Application value of liquid fiducial marker in image-guided radiotherapy

This study was conducted to evaluate the application value of a degradable liquid fiducial marker (LFM) in image-guided radiotherapy. In vitro experiment: using a solid fiducial marker (SFM) as a reference, the visibility, artifact, and optimal injection volume of an LFM under different cone beam CT...

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Main Authors: HUANG Yulin, YANG Haifang, JIANG Bin, ZHANG Wang, ZHANG Chao, LIU Jianping, TIAN Long
Format: Article
Language:zho
Published: Science Press 2023-10-01
Series:Fushe yanjiu yu fushe gongyi xuebao
Subjects:
Online Access:http://www.fs.sinap.ac.cn/thesisDetails#10.11889/j.1000-3436.2023-0031&lang=zh
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author HUANG Yulin
YANG Haifang
JIANG Bin
ZHANG Wang
ZHANG Chao
LIU Jianping
TIAN Long
author_facet HUANG Yulin
YANG Haifang
JIANG Bin
ZHANG Wang
ZHANG Chao
LIU Jianping
TIAN Long
author_sort HUANG Yulin
collection DOAJ
description This study was conducted to evaluate the application value of a degradable liquid fiducial marker (LFM) in image-guided radiotherapy. In vitro experiment: using a solid fiducial marker (SFM) as a reference, the visibility, artifact, and optimal injection volume of an LFM under different cone beam CT tube voltage conditions were evaluated. In vivo experiment: using the SFM as a reference, the stability and degradation status of the LFM in nude mice were evaluated. Nude mice implanted with tumor cells were randomly divided into four groups: single fraction radiotherapy group (16 Gy/fraction) without LFM injection, single fraction radiotherapy group (16 Gy/fraction) with LFM injection, 2 fractions radiotherapy group (8 Gy/fraction) with LFM injection, and 4 fractions radiotherapy group (4 Gy/fraction) with LFM injection. The impact of LFM on tumor growth was evaluated based on the irradiation results. Compared with SFM, the LFM artifacts were significantly smaller (all p<0.05), and the visibility met the clinical differentiation requirements. The best imaging quality was achieved when the injection volume was 10 μL. The displacement of the LFM centroid relative to the spinal cord in the nude mice was significantly greater than that of the gold fiducial marker ((0.22 ± 0.03) mm vs. (0.17 ± 0.02) mm, p<0.05); however, it was always smaller than a pixel size. The results indicated good stability. The actual degradation rate of the LFM was highly consistent with the theoretical degradation rate. The LFM had a relatively smaller impact on tumor growth in the single fraction radiotherapy group but a greater impact in the fractional radiotherapy groups. LFMs have certain clinical applications and promotional value, and they are expected to replace SFMs in the future.
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spelling doaj.art-ea2c6d214caa417d8f596f9b5810e6c72023-11-22T07:09:08ZzhoScience PressFushe yanjiu yu fushe gongyi xuebao1000-34362023-10-0141505030205030210.11889/j.1000-3436.2023-00311000-3436(2023)05-0053-07Application value of liquid fiducial marker in image-guided radiotherapyHUANG Yulin0YANG Haifang1JIANG Bin2ZHANG Wang3ZHANG Chao4LIU Jianping5TIAN Long6Tangshan People’s Hospital, Tangshan 063000, ChinaTangshan People’s Hospital, Tangshan 063000, ChinaTangshan People’s Hospital, Tangshan 063000, ChinaTangshan People’s Hospital, Tangshan 063000, ChinaTangshan People’s Hospital, Tangshan 063000, ChinaTangshan People’s Hospital, Tangshan 063000, ChinaThe First Affiliated Hospital of Hebei Northern University, Zhangjiakou 075000, ChinaThis study was conducted to evaluate the application value of a degradable liquid fiducial marker (LFM) in image-guided radiotherapy. In vitro experiment: using a solid fiducial marker (SFM) as a reference, the visibility, artifact, and optimal injection volume of an LFM under different cone beam CT tube voltage conditions were evaluated. In vivo experiment: using the SFM as a reference, the stability and degradation status of the LFM in nude mice were evaluated. Nude mice implanted with tumor cells were randomly divided into four groups: single fraction radiotherapy group (16 Gy/fraction) without LFM injection, single fraction radiotherapy group (16 Gy/fraction) with LFM injection, 2 fractions radiotherapy group (8 Gy/fraction) with LFM injection, and 4 fractions radiotherapy group (4 Gy/fraction) with LFM injection. The impact of LFM on tumor growth was evaluated based on the irradiation results. Compared with SFM, the LFM artifacts were significantly smaller (all p<0.05), and the visibility met the clinical differentiation requirements. The best imaging quality was achieved when the injection volume was 10 μL. The displacement of the LFM centroid relative to the spinal cord in the nude mice was significantly greater than that of the gold fiducial marker ((0.22 ± 0.03) mm vs. (0.17 ± 0.02) mm, p<0.05); however, it was always smaller than a pixel size. The results indicated good stability. The actual degradation rate of the LFM was highly consistent with the theoretical degradation rate. The LFM had a relatively smaller impact on tumor growth in the single fraction radiotherapy group but a greater impact in the fractional radiotherapy groups. LFMs have certain clinical applications and promotional value, and they are expected to replace SFMs in the future.http://www.fs.sinap.ac.cn/thesisDetails#10.11889/j.1000-3436.2023-0031&lang=zhliquid fiducial markerimage guided radiotherapyapplication value
spellingShingle HUANG Yulin
YANG Haifang
JIANG Bin
ZHANG Wang
ZHANG Chao
LIU Jianping
TIAN Long
Application value of liquid fiducial marker in image-guided radiotherapy
Fushe yanjiu yu fushe gongyi xuebao
liquid fiducial marker
image guided radiotherapy
application value
title Application value of liquid fiducial marker in image-guided radiotherapy
title_full Application value of liquid fiducial marker in image-guided radiotherapy
title_fullStr Application value of liquid fiducial marker in image-guided radiotherapy
title_full_unstemmed Application value of liquid fiducial marker in image-guided radiotherapy
title_short Application value of liquid fiducial marker in image-guided radiotherapy
title_sort application value of liquid fiducial marker in image guided radiotherapy
topic liquid fiducial marker
image guided radiotherapy
application value
url http://www.fs.sinap.ac.cn/thesisDetails#10.11889/j.1000-3436.2023-0031&lang=zh
work_keys_str_mv AT huangyulin applicationvalueofliquidfiducialmarkerinimageguidedradiotherapy
AT yanghaifang applicationvalueofliquidfiducialmarkerinimageguidedradiotherapy
AT jiangbin applicationvalueofliquidfiducialmarkerinimageguidedradiotherapy
AT zhangwang applicationvalueofliquidfiducialmarkerinimageguidedradiotherapy
AT zhangchao applicationvalueofliquidfiducialmarkerinimageguidedradiotherapy
AT liujianping applicationvalueofliquidfiducialmarkerinimageguidedradiotherapy
AT tianlong applicationvalueofliquidfiducialmarkerinimageguidedradiotherapy