Introduction: Despite growing interest in the use of magnetic resonance imaging (MRI) in the external radiotherapy design process (RT), Computer Tomography (CT) remains a gold standard and is regarded as a basic imaging modality in radiotherapy. MRI shows the high contrast in soft tissues without any radiation exposure to patients. As a result, MRI is used in functional tissue ...

The purpose of this study is to evaluate the sensitivities of 3D diode arrays to setup error for patient-specific quality assurance (QA) of volumetric-modulated arc therapy (VMAT). Translational setup errors of ± 1, ± 2, and ± 3 mm in the RL, SI, and AP directions and rotational setup errors of ± 1° and ± 2° in the pitch, roll, and yaw directions were set up in two phantom systems, ArcCHECK and...

The aim of this study was to evaluate the impact of actual rotational setup errors on dose distributions in intracranial stereotactic radiotherapy (SRT) with different alternatives for treatment position selection. A total of 38 SRT fractions from 18patients were retrospectively evaluated with rotational setup errors obtained from actual treatments. The planning computed tomography (CT) images ...

PurposeThe robustness against setup and motion uncertainties of gated four-dimensional restricted robust optimization (4DRRO) was investigated for hypofractionated carbon ion radiotherapy (CIRT) lung tumors.MethodsCIRT plans 9 patients were optimized using 4DRRO strategy with 3 mm errors, 3% density errors breathing phases related to the gate window. The prescription 60 Gy(RBE) in 4 fractions. ...

BACKGROUND MRI-only radiotherapy will eliminate the systematic registration errors introduced when transferring MRI information to the CT. However, challenges concerning the missing information on electron density, necessary for dose calculation and patient setup on bony anatomy are introduced. This study presents a possible statistical approach to evaluate, if deviations based on MRI-only radi...

Intensity-modulated radiation therapy (IMRT) for total body irradiation (TBI) is practiced in several centers using the TomoTherapy System. In this context the planning target volume (PTV) is the entire body including the skin. A safety margin in the air surrounding the body should be added to take into account setup errors. But using inverse planning, over-fluence peak could be generated in th...

Background/PurposeThis study determines and compares the geometric setup errors between stereoscopic x-ray kilo-voltage cone beam CT (CBCT) in phantom tests on a linear accelerator (linac) for image-guided (IG) stereotactic radiotherapy of intracranial tumors. Additionally, dose-volume metrics target volumes CBCT were evaluated.Materials/MethodsA Winston-Lutz- an anthropomorphic used. The mean ...