ArticleThe British journal of radiology2017
A robotic C-arm cone beam CT system for image-guided proton therapy: design and performance.
Article in The British journal of radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of volumetric image guidance in proton therapy.Physical and engineering sciences in medicine · 2023Pooled it
- A synergistic framework for geometric calibration and reconstruction in dual-arm robotic cone-beam computed tomography.Medical physics · 2026Article
- Evaluation and implementation of an independent Kilovoltage X-ray-based imaging platform for carbon ion radiotherapy.Journal of applied clinical medical physics · 2026Article
- Innovative approaches in precision radiation oncology: advanced imaging technologies and challenges which shape the future of radiation therapy.Frontiers in medicine · 2025Review
- Investigation of 2D anti-scatter grid implementation in a gantry-mounted cone beam computed tomography system for proton therapy.Physics and imaging in radiation oncology · 2025Article
- The implementation of an image-guided system at a proton therapy center facility.Journal of applied clinical medical physics · 2024Article
- Setup Uncertainty of Pediatric Brain Tumor Patients Receiving Proton Therapy: A Prospective Study.Cancers · 2023Article
- A hybrid method of correcting CBCT for proton range estimation with deep learning and deformable image registration.Physics in medicine and biology · 2023Article
- Online adaptive planning methods for intensity-modulated radiotherapy.Physics in medicine and biology · 2023Review
- Evaluating Proton Dose and Associated Range Uncertainty Using Daily Cone-Beam CT.Frontiers in oncology · 2022Article
- Image-based shading correction for narrow-FOV truncated pelvic CBCT with deep convolutional neural networks and transfer learning.Medical physics · 2021Article
- Comparison of Supervised and Unsupervised Approaches for the Generation of Synthetic CT from Cone-Beam CT.Diagnostics (Basel, Switzerland) · 2021Article
- Comparison of weekly and daily online adaptation for head and neck intensity-modulated proton therapy.Physics in medicine and biology · 2021Article
- Image guidance in radiation therapy for better cure of cancer.Molecular oncology · 2020Review
- High quality proton portal imaging using deep learning for proton radiation therapy: a phantom study.Biomedical physics & engineering express · 2020Article
- Image guidance in proton therapy for lung cancer.Translational lung cancer research · 2018Review
- Quantitative computed tomography in radiation therapy: A mature technology with a bright future.Physics and imaging in radiation oncology · 2018Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveA ceiling-mounted robotic C-arm cone beam CT (CBCT) system was developed for use with a 190° proton gantry system and a 6-degree-of-freedom robotic patient positioner. We report on the mechanical design, system accuracy, image quality, image guidance accuracy, imaging dose, workflow, safety and collision-avoidance.
methodsThe robotic CBCT system couples a rotating C-ring to the C-arm concentrically with a kV X-ray tube and a flat-panel imager mounted to the C-ring. CBCT images are acquired with flex correction and maximally 360° rotation for a 53 cm field of view. The system was designed for clinical use with three imaging locations. Anthropomorphic phantoms were imaged to evaluate the image guidance accuracy.
resultsThe position accuracy and repeatability of the robotic C-arm was high (<0.5 mm), as measured with a high-accuracy laser tracker. The isocentric accuracy of the C-ring rotation was within 0.7 mm. The coincidence of CBCT imaging and radiation isocentre was better than 1 mm. The average image guidance accuracy was within 1 mm and 1° for the anthropomorphic phantoms tested. Daily volumetric imaging for proton patient positioning was specified for routine clinical practice.
conclusionOur novel gantry-independent robotic CBCT system provides high-accuracy volumetric image guidance for proton therapy. Advances in knowledge: Ceiling-mounted robotic CBCT provides a viable option than CT on-rails for partial gantry and fixed-beam proton systems with the added advantage of acquiring images at the treatment isocentre.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.