MVCT versus kV‐CBCT for targets subject to respiratory motion: A phantom study
The use of kilovoltage cone‐beam computed tomography (kV‐CBCT) or megavoltage computed tomography (MVCT) for image guidance prior to lung stereotactic body radiation therapy (SBRT) is common clinical practice. We demonstrate that under equivalent respiratory conditions, image guidance using both kV‐...
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| Published in | Journal of applied clinical medical physics Vol. 22; no. 9; pp. 143 - 152 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
John Wiley & Sons, Inc
01.09.2021
John Wiley and Sons Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1526-9914 1526-9914 |
| DOI | 10.1002/acm2.13356 |
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| Abstract | The use of kilovoltage cone‐beam computed tomography (kV‐CBCT) or megavoltage computed tomography (MVCT) for image guidance prior to lung stereotactic body radiation therapy (SBRT) is common clinical practice. We demonstrate that under equivalent respiratory conditions, image guidance using both kV‐CBCT and MVCT may result in the inadequate estimation of the range of target motion under free‐breathing (FB) conditions when standard low‐density window and levels are used. Two spherical targets within a respiratory motion phantom were imaged using both long‐exhale (LE) and sinusoidal respiratory traces. MVCT and kV‐CBCT images were acquired and evaluated for peak‐to‐peak amplitudes of 10 or 20 mm in the cranial‐caudal direction, and with 2, 4 or 5 s periods. All images were visually inspected for artifacts and conformity to the ITV for each amplitude, period, trace‐type, and target size. All LE respiratory traces required a lower threshold HU window for MVCT and kV‐CBCT compared to sinusoidal traces to obtain 100% volume conformity compared with the theoretical ITV (ITVT). Excess volume was less than 2% for all kV‐CBCT contours regardless of trace‐type, breathing period, or amplitude, while the maximum excess volume for MVCT was 48%. Adjusting window and level to maximize conformity with the ITVT is necessary to reduce registration uncertainty to less than 5 mm. To fully capture target motion with either MVCT or kV‐CBCT, substantial changes in HU levels up to −600 HU are required which may not be feasible clinically depending on the target's location and surrounding tissue contrast. This registration method, utilizing a substantially decreased window and level compared to standard low‐density settings, was retrospectively compared to the automated registration algorithm for five lung SBRT patients exposed to pre‐treatment kV‐CBCT image guidance. Differences in registrations in the super‐inferior (SI) direction greater than the commonly used ITV to PTV margin of 5 mm were encountered for several cases. In conclusion, pre‐treatment image guidance for lung SBRT targets using MVCT or kV‐CBCT is unlikely to capture the full extent of target motion as defined by the ITVT and additional caution is warranted to avoid registration errors for small targets and patients with LE respiratory traces. |
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| AbstractList | The use of kilovoltage cone‐beam computed tomography (kV‐CBCT) or megavoltage computed tomography (MVCT) for image guidance prior to lung stereotactic body radiation therapy (SBRT) is common clinical practice. We demonstrate that under equivalent respiratory conditions, image guidance using both kV‐CBCT and MVCT may result in the inadequate estimation of the range of target motion under free‐breathing (FB) conditions when standard low‐density window and levels are used. Two spherical targets within a respiratory motion phantom were imaged using both long‐exhale (LE) and sinusoidal respiratory traces. MVCT and kV‐CBCT images were acquired and evaluated for peak‐to‐peak amplitudes of 10 or 20 mm in the cranial‐caudal direction, and with 2, 4 or 5 s periods. All images were visually inspected for artifacts and conformity to the ITV for each amplitude, period, trace‐type, and target size. All LE respiratory traces required a lower threshold HU window for MVCT and kV‐CBCT compared to sinusoidal traces to obtain 100% volume conformity compared with the theoretical ITV (ITVT). Excess volume was less than 2% for all kV‐CBCT contours regardless of trace‐type, breathing period, or amplitude, while the maximum excess volume for MVCT was 48%. Adjusting window and level to maximize conformity with the ITVT is necessary to reduce registration uncertainty to less than 5 mm. To fully capture target motion with either MVCT or kV‐CBCT, substantial changes in HU levels up to −600 HU are required which may not be feasible clinically depending on the target's location and surrounding tissue contrast. This registration method, utilizing a substantially decreased window and level compared to standard low‐density settings, was retrospectively compared to the automated registration algorithm for five lung SBRT patients exposed to pre‐treatment kV‐CBCT image guidance. Differences in registrations in the super‐inferior (SI) direction greater than the commonly used ITV to PTV margin of 5 mm were encountered for several cases. In conclusion, pre‐treatment image guidance for lung SBRT targets using MVCT or kV‐CBCT is unlikely to capture the full extent of target motion as defined by the ITVT and additional caution is warranted to avoid registration errors for small targets and patients with LE respiratory traces. The use of kilovoltage cone-beam computed tomography (kV-CBCT) or megavoltage computed tomography (MVCT) for image guidance prior to lung stereotactic body radiation therapy (SBRT) is common clinical practice. We demonstrate that under equivalent respiratory conditions, image guidance using both kV-CBCT and MVCT may result in the inadequate estimation of the range of target motion under free-breathing (FB) conditions when standard low-density window and levels are used. Two spherical targets within a respiratory motion phantom were imaged using both long-exhale (LE) and sinusoidal respiratory traces. MVCT and kV-CBCT images were acquired and evaluated for peak-to-peak amplitudes of 10 or 20 mm in the cranial-caudal direction, and with 2, 4 or 5 s periods. All images were visually inspected for artifacts and conformity to the ITV for each amplitude, period, trace-type, and target size. All LE respiratory traces required a lower threshold HU window for MVCT and kV-CBCT compared to sinusoidal traces to obtain 100% volume conformity compared with the theoretical ITV (ITVT ). Excess volume was less than 2% for all kV-CBCT contours regardless of trace-type, breathing period, or amplitude, while the maximum excess volume for MVCT was 48%. Adjusting window and level to maximize conformity with the ITVT is necessary to reduce registration uncertainty to less than 5 mm. To fully capture target motion with either MVCT or kV-CBCT, substantial changes in HU levels up to -600 HU are required which may not be feasible clinically depending on the target's location and surrounding tissue contrast. This registration method, utilizing a substantially decreased window and level compared to standard low-density settings, was retrospectively compared to the automated registration algorithm for five lung SBRT patients exposed to pre-treatment kV-CBCT image guidance. Differences in registrations in the super-inferior (SI) direction greater than the commonly used ITV to PTV margin of 5 mm were encountered for several cases. In conclusion, pre-treatment image guidance for lung SBRT targets using MVCT or kV-CBCT is unlikely to capture the full extent of target motion as defined by the ITVT and additional caution is warranted to avoid registration errors for small targets and patients with LE respiratory traces.The use of kilovoltage cone-beam computed tomography (kV-CBCT) or megavoltage computed tomography (MVCT) for image guidance prior to lung stereotactic body radiation therapy (SBRT) is common clinical practice. We demonstrate that under equivalent respiratory conditions, image guidance using both kV-CBCT and MVCT may result in the inadequate estimation of the range of target motion under free-breathing (FB) conditions when standard low-density window and levels are used. Two spherical targets within a respiratory motion phantom were imaged using both long-exhale (LE) and sinusoidal respiratory traces. MVCT and kV-CBCT images were acquired and evaluated for peak-to-peak amplitudes of 10 or 20 mm in the