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Journal articleInt J Radiat Oncol Biol Phys · July 15, 2008
PURPOSE: To investigate the dosimetric effects of translational and rotational patient positioning errors on the treatment of spinal and paraspinal metastases using computed tomography image-guided stereotactic body radiotherapy. The results of this study ...
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Journal articleInt J Radiat Oncol Biol Phys · July 1, 2008
PURPOSE: To quantify the interfraction variability in prostate and seminal vesicle (SV) positions during a course of intensity-modulated radiotherapy (IMRT) using an integrated computed tomography (CT)-linear accelerator system and to assess the impact of ...
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Journal articleInt J Radiat Oncol Biol Phys · May 1, 2008
PURPOSE: To compare the effectiveness of daily ultrasound (US)- and computed tomography (CT)-guided alignments with an off-line correction protocol using daily bone alignment plus a correction factor for systematic internal prostate displacement (CF(ID)). ...
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Journal articleInt J Radiat Oncol Biol Phys · November 15, 2007
PURPOSE: To quantify the differences between planned and delivered parotid gland and target doses, and to assess the benefits of daily bone alignment for head and neck cancer patients treated with intensity-modulated radiotherapy (IMRT). METHODS AND MATERI ...
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Journal articleRadiother Oncol · November 2007
PURPOSE: To determine whether a 3-mm isotropic target margin adequately covers the prostate and seminal vesicles (SVs) during administration of an intensity-modulated radiation therapy (IMRT) treatment fraction, assuming that daily image-guided setup is pe ...
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Journal articleAm J Clin Oncol · April 2007
OBJECTIVES: To investigate interobserver variability in the delineation of head-and-neck (H&N) anatomic structures on CT images, including the effects of image artifacts and observer experience. METHODS: Nine observers (7 radiation oncologists, 1 surgeon, ...
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Journal articleMedical Physics · January 1, 2007
Purpose: Tuning nominal energies on linear accelerators is useful for matching machines of different vendors and for altering energies to match clinical needs. In this study we investigated matching a Varian 2100EX 4MeV electron beam to a Siemens Primus 5M ...
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Journal articleInt J Radiat Oncol Biol Phys · November 1, 2006
PURPOSE: The aim of this study was to compare the dosimetric consequences of 4 treatment delivery techniques for prostate cancer patients treated with intensity-modulated radiotherapy (IMRT). METHODS AND MATERIALS: During an 8-week course of radiotherapy, ...
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Journal articlePhys Med Biol · September 7, 2005
The purpose of this work was to extend the verification of Monte Carlo based methods for estimating radiation dose in computed tomography (CT) exams beyond a single CT scanner to a multidetector CT (MDCT) scanner, and from cylindrical CTDI phantom measurem ...
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Journal articleProgress in Biomedical Optics and Imaging Proceedings of SPIE · August 25, 2005
Multidetector CT (MDCT) systems offer larger coverage and wider z-axis beams, resulting in larger cone angles. One impact on radiation dose is that while radiation profiles at isocenter are constant when contiguous axial scans are performed, the increased ...
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Journal articleAJR Am J Roentgenol · August 2005
OBJECTIVE: The purpose of this study was to focus attention on the technique factors commonly used in survey CT scans (e.g., scout, topogram, or pilot scans) to measure the radiation exposure from typical survey CT scans, to compare their exposure to that ...
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Journal articlePhys Med Biol · June 21, 2005
A greyscale-based fully automatic deformable image registration algorithm, originally known as the 'demons' algorithm, was implemented for CT image-guided radiotherapy. We accelerated the algorithm by introducing an 'active force' along with an adaptive fo ...
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Journal articleIEEE Transactions on Applied Superconductivity · June 1, 2005
A step-function increase in magnetic field has been applied to various single-domain Y-Ba-Cu-O rings and disks at 77 K. The magnetic field in the center of these structures exhibits an exponential approach to an equilibrium value, as predicted by simple di ...
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Journal articleInt J Radiat Oncol Biol Phys · May 1, 2005
PURPOSE: To propose and evaluate online adaptive radiation therapy (ART) using in-room computed tomography (CT) imaging that detects changes in the target position and shape of the prostate and seminal vesicles (SVs) and then automatically modifies the mul ...
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Journal articleMedical Physics · January 1, 2005
Purpose: The anatomy in some head and neck cancer patients can vary significantly during the course of radiation therapy due to weight loss and/or tumor shrinkage. The purpose of this study is to investigate the dosimetric impact of such changes for patien ...
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Journal articleMedical Physics · January 1, 2005
Purpose: To use deformable image registration to calculate cumulative dose distributions received by a radiotherapy patient in order to evaluate the dosimetric impact of anatomical variations during the course of treatment. Method and Materials: An intensi ...
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Journal articleMedical Physics · January 1, 2005
Purpose: The main goals of this study are to quantify the variations of pelvic anatomy during a single treatment fraction and to analyze the relationship of prostate and seminal vesicle (SV) motion relative to the bladder and rectum. Method and Materials: ...
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Journal articleMedical Physics · January 1, 2005
Purpose: To quantify the dosimetric impact of four alignment methods (skin marks, bone, ultrasound, and CT) on the daily treatment of prostate patients. Method and Materials: Six prostate patients received 3 CT scans per week immediately before treatment u ...
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Journal articleMedical Physics · January 1, 2005
Purpose: To implement a deformable registration algorithm to automatically delineate regions of interest (ROIs) on daily CT images by transforming the corresponding ROIs from a reference CT image. Method and Materials: An intensity‐based ‘Demons’ deformabl ...
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Journal articleInt J Radiat Oncol Biol Phys · July 15, 2004
PURPOSE: Many patients receiving fractionated radiotherapy (RT) for head-and-neck cancer have marked anatomic changes during their course of treatment, including shrinking of the primary tumor or nodal masses, resolving postoperative changes/edema, and cha ...
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Journal articleInt J Radiat Oncol Biol Phys · June 1, 2004
PURPOSE: The recent introduction of integrated CT/linear accelerator systems may mean that daily CT localization can become a reality in the clinic, possibly allowing further dose escalation to the prostate while limiting unwanted doses to the rectum and b ...
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Journal articleAJR Am J Roentgenol · April 2004
OBJECTIVE: Our aim was to formulate appropriate MDCT chest and abdominopelvic CT scan protocols for pediatric patients. MATERIALS AND METHODS: Surface radiation dose measurements from a set of anthropomorphic phantoms (nominal 1 year old, 5 year old, and 1 ...
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Journal articleInt J Radiat Oncol Biol Phys · March 1, 2004
PURPOSE: This study describes a new intensity-modulated radiation therapy (IMRT) delivery method that utilizes a single modulator to deliver multiple fields ("multifield modulator"). This technique reduces the treatment time and manufacturing costs typical ...
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