Total error shift patterns for daily CT on rails image-guided radiotherapy to the prostate bed

<p>Abstract</p> <p>Background</p> <p>To evaluate the daily total error shift patterns on post-prostatectomy patients undergoing image guided radiotherapy (IGRT) with a diagnostic quality computer tomography (CT) on rails system.</p> <p>Methods</p> <...

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Main Authors: Mota Helvecio C, Ferreira Maria C, Liu Jingxia, Gay Hiram A, Cavalieri Ronaldo, Sibata Claudio H, Allison Ron R
Format: Article
Language:English
Published: BMC 2011-10-01
Series:Radiation Oncology
Subjects:
Online Access:http://www.ro-journal.com/content/6/1/142
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author Mota Helvecio C
Ferreira Maria C
Liu Jingxia
Gay Hiram A
Cavalieri Ronaldo
Sibata Claudio H
Allison Ron R
author_facet Mota Helvecio C
Ferreira Maria C
Liu Jingxia
Gay Hiram A
Cavalieri Ronaldo
Sibata Claudio H
Allison Ron R
author_sort Mota Helvecio C
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>To evaluate the daily total error shift patterns on post-prostatectomy patients undergoing image guided radiotherapy (IGRT) with a diagnostic quality computer tomography (CT) on rails system.</p> <p>Methods</p> <p>A total of 17 consecutive post-prostatectomy patients receiving adjuvant or salvage IMRT using CT-on-rails IGRT were analyzed. The prostate bed's daily total error shifts were evaluated for a total of 661 CT scans.</p> <p>Results</p> <p>In the right-left, cranial-caudal, and posterior-anterior directions, 11.5%, 9.2%, and 6.5% of the 661 scans required no position adjustments; 75.3%, 66.1%, and 56.8% required a shift of 1 - 5 mm; 11.5%, 20.9%, and 31.2% required a shift of 6 - 10 mm; and 1.7%, 3.8%, and 5.5% required a shift of more than 10 mm, respectively. There was evidence of correlation between the x and y, x and z, and y and z axes in 3, 3, and 3 of 17 patients, respectively. Univariate (ANOVA) analysis showed that the total error pattern was random in the x, y, and z axis for 10, 5, and 2 of 17 patients, respectively, and systematic for the rest. Multivariate (MANOVA) analysis showed that the (x,y), (x,z), (y,z), and (x, y, z) total error pattern was random in 5, 1, 1, and 1 of 17 patients, respectively, and systematic for the rest.</p> <p>Conclusions</p> <p>The overall daily total error shift pattern for these 17 patients simulated with an empty bladder, and treated with CT on rails IGRT was predominantly systematic. Despite this, the temporal vector trends showed complex behaviors and unpredictable changes in magnitude and direction. These findings highlight the importance of using daily IGRT in post-prostatectomy patients.</p>
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spelling doaj.art-243e293d0c5343f5b41fe22a438a31cf2022-12-22T03:28:05ZengBMCRadiation Oncology1748-717X2011-10-016114210.1186/1748-717X-6-142Total error shift patterns for daily CT on rails image-guided radiotherapy to the prostate bedMota Helvecio CFerreira Maria CLiu JingxiaGay Hiram ACavalieri RonaldoSibata Claudio HAllison Ron R<p>Abstract</p> <p>Background</p> <p>To evaluate the daily total error shift patterns on post-prostatectomy patients undergoing image guided radiotherapy (IGRT) with a diagnostic quality computer tomography (CT) on rails system.</p> <p>Methods</p> <p>A total of 17 consecutive post-prostatectomy patients receiving adjuvant or salvage IMRT using CT-on-rails IGRT were analyzed. The prostate bed's daily total error shifts were evaluated for a total of 661 CT scans.</p> <p>Results</p> <p>In the right-left, cranial-caudal, and posterior-anterior directions, 11.5%, 9.2%, and 6.5% of the 661 scans required no position adjustments; 75.3%, 66.1%, and 56.8% required a shift of 1 - 5 mm; 11.5%, 20.9%, and 31.2% required a shift of 6 - 10 mm; and 1.7%, 3.8%, and 5.5% required a shift of more than 10 mm, respectively. There was evidence of correlation between the x and y, x and z, and y and z axes in 3, 3, and 3 of 17 patients, respectively. Univariate (ANOVA) analysis showed that the total error pattern was random in the x, y, and z axis for 10, 5, and 2 of 17 patients, respectively, and systematic for the rest. Multivariate (MANOVA) analysis showed that the (x,y), (x,z), (y,z), and (x, y, z) total error pattern was random in 5, 1, 1, and 1 of 17 patients, respectively, and systematic for the rest.</p> <p>Conclusions</p> <p>The overall daily total error shift pattern for these 17 patients simulated with an empty bladder, and treated with CT on rails IGRT was predominantly systematic. Despite this, the temporal vector trends showed complex behaviors and unpredictable changes in magnitude and direction. These findings highlight the importance of using daily IGRT in post-prostatectomy patients.</p>http://www.ro-journal.com/content/6/1/142Post-prostatectomy radiotherapyIGRTCT on railsshift total errorprostate bed
spellingShingle Mota Helvecio C
Ferreira Maria C
Liu Jingxia
Gay Hiram A
Cavalieri Ronaldo
Sibata Claudio H
Allison Ron R
Total error shift patterns for daily CT on rails image-guided radiotherapy to the prostate bed
Radiation Oncology
Post-prostatectomy radiotherapy
IGRT
CT on rails
shift total error
prostate bed
title Total error shift patterns for daily CT on rails image-guided radiotherapy to the prostate bed
title_full Total error shift patterns for daily CT on rails image-guided radiotherapy to the prostate bed
title_fullStr Total error shift patterns for daily CT on rails image-guided radiotherapy to the prostate bed
title_full_unstemmed Total error shift patterns for daily CT on rails image-guided radiotherapy to the prostate bed
title_short Total error shift patterns for daily CT on rails image-guided radiotherapy to the prostate bed
title_sort total error shift patterns for daily ct on rails image guided radiotherapy to the prostate bed
topic Post-prostatectomy radiotherapy
IGRT
CT on rails
shift total error
prostate bed
url http://www.ro-journal.com/content/6/1/142
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