cranial-caudal direction, and with 2, 4 or 5 s periods. All images were visually inspected for artifacts and conformity to the ITV for each amplitude, period, trace-type, and target size. All LE respiratory traces required a lower threshold HU window for MVCT and kV-CBCT compared to sinusoidal traces to obtain 100% volume conformity compared with the theoretical ITV (ITVT ). Excess volume was less than 2% for all kV-CBCT contours regardless of trace-type, breathing period, or amplitude, while the maximum excess volume for MVCT was 48%. Adjusting window and level to maximize conformity with the ITVT is necessary to reduce registration uncertainty to less than 5 mm. To fully capture target motion with either MVCT or kV-CBCT, substantial changes in HU levels up to -600 HU are required which may not be feasible clinically depending on the target's location and surrounding tissue contrast. This registration method, utilizing a substantially decreased window and level compared to standard low-density settings, was retrospectively compared to the automated registration algorithm for five lung SBRT patients exposed to pre-treatment kV-CBCT image guidance. Differences in registrations in the super-inferior (SI) direction greater than the commonly used ITV to PTV margin of 5 mm were encountered for several cases. In conclusion, pre-treatment image guidance for lung SBRT targets using MVCT or kV-CBCT is unlikely to capture the full extent of target motion as defined by the ITVT and additional caution is warranted to avoid registration errors for small targets and patients with LE respiratory traces. The use of kilovoltage cone-beam computed tomography (kV-CBCT) or megavoltage computed tomography (MVCT) for image guidance prior to lung stereotactic body radiation therapy (SBRT) is common clinical practice. We demonstrate that under equivalent respiratory conditions, image guidance using both kV-CBCT and MVCT may result in the inadequate estimation of the range of target motion under free-breathing (FB) conditions when standard low-density window and levels are used. Two spherical targets within a respiratory motion phantom were imaged using both long-exhale (LE) and sinusoidal respiratory traces. MVCT and kV-CBCT images were acquired and evaluated for peak-to-peak amplitudes of 10 or 20 mm in the cranial-caudal direction, and with 2, 4 or 5 s periods. All images were visually inspected for artifacts and conformity to the ITV for each amplitude, period, trace-type, and target size. All LE respiratory traces required a lower threshold HU window for MVCT and kV-CBCT compared to sinusoidal traces to obtain 100% volume conformity compared with the theoretical ITV (ITV ). Excess volume was less than 2% for all kV-CBCT contours regardless of trace-type, breathing period, or amplitude, while the maximum excess volume for MVCT was 48%. Adjusting window and level to maximize conformity with the ITV is necessary to reduce registration uncertainty to less than 5 mm. To fully capture target motion with either MVCT or kV-CBCT, substantial changes in HU levels up to -600 HU are required which may not be feasible clinically depending on the target's location and surrounding tissue contrast. This registration method, utilizing a substantially decreased window and level compared to standard low-density settings, was retrospectively compared to the automated registration algorithm for five lung SBRT patients exposed to pre-treatment kV-CBCT image guidance. Differences in registrations in the super-inferior (SI) direction greater than the commonly used ITV to PTV margin of 5 mm were encountered for several cases. In conclusion, pre-treatment image guidance for lung SBRT targets using MVCT or kV-CBCT is unlikely to capture the full extent of target motion as defined by the ITV and additional caution is warranted to avoid registration errors for small targets and patients with LE respiratory traces. The use of kilovoltage cone‐beam computed tomography (kV‐CBCT) or megavoltage computed tomography (MVCT) for image guidance prior to lung stereotactic body radiation therapy (SBRT) is common clinical practice. We demonstrate that under equivalent respiratory conditions, image guidance using both kV‐CBCT and MVCT may result in the inadequate