Real-time intrafraction motion monitoring in external beam radiotherapy

Real-Time Intrafraction Motion Management During Radiotherapy

Real-time intra-fraction target tracking is a technique that enables adjustment of the target radiation while it is being delivered (i.e., intra-fraction adjustments) to compensate for movement of the organ inside the body. Real-time tracking, which may or may not use radiographic images, is one of many techniques referred to as “image-guided radiotherapy” (IGRT). For this policy, realtime trac...

Real-Time Intrafraction Motion Management During Radiotherapy

Intrafractional prostate motion during external beam radiotherapy monitored by a real‐time target localization system

This paper investigates the clinical significance of real-time monitoring of intrafractional prostate motion during external beam radiotherapy using a commercial 4D localization system. Intrafractional prostate motion was tracked during 8,660 treatment fractions for 236 patients. The following statistics were analyzed: 1) the percentage of fractions in which the prostate shifted 2-7 mm for a ce...

Ultrasound for intrafraction motion monitoring

Real‐time intrafraction prostate motion during linac based stereotactic radiotherapy with rectal displacement

BACKGROUND Kilovoltage Intrafraction Monitoring (KIM) is a method which determines the three-dimensional position of the prostate from two-dimensional kilovoltage (kV) projections taken during linac based radiotherapy treatment with real-time feedback. Rectal displacement devices (RDDs) allow for improved rectal dosimetry during prostate cancer treatment. This study used KIM to perform a prelim...