Evidence map›Paper›PMID 32996669›Full record

ArticleJournal of applied clinical medical physics2020

Retrospective analysis of the impact of respiratory motion in treatment margins for frameless lung SBRT based on respiratory-correlated CBCT data-sets.

Sheeba Thengumpallil, Damien Racine, Jean-François Germond, Nicolas Péguret, Jean Bourhis, François Bochud, Raphaël Moeckli

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Article in Journal of applied clinical medical physics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sheeba ThengumpallilInstitute of Radiation Physics, Lausanne University Hospital, Lausanne, Switzerland.
Damien RacineInstitute of Radiation Physics, Lausanne University Hospital, Lausanne, Switzerland.
Jean-François GermondInstitute of Radiation Physics, Lausanne University Hospital, Lausanne, Switzerland.
Nicolas PéguretClinique des Grangettes, Chêne-Bougeries, Switzerland.
Jean BourhisDepartment of Radiation Oncology, Lausanne University Hospital, Lausanne, Switzerland.
François BochudInstitute of Radiation Physics, Lausanne University Hospital, Lausanne, Switzerland.
Raphaël MoeckliInstitute of Radiation Physics, Lausanne University Hospital, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the impact of respiratory motion in the treatment margins for lung SBRT frameless treatments and to validate our treatment margins using 4D CBCT data analysis.

methodsTwo hundred and twenty nine fractions with early stage NSCLC were retrospectively analyzed. All patients were treated in frameless and free breathing conditions. The treatment margins were calculated according to van Herk equation in Mid-Ventilation. For each fraction, three 4D CBCT scans, pre- and postcorrection, and posttreatment, were acquired to assess target baseline shift, target localization accuracy and intra-fraction motion errors. A bootstrap analysis was performed to assess the minimum number of patients required to define treatment margins.

resultsThe retrospectively calculated target-baseline shift, target localization accuracy and intra-fraction motion errors agreed with the literature. The best tailored margins to our cohort of patients were retrospectively computed and resulted in agreement with already published data. The bootstrap analysis showed that fifteen patients were enough to assess treatment margins.

conclusionsThe treatment margins applied to our patient's cohort resulted in good agreement with the retrospectively calculated margins based on 4D CBCT data. Moreover, the bootstrap analysis revealed to be a promising method to verify the reliability of the applied treatment margins for safe lung SBRT delivery.

Indexed as

Lung NeoplasmsRadiosurgerySpiral Cone-Beam Computed TomographyCone-Beam Computed TomographyFour-Dimensional Computed TomographyHumansLungMovementRadiotherapy Planning, Computer-AssistedReproducibility of ResultsRespirationRetrospective Studies4D CBCT4D CTbootstrapbreathing motionmargins

Identifiers

PMID32996669
PMCPMC7592980

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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.