Use of Implanted Gold Fiducial Markers With MV-CBCT Image Guided IMRT for Pancreatic Tumors

Packard, Matthew; Kirichenko, Alexander; Gayou, Olivier; Weiss, Brandon; Thakkar, Shyam; Werts, E. Day

doi:10.1016/j.prro.2013.01.055

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2015

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“…16 There are several clinical applications with the use of image guidance system. Few examples are: (i) it provides image guidance to determine the target position with respect to treatment beam 17,18 ; (ii) it is used to estimate the patient positioning uncertainties and to justify the CTV-PTV margin for different sites 19 ; (iii) it is used in dose calculation 20 and exit dosimetry to predict the dose delivered to the patient in each fraction 21 ; (iv) it is used to investigate the changes in the tumour volume and thereby determine the requirement for adaptive planning 22 ; (v) it provides 3D anatomic information without artefacts for patients with implanted metallic objects. 23 The periodic calibration and QA of imaging system gives confidence to apply IGRT clinically.…”

Section: Discussionmentioning

confidence: 99%