estimation of the range of target motion under free‐breathing (FB) conditions when standard low‐density window and levels are used. Two spherical targets within a respiratory motion phantom were imaged using both long‐exhale (LE) and sinusoidal respiratory traces. MVCT and kV‐CBCT images were acquired and evaluated for peak‐to‐peak amplitudes of 10 or 20 mm in the cranial‐caudal direction, and with 2, 4 or 5 s periods. All images were visually inspected for artifacts and conformity to the ITV for each amplitude, period, trace‐type, and target size. All LE respiratory traces required a lower threshold HU window for MVCT and kV‐CBCT compared to sinusoidal traces to obtain 100% volume conformity compared with the theoretical ITV (ITV T ). Excess volume was less than 2% for all kV‐CBCT contours regardless of trace‐type, breathing period, or amplitude, while the maximum excess volume for MVCT was 48%. Adjusting window and level to maximize conformity with the ITV T is necessary to reduce registration uncertainty to less than 5 mm. To fully capture target motion with either MVCT or kV‐CBCT, substantial changes in HU levels up to −600 HU are required which may not be feasible clinically depending on the target's location and surrounding tissue contrast. This registration method, utilizing a substantially decreased window and level compared to standard low‐density settings, was retrospectively compared to the automated registration algorithm for five lung SBRT patients exposed to pre‐treatment kV‐CBCT image guidance. Differences in registrations in the super‐inferior (SI) direction greater than the commonly used ITV to PTV margin of 5 mm were encountered for several cases. In conclusion, pre‐treatment image guidance for lung SBRT targets using MVCT or kV‐CBCT is unlikely to capture the full extent of target motion as defined by the ITV T and additional caution is warranted to avoid registration errors for small targets and patients with LE respiratory traces. The use of kilovoltage cone‐beam computed tomography (kV‐CBCT) or megavoltage computed tomography (MVCT) for image guidance prior to lung stereotactic body radiation therapy (SBRT) is common clinical practice. We demonstrate that under equivalent respiratory conditions, image guidance using both kV‐CBCT and MVCT may result in the inadequate estimation of the range of target motion under free‐breathing (FB) conditions when standard low‐density window and levels are used. Two spherical targets within a respiratory motion phantom were imaged using both long‐exhale (LE) and sinusoidal respiratory traces. MVCT and kV‐CBCT images were acquired and evaluated for peak‐to‐peak amplitudes of 10 or 20 mm in the cranial‐caudal direction, and with 2, 4 or 5 s periods. All images were visually inspected for artifacts and conformity to the ITV for each amplitude, period, trace‐type, and target size. All LE respiratory traces required a lower threshold HU window for MVCT and kV‐CBCT compared to sinusoidal traces to obtain 100% volume conformity compared with the theoretical ITV (ITVT). Excess volume was less than 2% for all kV‐CBCT contours regardless of trace‐type, breathing period, or amplitude, while the maximum excess volume for MVCT was 48%. Adjusting window and level to maximize conformity with the ITVT is necessary to reduce registration uncertainty to less than 5 mm. To fully capture target motion with either MVCT or kV‐CBCT, substantial changes in HU levels up to −600 HU are required which may not be feasible clinically depending on the target's location and surrounding tissue contrast. This registration method, utilizing a substantially decreased window and level compared to standard low‐density settings, was retrospectively compared to the automated registration algorithm for five lung SBRT patients exposed to pre‐treatment kV‐CBCT image guidance. Differences in registrations in the super‐inferior (SI) direction greater than the commonly used ITV to PTV margin of 5 mm were encountered for several cases. In conclusion, pre‐treatment image guidance for lung SBRT targets using MVCT or kV‐CBCT is unlikely to capture the full extent of target motion as defined by the ITVT and additional caution is warranted to avoid registration errors for small targets and patients with LE respiratory traces. |
