JOURNAL ARTICLE

Image-guided stereotactic radiosurgery for cranial lesions: large margins compensate for reduced image guidance frequency

Harun Badakhshi, David Kaul, Peter Wust, Edzard Wiener, Volker Budach, Volker Buadch, Reinhold Graf
Anticancer Research 2013, 33 (10): 4639-43
24123042

BACKGROUND: We investigated patient positioning during radiosurgery of cranial lesions, and calculated clinical target volume (CTV) to planning target volume (PTV) margins using a modified common margin recipe. We simulated CTV-to-PTV margins for reduced image guidance, and repositioning for the first table angle only.

PATIENTS AND METHODS: Patients were immobilized with a thermoplastic mask. Positioning was verified and corrected using the ExacTrac/Novalis Body. Each patient was repositioned before each beam. A common margin recipe was adapted for estimation of CTV-to-PTV margins. Necessary margins were estimated to correct positioning for the initial table angle only in comparison.

RESULTS: In total, 269 radiosurgery treatments with 967 different-angle setups (mean 3.6 different angles) were performed on 190 patients. Residual translational errors were (one standard deviation) 0.3 mm in left-right (LR), superior-inferior (SI), and anterior-posterior (AP) directions, with a mean three-dimensional vector of 0.5 mm. Margins for residual errors after correction were calculated in LR, SI, and AP directions as 0.8 mm. For simulated reduced frequency setup correction, we calculated CTV-to-PTV margins as 1.9, 1.9, and 1.6 mm, respectively.

CONCLUSIONS: The ExacTrac/Novalis Body system allows for accurate positioning of the patient with a residual error comparable to invasive mask fixation. If verification is only performed after initial positioning, adaption of CTV-to-PTV margins should be considered.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
24123042
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"