ESTRO 2024 - Abstract Book

S4864

Physics - Quality assurance and auditing

ESTRO 2024

Results:

The mean rotational and translational deviations for group 1 of two CBCT registration in (X, Y, Z) are (0.02⁰±0.06⁰, 0.03⁰±0.1⁰, 0.00⁰±0.04⁰) and (0.01 mm ± 0.03 mm, -0.05 mm ± 0.04 mm, 0.02 mm ± 0.11 mm); for group 2 are (0.03⁰±0.11⁰, 0.01⁰±0.10⁰, 0.00⁰±0.04⁰) and (-0.08 mm ± 0.29 mm, -0.09 mm ± 0.11 mm, 0.06 mm ± 0.21 mm) respectively. The mean maximum shot displacements in anatomy are 0.12 mm ± 0.07 mm for the first group and 0.38 mm ± 0.28 mm for the second group.

Conclusion:

The two CBCT registrations of all patients gave us sub-degree and sub-mm mean deviations. Even though the CBCT registration deviations become larger when patients had re-setup before the treatments, the two CBCT registrations still provided us confident setup for treatment.

Keywords: Icon, stereotactic, co-registration

References:

1. Bannikova II, Dalechina AV, Kostjuchenko VV, Zhuravleva AE, Golanov AV, Banov SM, Osinov IK, Savateev AN. Discrepancies between frame- and CBCT-based stereotactic space definition on the Gamma Knife Icon. J Appl Clin Med Phys. 2022:23(7), 1–7.

2. Claps L, Mathew D, Dusenbery K, Reynolds M, Watanabe Y. Utilization of CBCT to improve the delivery accuracy of Gamma Knife radiosurgery with G-frame. J Appl Clin Med Phys. 2021:22(8), 120–128.

3. Design and performance characteristics of a Cone Beam CT system for Leksell Gamma Knife® Icon™. (2021). Elekta. [White paper].

4. Duggar WN, Morris B, Fatemi, A, Bonds J, He R, Kanakamedala M, Rey-Dios R, Vijayakumar S, Yang C. Gamma Knife® Icon™ CBCT offers improved localization workflow for frame-based treatment. J Appl Clin Med Phys. 2019:20(11), 95– 103.

5. AlDahlawi I, Prasad D, Podgorsak MB. Evaluation of stability of stereotactic space defined by cone-beam CT for the Leksell Gamma Knife Icon. J Appl Clin Med Phys. 2017:18(3), 67–72.

6. Accuracy of co-registration of planning images with Cone Beam CT images. (2015). Elekta. [White paper].

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