Setup time analysis for stereotactic body radiotherapy in O-ring linear accelerator without rotational correction
This study analyse setup time (ST) and frequency of on-board imaging for stereotactic abdomen (liver, stomach), lung, and spine radiotherapy in the absence of automatic rotational correction. Total 53 stereotactic body radiotherapy (SBRT) patients, 28 of abdomen, 19 lung, and 6 spine treated for 230...
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| Published in | Radiological physics and technology Vol. 17; no. 2; pp. 527 - 535 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
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Springer Nature Singapore
01.06.2024
Springer Nature B.V |
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| Abstract | This study analyse setup time (ST) and frequency of on-board imaging for stereotactic abdomen (liver, stomach), lung, and spine radiotherapy in the absence of automatic rotational correction. Total 53 stereotactic body radiotherapy (SBRT) patients, 28 of abdomen, 19 lung, and 6 spine treated for 230 sessions in O-ring gantry accelerator were evaluated for ST analysis. The mean setup time for all patients, abdomen, lung, and spine cases were 7.7 ± 7.4 min, 9.2 ± 9.2 min, 6.3 ± 4.1 min, and 5.5 ± 3.3 min, respectively. Median number CBCT was 2. 96% of cases had a CBCT between 1 and 3, and 9 (4%) had ≥ 4 CBCTs. Overall, 38.1%, 35.5%, 22.1%, 2.2%, and 2.2% of setup time fall into window of 0–5 min, 5–10 min, 10–20 min, 20–30 min, and > 30 min. Most difficult challenge is to negotiate with unknown rotational errors. It will be easy to dealt with them without automatic rotational correction if values are known. |
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| AbstractList | This study analyse setup time (ST) and frequency of on-board imaging for stereotactic abdomen (liver, stomach), lung, and spine radiotherapy in the absence of automatic rotational correction. Total 53 stereotactic body radiotherapy (SBRT) patients, 28 of abdomen, 19 lung, and 6 spine treated for 230 sessions in O-ring gantry accelerator were evaluated for ST analysis. The mean setup time for all patients, abdomen, lung, and spine cases were 7.7 ± 7.4 min, 9.2 ± 9.2 min, 6.3 ± 4.1 min, and 5.5 ± 3.3 min, respectively. Median number CBCT was 2. 96% of cases had a CBCT between 1 and 3, and 9 (4%) had ≥ 4 CBCTs. Overall, 38.1%, 35.5%, 22.1%, 2.2%, and 2.2% of setup time fall into window of 0–5 min, 5–10 min, 10–20 min, 20–30 min, and > 30 min. Most difficult challenge is to negotiate with unknown rotational errors. It will be easy to dealt with them without automatic rotational correction if values are known. This study analyse setup time (ST) and frequency of on-board imaging for stereotactic abdomen (liver, stomach), lung, and spine radiotherapy in the absence of automatic rotational correction. Total 53 stereotactic body radiotherapy (SBRT) patients, 28 of abdomen, 19 lung, and 6 spine treated for 230 sessions in O-ring gantry accelerator were evaluated for ST analysis. The mean setup time for all patients, abdomen, lung, and spine cases were 7.7 ± 7.4 min, 9.2 ± 9.2 min, 6.3 ± 4.1 min, and 5.5 ± 3.3 min, respectively. Median number CBCT was 2. 96% of cases had a CBCT between 1 and 3, and 9 (4%) had ≥ 4 CBCTs. Overall, 38.1%, 35.5%, 22.1%, 2.2%, and 2.2% of setup time fall into window of 0-5 min, 5-10 min, 10-20 min, 20-30 min, and > 30 min. Most difficult challenge is to negotiate with unknown rotational errors. It will be easy to dealt with them without automatic rotational correction if values are known. This study analyse setup time (ST) and frequency of on-board imaging for stereotactic abdomen (liver, stomach), lung, and spine radiotherapy in the absence of automatic rotational correction. Total 53 stereotactic body radiotherapy (SBRT) patients, 28 of abdomen, 19 lung, and 6 spine treated for 230 sessions in O-ring gantry accelerator were evaluated for ST analysis. The mean setup time for all patients, abdomen, lung, and spine cases were 7.7 ± 7.4 min, 9.2 ± 9.2 min, 6.3 ± 4.1 min, and 5.5 ± 3.3 min, respectively. Median number CBCT was 2. 