| Author | Dominello, Michael M. Bossenberger, Todd Baran, Geoffrey Paximadis, Peter Burmeister, Jay W. |
| AuthorAffiliation | 1 Department of Radiation Oncology Karmanos Cancer Institute Detroit MI USA 2 Department of Radiation Oncology Karmanos Cancer Institute and Wayne State University Detroit MI USA 3 Department of Radiation Oncology Lakeland Medical Center Saint Joseph MI USA |
| AuthorAffiliation_xml | – name: 1 Department of Radiation Oncology Karmanos Cancer Institute Detroit MI USA – name: 2 Department of Radiation Oncology Karmanos Cancer Institute and Wayne State University Detroit MI USA – name: 3 Department of Radiation Oncology Lakeland Medical Center Saint Joseph MI USA |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34272819$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.ijrobp.2006.12.022 10.1088/0031-9155/52/4/017 10.1080/02841860600907345 10.1007/s12194-012-0146-5 10.1177/1533033819870795 10.1118/1.4773310 10.1016/j.radonc.2013.01.001 10.1088/0031-9155/53/18/016 10.1118/1.2349696 10.1080/02841860600907329 10.1118/1.1869074 10.1378/chest.124.5.1946 10.1016/j.ijrobp.2014.05.055 10.1200/JCO.2006.07.5937 10.1016/j.jtcvs.2009.12.054 10.1016/j.ijrobp.2010.02.012 10.1016/j.ijrobp.2007.07.2352 10.1016/j.ijrobp.2008.11.042 10.1016/j.ejmp.2015.07.140 10.1111/j.1754-9485.2010.02171.x 10.1016/S0360-3016(02)02803-1 10.1016/j.ijrobp.2006.12.066 10.1177/153303460900800504 10.1016/j.ijrobp.2008.08.004 10.1016/j.ijrobp.2005.07.879 10.1118/1.3613153 10.1016/j.ijrobp.2005.05.034 10.1016/j.ijrobp.2006.04.013 10.1016/j.meddos.2010.02.003 10.1001/jama.2010.261 10.1016/j.meddos.2008.12.003 |
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| Copyright | 2021 The Authors. published by Wiley Periodicals LLC on behalf of American Association of Physicists in Medicine 2021 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals LLC on behalf of American Association of Physicists in Medicine. 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| Keywords | stereotactic body radiation therapy MVCT image guidance respiratory motion CBCT |
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| References | 2010; 78 2010; 54 2014; 90 2010; 35 2002; 53 2010; 303 2006; 33 2013; 40 2015; 31 2013; 106 2005; 63 2019; 18 2010; 140 2011; 36 2007; 52 2008; 53 2011; 38 2008; 70 2009; 74 2009; 75 2006; 45 2006; 24 2006; 66 2009; 8 2005; 32 2007; 3 2003; 124 2012; 5 2007; 68 e_1_2_9_30_1 e_1_2_9_31_1 e_1_2_9_11_1 e_1_2_9_10_1 e_1_2_9_13_1 e_1_2_9_32_1 e_1_2_9_12_1 e_1_2_9_33_1 Yartsev S (e_1_2_9_23_1) 2007; 3 e_1_2_9_15_1 e_1_2_9_14_1 e_1_2_9_17_1 e_1_2_9_16_1 e_1_2_9_19_1 e_1_2_9_18_1 e_1_2_9_20_1 e_1_2_9_22_1 e_1_2_9_21_1 e_1_2_9_24_1 e_1_2_9_8_1 e_1_2_9_7_1 e_1_2_9_6_1 e_1_2_9_5_1 e_1_2_9_4_1 e_1_2_9_3_1 e_1_2_9_2_1 e_1_2_9_9_1 e_1_2_9_26_1 e_1_2_9_25_1 e_1_2_9_28_1 e_1_2_9_27_1 e_1_2_9_29_1 |
| References_xml | – volume: 3 issue: 1 year: 2007 article-title: Tomotherapy as a tool in image‐guided radiation therapy (IGRT): theoretical and technological aspects publication-title: Biomed Imaging Interv J – volume: 63 start-page: S519 year: 2005 end-page: S520 article-title: Four‐dimensional megavoltage CT imaging with a helical tomotherapy system publication-title: Int J Radiat Oncol Biol Phys – volume: 45 start-page: 890 issue: 7 year: 2006 end-page: 896 article-title: Feasibility report of image guided stereotactic body radiotherapy (IG‐SBRT) with tomotherapy for early stage medically inoperable lung cancer using extreme hypofractionation publication-title: Acta Oncol – volume: 5 start-page: 138 issue: 2 year: 2012 end-page: 147 article-title: In‐treatment 4D cone‐beam CT with image‐based respiratory phase recognition publication-title: Radiol Phys Technol – volume: 35 start-page: 12 issue: 1 year: 2010 end-page: 18 article-title: Image‐guided stereotactic body radiotherapy for lung tumors using BodyLoc with tomotherapy: clinical implementation and set‐up accuracy publication-title: Med Dosim – volume: 8 start-page: 343 issue: 5 year: 2009 end-page: 352 article-title: Megavoltage CT in helical tomotherapy—clinical advantages and limitations of special physical characteristics publication-title: Technol Cancer Res Treat – volume: 68 start-page: 531 issue: 2 year: 2007 end-page: 