Evidence map›Paper›PMID 40105150›Full record

ArticleJournal of applied clinical medical physics2025

Position-dependent offset corrections for ring applicator reconstruction in cervical cancer brachytherapy.

Leon G Aldrovandi, Matthias E T Dessein, Shelley M Pearson, Shelley M Bulling

Abstract read
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Article in Journal of applied clinical medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Leon G AldrovandiRadiation Treatment, Wellington Blood and Cancer Centre, Newtown, Wellington, New Zealand.
Matthias E T DesseinRadiation Treatment, Wellington Blood and Cancer Centre, Newtown, Wellington, New Zealand.
Shelley M PearsonVarian Medical Systems, Oncology House, Crawley, UK.
Shelley M BullingRadiation Treatment, Wellington Blood and Cancer Centre, Newtown, Wellington, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDue to the tight curvature in their design, ring applicators are usually associated with large positioning errors. The standard practice to correct for these deviations based on global offsets may not be sufficient to comply with the recommended tolerance. In this work, we investigate two methods for applicator reconstruction that implement position-dependent source offset corrections.

methodsMeasurements were performed using the Varian Interstitial PEEK Ring 60° and a Varian BRAVOS afterloader. Source positioning was characterized by means of autoradiographs acquired for three different loading patterns and three

resultsAutoradiographs showed a quasi-linear increase of the dwell position offsets, with a negligible error at the tip and a value close to 3 mm at the end of the ring. This result, consistent with a circular wire movement with an effective radius 0.5 mm larger than the nominal value, was in agreement with the observations from the kV images. After implementation of the position-dependent correction methods, residual positioning errors for the two methods resulted in a mean value (±1 SD) of 0.0 (±0.3) mm, and a range of [-0.7 mm, 0.7 mm].

conclusionThe two tested methods for applicator reconstruction with position-dependent source offset corrections were able to successfully correct the positioning errors. The method recommended by the manufacturer had the additional advantages of a more straightforward implementation and the potential for use in other applicator types.

Indexed as

BrachytherapyImage Processing, Computer-AssistedPhantoms, ImagingRadiotherapy Planning, Computer-AssistedUterine Cervical NeoplasmsAlgorithmsFemaleHumansIridium RadioisotopesRadiotherapy DosageRadiotherapy, Intensity-ModulatedIridium Radioisotopesapplicator commissioningbrachytherapyquality assurance

Identifiers

PMID40105150
PMCPMC12148795

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