Evidence map›Paper›PMID 31802637›Full record

ArticleThoracic cancer2020

Influence of tumor characteristics on correction differences between cone-beam computed tomography-guided patient setup strategies in stereotactic body radiation therapy for lung cancer.

Seong Soon Jang, Suk Young Park, Eun Youn Cho, Po Song Yang, Gil Ja Huh, Young Jun Yang

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Article in Thoracic cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Seong Soon JangDepartment of Radiation Oncology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.ORCID 0000-0003-0347-911X
Suk Young ParkDepartment of Internal Medicine, Daejeon St. Mary's Hospital, Daejeon, Republic of Korea.
Eun Youn ChoDepartment of Radiation Oncology, Daejeon St. Mary's Hospital, Daejeon, Republic of Korea.
Po Song YangDepartment of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Gil Ja HuhDepartment of Radiation Oncology, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Young Jun YangDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the correction differences between vertebra and tumor matching as cone-beam computed tomography (CBCT)-guided setup strategies in lung stereotactic body radiation therapy (SBRT), and the correlations with tumor characteristics such as size, mobility, and location.

methodsThe manual registrations for 33 lung tumors treated with SBRT were retrospectively performed by matching thoracic vertebrae for vertebra matching and then by matching CBCT-visualized tumors within the internal target volume obtained from a four-dimensional CT dataset for tumor matching.

resultsThe mean correction difference between the two matching methods during the SBRT fractions was larger in the anterior-posterior direction (2.7 mm) than in the superior-inferior (2.1 mm) and left-right (1.4 mm) directions, with differences of less than 5 mm in 90% of the total 134 CBCT fractions. The X-axis and direct distances from the central axis to the tumor had significant correlations with the correction differences in all three directions, while the mobility-related parameters were correlated only in the superior-inferior direction. The absolute differences in lung-dose parameters after applying the margins (3.4-6.5 mm) required for the setup errors from vertebra matching relative to tumor matching were mild, with values of 1.95 Gy for the mean lung dose and 3.9% for V20.

conclusionThe setup differences between vertebra and tumor matching in the CBCT-guided setup without rotation correction were increased in tumors located long distances from the central axis. The additional safety margins of 3.4-6.5 mm were required for the setup errors from vertebra matching. KEY POINTS: Significant findings of the study The correction difference between the vertebra and tumor matching as CBCT-guided setup strategies was the largest in the anterior-posterior direction and significantly correlated with the X-axis and direct distances from the central axis to the tumor. What this study adds Setup differences between vertebra and tumor matching in the CBCT-guided setup were increased in tumors located long distances from the central axis. The additional safety margins of 3.4-6.5 mm were required for the setup errors from vertebra matching.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungCone-Beam Computed TomographyFemaleFollow-Up StudiesFour-Dimensional Computed TomographyHumansLung NeoplasmsMaleMiddle AgedPrognosisRadiosurgeryRadiotherapy Planning, Computer-AssistedRadiotherapy Setup ErrorsCBCTlung cancerSBRTsetup error

Identifiers

PMID31802637
PMCPMC6996988

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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.