540 article-title: Assessing respiration‐induced tumor motion and internal target volume using four‐dimensional computed tomography for radiotherapy of lung cancer publication-title: Int J Radiat Oncol Biol Phys – volume: 32 start-page: 1176 issue: 4 year: 2005 end-page: 1186 article-title: Respiratory correlated cone beam CT publication-title: Med Phys – volume: 45 start-page: 915 issue: 7 year: 2006 end-page: 922 article-title: Respiration correlated cone‐beam computed tomography and 4DCT for evaluating target motion in stereotactic lung radiation therapy publication-title: Acta Oncol – volume: 303 start-page: 1070 issue: 11 year: 2010 end-page: 1076 article-title: Stereotactic body radiation therapy for inoperable early stage lung cancer publication-title: JAMA – volume: 124 start-page: 1946 issue: 5 year: 2003 end-page: 1955 article-title: Extracranial stereotactic radioablation: results of a phase I study in medically inoperable stage I non‐small cell lung cancer publication-title: Chest – volume: 90 start-page: 603 issue: 3 year: 2014 end-page: 611 article-title: Survival outcome after stereotactic body radiation therapy and surgery for stage I non‐small cell lung cancer: a meta‐analysis publication-title: Int J Radiat Oncol Biol Phys – volume: 31 start-page: 963 issue: 8 year: 2015 end-page: 968 article-title: Impact of motion induced artifacts on automatic registration of lung tumors in Tomotherapy publication-title: Physica Med – volume: 53 start-page: 822 issue: 4 year: 2002 end-page: 834 article-title: Precise and real‐time measurement of 3D tumor motion in lung due to breathing and heartbeat, measured during radiotherapy publication-title: Int J Radiat Oncol Biol Phys – volume: 106 start-page: 312 issue: 3 year: 2013 end-page: 316 article-title: The influence of target and patient characteristics on the volume obtained from cone beam CT in lung stereotactic body radiation therapy publication-title: Radiother Oncol – volume: 24 start-page: 4833 issue: 30 year: 2006 end-page: 4839 article-title: Excessive toxicity when treating central tumors in a phase II study of stereotactic body radiation therapy for medically inoperable early‐stage lung cancer publication-title: J Clin Oncol – volume: 63 start-page: 1427 issue: 5 year: 2005 end-page: 1431 article-title: Clinical outcomes of a phase I/II study of 48 Gy of stereotactic body radiotherapy in 4 fractions for primary lung cancer using a stereotactic body frame publication-title: Int J Radiat Oncol Biol Phys – volume: 53 start-page: 5093 issue: 18 year: 2008 end-page: 5106 article-title: Image registration of a moving target phantom with helical tomotherapy: effect of the CT acquisition technique and action level proposal publication-title: Phys Med Biol – volume: 36 start-page: 126 issue: 2 year: 2011 end-page: 129 article-title: Clinical evaluation of an immobilization system for stereotactic body radiotherapy using helical tomotherapy publication-title: Med Dosim – volume: 40 issue: 2 year: 2013 article-title: The effect of irregular breathing patterns on internal target volumes in four‐dimensional CT and cone‐beam CT images in the context of stereotactic lung radiotherapy publication-title: Med Phys – volume: 68 start-page: 243 issue: 1 year: 2007 end-page: 252 article-title: Cone‐beam computed tomography for on‐line image guidance of lung stereotactic radiotherapy: localization, verification, and intrafraction tumor position publication-title: Int J Radiat Oncol Biol Phys – volume: 38 start-page: 4689 issue: 8 year: 2011 end-page: 4699 article-title: Potential underestimation of the internal target volume (ITV) from free‐breathing CBCT publication-title: Med Phys – volume: 70 start-page: 1045 issue: 4 year: 2008 end-page: 1056 article-title: Image‐guided radiotherapy via daily online cone‐beam CT substantially reduces margin requirements for stereotactic lung radiotherapy publication-title: Int J Radiat Oncol Biol Phys – volume: 33 start-page: 3874 issue: 10 year: 2006 end-page: 3900 article-title: The management of respiratory motion in radiation oncology report of AAPM Task Group 76 publication-title: Med Phys – volume: 18 start-page: 1533033819870795 year: 2019 article-title: Imaging as part of a quality assurance program: predictors