A study to investigate the influence of cardiac motion on the robustness of pencil beam scanning proton plans in oesophageal cancer

While proton therapy offers an excellent dose conformity and sparing of organs at risk, this can be compromised by uncertainties, e.g. organ motion. This study aimed to investigate the influence of cardiac motion on the contoured oesophagus using electrocardiogram-triggered imaging and to assess the...

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Main Authors: Melissa Thomas, Gilles Defraene, Mario Levis, Edmond Sterpin, Maarten Lambrecht, Umberto Ricardi, Karin Haustermans
Format: Article
Language:English
Published: Elsevier 2020-10-01
Series:Physics and Imaging in Radiation Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240563162030052X
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author Melissa Thomas
Gilles Defraene
Mario Levis
Edmond Sterpin
Maarten Lambrecht
Umberto Ricardi
Karin Haustermans
author_facet Melissa Thomas
Gilles Defraene
Mario Levis
Edmond Sterpin
Maarten Lambrecht
Umberto Ricardi
Karin Haustermans
author_sort Melissa Thomas
collection DOAJ
description While proton therapy offers an excellent dose conformity and sparing of organs at risk, this can be compromised by uncertainties, e.g. organ motion. This study aimed to investigate the influence of cardiac motion on the contoured oesophagus using electrocardiogram-triggered imaging and to assess the impact of this motion on the robustness of proton therapy plans in oesophageal cancer patients. Limited cardiac-induced motion of the oesophagus was observed with a negligible impact on the robustness of proton therapy plans. Therefore, our data suggest that cardiac motion may be safely ignored in the robust optimisation strategy for proton planning in oesophageal cancer.
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spelling doaj.art-e04df4da7e2b40bdaee148ee90f30a482022-12-21T19:00:49ZengElsevierPhysics and Imaging in Radiation Oncology2405-63162020-10-01165053A study to investigate the influence of cardiac motion on the robustness of pencil beam scanning proton plans in oesophageal cancerMelissa Thomas0Gilles Defraene1Mario Levis2Edmond Sterpin3Maarten Lambrecht4Umberto Ricardi5Karin Haustermans6KU Leuven – University of Leuven, Department of Oncology – Laboratory Experimental Radiotherapy, Leuven, Belgium; UZ Leuven – University Hospitals Leuven, Department of Radiation Oncology, Leuven, Belgium; Corresponding author.KU Leuven – University of Leuven, Department of Oncology – Laboratory Experimental Radiotherapy, Leuven, BelgiumUniversity of Torino, Department of Oncology, Torino, ItalyKU Leuven – University of Leuven, Department of Oncology – Laboratory Experimental Radiotherapy, Leuven, Belgium; UCLouvain – Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique, Center of Molecular Imaging, Radiotherapy and Oncology (MIRO), Sint-Lambrechts-Woluwe, BelgiumKU Leuven – University of Leuven, Department of Oncology – Laboratory Experimental Radiotherapy, Leuven, Belgium; UZ Leuven – University Hospitals Leuven, Department of Radiation Oncology, Leuven, BelgiumUniversity of Torino, Department of Oncology, Torino, ItalyKU Leuven – University of Leuven, Department of Oncology – Laboratory Experimental Radiotherapy, Leuven, Belgium; UZ Leuven – University Hospitals Leuven, Department of Radiation Oncology, Leuven, BelgiumWhile proton therapy offers an excellent dose conformity and sparing of organs at risk, this can be compromised by uncertainties, e.g. organ motion. This study aimed to investigate the influence of cardiac motion on the contoured oesophagus using electrocardiogram-triggered imaging and to assess the impact of this motion on the robustness of proton therapy plans in oesophageal cancer patients. Limited cardiac-induced motion of the oesophagus was observed with a negligible impact on the robustness of proton therapy plans. Therefore, our data suggest that cardiac motion may be safely ignored in the robust optimisation strategy for proton planning in oesophageal cancer.http://www.sciencedirect.com/science/article/pii/S240563162030052XOesophageal cancerCardiac motionProton therapy
spellingShingle Melissa Thomas
Gilles Defraene
Mario Levis
Edmond Sterpin
Maarten Lambrecht
Umberto Ricardi
Karin Haustermans
A study to investigate the influence of cardiac motion on the robustness of pencil beam scanning proton plans in oesophageal cancer
Physics and Imaging in Radiation Oncology
Oesophageal cancer
Cardiac motion
Proton therapy
title A study to investigate the influence of cardiac motion on the robustness of pencil beam scanning proton plans in oesophageal cancer
title_full A study to investigate the influence of cardiac motion on the robustness of pencil beam scanning proton plans in oesophageal cancer
title_fullStr A study to investigate the influence of cardiac motion on the robustness of pencil beam scanning proton plans in oesophageal cancer
title_full_unstemmed A study to investigate the influence of cardiac motion on the robustness of pencil beam scanning proton plans in oesophageal cancer
title_short A study to investigate the influence of cardiac motion on the robustness of pencil beam scanning proton plans in oesophageal cancer
title_sort study to investigate the influence of cardiac motion on the robustness of pencil beam scanning proton plans in oesophageal cancer
topic Oesophageal cancer
Cardiac motion
Proton therapy
url http://www.sciencedirect.com/science/article/pii/S240563162030052X
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