ArticleRadiation oncology (London, England)2020
Radiotherapy in oncological emergencies: fast-track treatment planning.
Article in Radiation oncology (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 23 citations in OpenAlex.
- Friday again: Timing and referral patterns of acute radiotherapy in a tertiary supraregional care network.Clinical and translational radiation oncology · 2027Article
- Magnetic resonance-guided stereotactic body radiotherapy (MRIgSBRT) for nodal disease in oligometastatic setting: a single-institution study.Clinical & experimental metastasis · 2026Article
- Impact of CT calibration curves on radiotherapy planning using diagnostic CT scans and a planning CT supporting DirectDensity reconstruction.Journal of applied clinical medical physics · 2026Article
- Review
- Simulation-free palliative radiotherapy using diagnostic CT scans- is less more? A systematic review.Clinical and translational radiation oncology · 2026Review
- Implementing a fully computed tomography-free online adaptive palliative radiotherapy: a one-visit workflow.Physics and imaging in radiation oncology · 2026Article
- Diagnostic image-based treatment planning for online adaptive ultra-hypofractionated prostate cancer radiotherapy with MR-Linac.Journal of applied clinical medical physics · 2025Article
- Development of an automated CBCT-based simulation-free platform for expedited palliative radiotherapy on a conventional linear accelerator.Journal of applied clinical medical physics · 2025Article
- Palliative radiotherapy of soft tissue tumoral masses based on diagnostic instead of planning computed tomography scans.Physics and imaging in radiation oncology · 2024Article
- Simulation-free magnetic resonance-guided radiation therapy of prostate cancer.Physics and imaging in radiation oncology · 2024Article
- Optimising the MR-Linac as a standard treatment modality.Journal of medical radiation sciences · 2023Article
- Evaluation of a workflow for cone-beam CT-guided online adaptive palliative radiotherapy planned using diagnostic CT scans.Journal of applied clinical medical physics · 2023Article
- Radiation oncology practice during COVID-19 pandemic in developing countries.World journal of clinical cases · 2021Article
- "Scan-(pre)Plan-Treat" Workflow for Bone Metastases Using the Ethos Therapy System: A Single-Center, In Silico Experience.Advances in radiation oncologyArticle
Corrections and comments
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeTo report on our clinical experience with a newly implemented workflow for radiotherapy (RT) emergency treatments, which allows for a fast treatment application outside the regular working-hours, and its clinical applicability.
methodsTreatment planning of 18 emergency RT patients was carried out using diagnostic computed tomography (CT) without a dedicated RT simulation CT. The cone-beam CT (CBCT) deviations of the first RT treatment were analyzed regarding setup accuracy. Furthermore, feasibility of the "fast-track" workflow was evaluated with respect to dose deviations caused by different Hounsfield unit (HU) to relative electron density (rED) calibrations and RT treatment couch surface shapes via 3D gamma index analysis of exemplary treatment plans. The dosimetric uncertainty introduced by different CT calibrations was quantified.
resultsMean patient setup vs. CBCT isocenter deviations were (0.49 ± 0.44) cm (x), (2.68 ± 1.63) cm (y) and (1.80 ± 1.06) cm (z) for lateral, longitudinal and vertical directions, respectively. Three out of four dose comparisons between the emergency RT plan calculated on the diagnostic CT and the same plan calculated on the treatment planning CT showed clinically acceptable gamma passing rates, when correcting for surface artifacts. The maximum difference of rED was 0.054, while most parts of the CT calibration curves coincided well.
conclusionIn an emergency RT setting, the use of diagnostic CT data for treatment planning might be time-saving and was shown to be suitable for many cases, considering reproducibility of patient setup, accuracy of initial patient setup and accuracy of dose-calculation.
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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.