of interobserver variability for pretreatment image registration for lung SBRT publication-title: Technol Cancer Res Treat – volume: 140 start-page: 377 issue: 2 year: 2010 end-page: 386 article-title: Stereotactic body radiation therapy versus surgical resection for stage I non–small cell lung cancer publication-title: J Thorac Cardiovasc Surg – volume: 66 start-page: 117 issue: 1 year: 2006 end-page: 125 article-title: Promising clinical outcome of stereotactic body radiation therapy for patients with inoperable Stage I/II non–small‐cell lung cancer publication-title: Int J Radiat Oncol Biol Phys – volume: 75 start-page: 677 issue: 3 year: 2009 end-page: 682 article-title: Stereotactic body radiation therapy for early‐stage non–small‐cell lung carcinoma: four‐year results of a prospective phase II study publication-title: Int J Radiat Oncol Biol Phys – volume: 74 start-page: 567 issue: 2 year: 2009 end-page: 574 article-title: Frameless stereotactic body radiotherapy for lung cancer using four‐dimensional cone beam CT guidance publication-title: Int J Radiat Oncol Biol Phys – volume: 52 start-page: 1119 issue: 4 year: 2007 end-page: 1134 article-title: Delineation of moving targets with slow MVCT scans: implications for adaptive non‐gated lung tomotherapy publication-title: Phys Med Biol – volume: 78 start-page: 1571 issue: 5 year: 2010 end-page: 1578 article-title: Dosimetric impact of online correction via cone‐beam CT‐based image guidance for stereotactic lung radiotherapy publication-title: Int J Radiat Oncol Biol Phys – volume: 54 start-page: 280 issue: 3 year: 2010 end-page: 286 article-title: Effect of lateral target motion on image registration accuracy in CT‐guided helical tomotherapy: a phantom study publication-title: J Med Imaging Radiat Oncol – ident: e_1_2_9_10_1 doi: 10.1016/j.ijrobp.2006.12.022 – ident: e_1_2_9_19_1 doi: 10.1088/0031-9155/52/4/017 – ident: e_1_2_9_33_1 doi: 10.1080/02841860600907345 – ident: e_1_2_9_32_1 doi: 10.1007/s12194-012-0146-5 – ident: e_1_2_9_28_1 doi: 10.1177/1533033819870795 – ident: e_1_2_9_17_1 doi: 10.1118/1.4773310 – ident: e_1_2_9_18_1 doi: 10.1016/j.radonc.2013.01.001 – ident: e_1_2_9_20_1 doi: 10.1088/0031-9155/53/18/016 – ident: e_1_2_9_26_1 doi: 10.1118/1.2349696 – ident: e_1_2_9_13_1 doi: 10.1080/02841860600907329 – ident: e_1_2_9_30_1 doi: 10.1118/1.1869074 – ident: e_1_2_9_3_1 doi: 10.1378/chest.124.5.1946 – ident: e_1_2_9_7_1 doi: 10.1016/j.ijrobp.2014.05.055 – ident: e_1_2_9_4_1 doi: 10.1200/JCO.2006.07.5937 – ident: e_1_2_9_6_1 doi: 10.1016/j.jtcvs.2009.12.054 – ident: e_1_2_9_11_1 doi: 10.1016/j.ijrobp.2010.02.012 – ident: e_1_2_9_12_1 doi: 10.1016/j.ijrobp.2007.07.2352 – ident: e_1_2_9_8_1 doi: 10.1016/j.ijrobp.2008.11.042 – ident: e_1_2_9_22_1 doi: 10.1016/j.ejmp.2015.07.140 – ident: e_1_2_9_21_1 doi: 10.1111/j.1754-9485.2010.02171.x – ident: e_1_2_9_25_1 doi: 10.1016/S0360-3016(02)02803-1 – ident: e_1_2_9_27_1 doi: 10.1016/j.ijrobp.2006.12.066 – ident: e_1_2_9_24_1 doi: 10.1177/153303460900800504 – ident: e_1_2_9_31_1 doi: 10.1016/j.ijrobp.2008.08.004 – ident: e_1_2_9_29_1 doi: 10.1016/j.ijrobp.2005.07.879 – volume: 3 start-page: e16 issue: 1 year: 2007 ident: e_1_2_9_23_1 article-title: Tomotherapy as a tool in image‐guided radiation therapy (IGRT): theoretical and technological aspects publication-title: Biomed Imaging Interv J – ident: e_1_2_9_16_1 doi: 10.1118/1.3613153 – ident: e_1_2_9_9_1 doi: 10.1016/j.ijrobp.2005.05.034 – ident: e_1_2_9_2_1 doi: 10.1016/j.ijrobp.2006.04.013 – ident: e_1_2_9_14_1 doi: 10.1016/j.meddos.2010.02.003 – ident: e_1_2_9_5_1 doi: 10.1001/jama.2010.261 – ident: e_1_2_9_15_1 doi: 10.1016/j.meddos.2008.12.003 |
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| SubjectTerms | Accuracy CBCT Cone-Beam Computed Tomography Conformity Humans image guidance Lung Neoplasms - diagnostic imaging Medical equipment MVCT Phantoms, Imaging Radiation Oncology Physics Radiation therapy Registration Respiration respiratory motion Retrospective Studies Spiral Cone-Beam Computed Tomography stereotactic body radiation therapy |
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| Title | MVCT versus kV‐CBCT for targets subject to respiratory motion: A phantom study |
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