Evidence map›Paper›PMID 37643456›Full record

ArticleJournal of applied clinical medical physics2023

Evaluation and correlation of patient movement during online adaptive radiotherapy with CBCT and a surface imaging system.

Dennis N Stanley, Elizabeth Covington, Joseph Harms, Joel Pogue, Carlos E Cardenas, Richard A Popple

Abstract read
In one paragraph

Article in Journal of applied clinical medical physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Dennis N StanleyDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0003-4792-748X
Elizabeth CovingtonDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Joseph HarmsDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Joel PogueDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Carlos E CardenasDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Richard A PoppleDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID https://orcid.org/0000-0003-1252-738X

Funding

NCI NIH HHS L30 CA284339
6 · The paper itself

Abstract

purposeWith the clinical implementation of kV-CBCT-based daily online-adaptive radiotherapy, the ability to monitor, quantify, and correct patient movement during adaptive sessions is paramount. With sessions lasting between 20-45 min, the ability to detect and correct for small movements without restarting the entire session is critical to the adaptive workflow and dosimetric outcome. The purpose of this study was to quantify and evaluate the correlation of observed patient movement with machine logs and a surface imaging (SI) system during adaptive radiation therapy.

methodsTreatment machine logs and SGRT registration data log files for 1972 individual sessions were exported and analyzed. For each session, the calculated shifts from a pre-delivery position verification CBCT were extracted from the machine logs and compared to the SGRT registration data log files captured during motion monitoring. The SGRT calculated shifts were compared to the reported shifts of the machine logs for comparison for all patients and eight disease site categories.

resultsThe average (±STD) net displacement of the SGRT shifts were 2.6 ± 3.4 mm, 2.6 ± 3.5 mm, and 3.0 ± 3.2 in the lateral, longitudinal, and vertical directions, respectively. For the treatment machine logs, the average net displacements in the lateral, longitudinal, and vertical directions were 2.7 ± 3.7 mm, 2.6 ± 3.7 mm, and 3.2 ± 3.6 mm. The average difference (Machine-SGRT) was -0.1 ± 1.8 mm, 0.2 ± 2.1 mm, and -0.5 ± 2.5 mm for the lateral, longitudinal, and vertical directions. On average, a movement of 5.8 ± 5.6 mm and 5.3 ± 4.9 mm was calculated prior to delivery for the CBCT and SGRT systems, respectively. The Pearson correlation coefficient between CBCT and SGRT shifts was r = 0.88. The mean and median difference between the treatment machine logs and SGRT log files was less than 1 mm for all sites.

conclusionSurface imaging should be used to monitor and quantify patient movement during adaptive radiotherapy.

Indexed as

Radiotherapy, Image-GuidedSpiral Cone-Beam Computed TomographyCone-Beam Computed TomographyHumansMovementPatient PositioningRadiotherapy DosageRadiotherapy Planning, Computer-AssistedIDENTIFYonline adaptive radiotherapyoptical surface imagingpatient movementSGRT

Identifiers

PMID37643456
PMCPMC10691620

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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.