Dynamic MLC Tracking Using 4D Lung Tumor Motion Modelling and EPID Feedback

A quantitative investigation on lung tumor site on its motion tracking in radiotherapy with external surrogates

Introduction: In external beam radiotherapy each effort is done to deliver 3D dose distribution onto the tumor volume uniformly, while minimizing the dose to healthy organs at the same time. Radiation treatment of tumors located at thorax region such as lung and liver has a challenging issue during target localization since these tumors move mainly due to respiration. There are...

The impact of MLC transmitted radiation on EPID dosimetry for dynamic MLC beams.

The purpose of this study was to experimentally quantify the change in response of an amorphous silicon (a-Si) electronic portal imaging device (EPID) to dynamic multileaf collimator (dMLC) beams with varying MLC-transmitted dose components and incorporate the response into a commercial treatment planning system (TPS) EPID prediction model. A combination of uniform intensity dMLC beams and stat...

IMRT Treatment Planning on 4D Geometries for the Era of Dynamic MLC Tracking

The problem addressed here was to obtain optimal and deliverable dynamic multileaf collimator (MLC) leaf sequences from four-dimensional (4D) geometries for dynamic MLC tracking delivery. The envisaged scenario was where respiratory phase and position information of the target was available during treatment, from which the optimal treatment plan could be further adapted in real time. A tool for...

Tracking of Tumor Motion in Lung Cancer Using Patient Specific Finite Element Modeling and 4d-mri Image Data

This paper presents a study that demonstrates the potential of using finite element (FE) lung model constructed using 4D-MRI (3D + time) for tracking tumor motion during a respiratory cycle. A series of volumetric images of one lung cancer patient was acquired over time under free breathing and sorted into respiratory phases. A FE model of the lung with the tumor was constructed using the volum...

Motion Tracking Using Snakes and Dynamic

4D tumor centroid tracking using orthogonal 2D dynamic MRI: implications for radiotherapy planning.

PURPOSE Current pretreatment, 4D imaging techniques are suboptimal in that they sample breathing motion over a very limited "snapshot" in time. Heretofore, long-duration, 4D motion characterization for radiotherapy planning, margin optimization, and validation have been impractical for safety reasons, requiring invasive markers imaged under x-ray fluoroscopy. To characterize 3D tumor motion and...