96% of cases had a CBCT between 1 and 3, and 9 (4%) had ≥ 4 CBCTs. Overall, 38.1%, 35.5%, 22.1%, 2.2%, and 2.2% of setup time fall into window of 0-5 min, 5-10 min, 10-20 min, 20-30 min, and > 30 min. Most difficult challenge is to negotiate with unknown rotational errors. It will be easy to dealt with them without automatic rotational correction if values are known.This study analyse setup time (ST) and frequency of on-board imaging for stereotactic abdomen (liver, stomach), lung, and spine radiotherapy in the absence of automatic rotational correction. Total 53 stereotactic body radiotherapy (SBRT) patients, 28 of abdomen, 19 lung, and 6 spine treated for 230 sessions in O-ring gantry accelerator were evaluated for ST analysis. The mean setup time for all patients, abdomen, lung, and spine cases were 7.7 ± 7.4 min, 9.2 ± 9.2 min, 6.3 ± 4.1 min, and 5.5 ± 3.3 min, respectively. Median number CBCT was 2. 96% of cases had a CBCT between 1 and 3, and 9 (4%) had ≥ 4 CBCTs. Overall, 38.1%, 35.5%, 22.1%, 2.2%, and 2.2% of setup time fall into window of 0-5 min, 5-10 min, 10-20 min, 20-30 min, and > 30 min. Most difficult challenge is to negotiate with unknown rotational errors. It will be easy to dealt with them without automatic rotational correction if values are known. |
| Author | Sarkar, Biplab Pradhan, Anirudh |
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| Cites_doi | 10.1016/j.ijrobp.2010.09.035 10.1017/S1460396923000055 10.1016/j.ejmp.2019.11.015 10.1016/j.ijrobp.2007.08.066 10.4103/jcrt.jcrt_359_21 10.1001/jama.2010.261 10.4103/jcrt.JCRT_685_19 10.1120/jacmp.v10i4.3068 10.1016/j.prro.2020.07.003 10.1002/acm2.13146 10.1088/0031-9155/55/1/001 10.1088/1361-6560/aab231 10.1016/j.ijrobp.2010.04.006 10.1007/s11547-021-01355-7 10.1016/j.ijrobp.2006.11.010 10.7785/tcrt.2012.500359 10.1053/j.semradonc.2003.10.003 10.1002/acm2.13273 |
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| Keywords | Setup time 6D couch motion O-ring linear accelerator 3D couch motion SBRT |
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| References | Roy, Sarkar, Pradhan, Munshi, Chauhan (CR18) 2023; 22 Güngör, Serbez, Temur, Gür, Kayalılar, Mustafayev, Korkmaz, Aydın, Yapıcı, Atalar, Özyar (CR3) 2021; 11 Manikandan, Sarkar, Munshi, Krishnankutty, Ganesh, Mohanti, Manikandan, Anirudh, Chandrasekharan (CR12) 2023; 19 Sarkar, Ganesh, Munshi, Manikandan, Roy, Krishnankutty, Chitral, Sathiya, Pradhan, Mohanti (CR17) 2021; 126 Jarema, Aland (CR9) 2019; 68 Sarkar, Ray, Ganesh, Manikandan, Munshi, Rathinamuthu, Kaur, Anbazhagan, Giri, Roy, Jassal (CR8) 2018; 63 Timmerman, Paulus, Galvin, Michalski, Straube, Bradley, Fakiris, Bezjak, Videtic, Johnstone, Fowler (CR6) 2010; 303 CR14 Oliver, Ansbacher, Beckham (CR2) 2009; 10 Takakura, Mizowaki, Nakata, Yano, Fujimoto, Miyabe, Nakamura, Hiraoka (CR15) 2009; 55 Hoogeman, Nuyttens, Levendag, Heijmen (CR1) 2008; 70 CR11 Crop, Lacornerie, Szymczak, Felin, Bailleux, Mirabel, Lartigau (CR4) 2014; 13 Meyer, Wilbert, Baier, Guckenberger, Richter, Sauer, Flentje (CR7) 2007; 67 Higgins, Bezjak, Hope, Panzarella, Li, Cho, Craig, Brade, Sun, Bissonnette (CR13) 2011; 80 Munshi, Krishnakutty, Sarkar, Ganesh, Mohanti (CR5) 2021; 17 Pokhrel, Visak, Critchfield, Stephen, Bernard, Randall, Kudrimoti (CR10) 2021; 22 Li, Purdie, Taremi, Fung, Brade, Cho, Hope, Sun, Jaffray, Bezjak, Bissonnette (CR16) 2011; 81 MS Hoogeman (791_CR1) 2008; 70 J Meyer (791_CR7) 2007; 67 A Munshi (791_CR5) 2021; 17 A Manikandan (791_CR12) 2023; 19 791_CR11 T Jarema (791_CR9) 2019; 68 B Sarkar (791_CR17) 2021; 126 W Li (791_CR16) 2011; 81 B Sarkar (791_CR8) 2018; 63 D Pokhrel (791_CR10) 2021; 22 R Timmerman (791_CR6) 2010; 303 T Takakura (791_CR15) 2009; 55 G Güngör (791_CR3) 2021; 11 M Oliver (791_CR2) 2009; 10 S Roy (791_CR18) 2023; 22 791_CR14 J Higgins (791_CR13) 2011; 80 F Crop (791_CR4) 2014; 13 |
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| SubjectTerms | Abdomen Cone-Beam Computed Tomography Humans Imaging Lungs Medical and Radiation Physics Medicine Medicine & Public Health Nuclear Medicine Particle Accelerators Radiation therapy Radiology Radiosurgery - instrumentation Radiosurgery - methods Radiotherapy Radiotherapy Planning, Computer-Assisted - methods Radiotherapy Setup Errors - prevention & control Rotation Setup times Technical Note Time Factors |
| Title | Setup time analysis for stereotactic body radiotherapy in O-ring linear accelerator without rotational correction |
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