Download or read book Treatment Plan Optimization and Delivery Using Dynamic Gantry couch Trajectories written by Joel Mullins and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "In radiation therapy, trajectory-based delivery involves the dynamic motion of linear accelerator components combined with continuous arc radiation delivery. The increased complexity of the delivery may yield dosimetric advantages, but the delivery technique has not seen clinical implementation. The purpose of this thesis work is to provide support for clinical implementation of trajectory-based treatment delivery, through the application of novel trajectories, implementation of a trajectory-based optimization algorithm, and verification of the treatment delivery accuracy under dynamic conditions.The initial study in this thesis applied translational couch trajectories to reduce the effective source-to-axis distance (SAD), with potential benefits due to the decreased projected size of the multileaf collimator and an increased effective dose rate. A noncoplanar trajectory was applied to patients presented with cranial targets, and treatment plans were optimized at shortened and standard SAD. Through comparisons to clinical treatment plans, the shortened SAD treatment plans yielded a fraction size dependent decrease in the treatment delivery time due to the increased effective dose rate. The noncoplanar trajectories yielded comparable plan quality to the clinical deliveries.The next study focused on the novel implementation of a trajectory optimization algorithm for concurrent gantry and couch rotation. The optimization algorithm implemented uses the column generation approach to simultaneously determine the trajectory path during volumetric modulated arc therapy optimization (simTr-VMAT). With comparisons to coplanar VMAT plans and to randomly generated trajectories that represent the solution space for the optimization problem, the simTr-VMAT optimization methodology was validated.The complex trajectory paths resulting from the simTr-VMAT optimizations were observed as a potential source of dose delivery inaccuracy. A trajectory smoothing procedure was implemented, and the base and smoothed treatment plans were delivered on the TrueBeam linear accelerator. The trajectory smoothing retained the treatment plan quality of the base trajectories. The delivery accuracy was largely within combined standard uncertainty. A systematic difference between measurement and calculation was observed that requires further investigation. The smoothed trajectory plans yielded improved agreement with measurement compared to the base trajectory plans.The final study investigated the gantry-couch rotation angle coordinate system. Trajectory optimizations were performed under a cartesian and spherical coordinate system for seven patient cases, using a overlap score map approach. The arclength between adjacent control points showed less variation for cases where the cartesian trajectory included arc segments with couch-only rotations. The objective function value was improved for 4 out of 7 patient cases for the spherical trajectories, but limitations of two-step trajectory optimization approaches were observed.Through the research presented in this thesis, clinical advantages of trajectory-based delivery were demonstrated, as well as the importance of trajectory smoothing to improve the accuracy of dose delivery. This work helps to pave the way towards the clinical implementation of trajectory-based treatment delivery"--

Download or read book Dynamic Trajectory Based Couch Motion for Improvement of Radiation Therapy Trajectories written by Robert Lee MacDonald and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Development and Implementation of Trajectory Optimization Technologies for Cranial Stereotactic Radiation Therapy written by R Lee MacDonald and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Radiotherapy treatment planning optimization employs metrics for the quantification of plan quality indicators based on a set of input desired criteria by the planner. Patient-specificity in current practice is limited to the customization and refinement of input optimization criteria to contextualize relative urgency. The arc geometry and machine trajectory in radiotherapy planning can create additional opportunities for optimization on a patient-specific basis. This work proposes novel technologies capable of leveraging new degrees of freedom in the domain of radiotherapy to improve radiotherapy plan quality. A series of four manuscripts form the basis for this thesis. The first manuscript, "Overlap Guided Fixed Patient Support Positioning Optimization for Cranial SRT", is an investigation into the optimization of couch rotation angle in the standard cranial stereotactic VMAT template to reduce the presence of overlap of sensitive structures with the targeted tissues in the aperture of the radiation beam. The second manuscript, "Dynamic Collimator Trajectory Algorithm for Multiple Metastases Dynamic Conformal Arc Treatment Planning", demonstrates a novel method of reducing the presence of uncollimated non-target anatomy from the aperture of the radiation beam and increases the efficacy of collimation by optimizing the rotation angles of the multi-leaf collimator. Additionally, it proposes the use of dynamically updated collimator angle throughout delivery to maximize the capacity of this optimization. The third manuscript, "Intra-Arc Binary Collimation Algorithm for the Optimization of Stereotactic Radiotherapy Treatment of Multiple Metastases with Multiple Prescriptions", demonstrates a novel method of aperture design in multiple metastases cranial radiosurgery which maximizes the presence of conformal aperture to increase the efficiency of monitor units, while regularly shielding targets completely to modulate dose to meet target prescription and healthy tissues sparing. Finally, the fourth manuscript, "CODA: Combined Optimization of Dynamic Axes", is the first investigation into the synergistic optimization of the rotation angle of the collimator, the rotation angle of the treatment couch, and the rotation angle of the gantry to accomplish the objectives of normal tissue sparing and treatment efficiency using a novel organization of cost function and trajectory design. These manuscripts form the basis for automated optimization of linear accelerator trajectories in cranial radiosurgery. Their implementation can result in significant increases in plan quality when compared to state of the art conventional treatment planning. The introduction of these additional forms of optimization can be used to mitigate the effects of inter-planner variation in plan quality by automating the steps performed in expert-planning.

Download or read book Treatment Planning Optimization for Non coplanar Volumetric Modulated Arc Therapy written by Franklin Okoli and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Non-coplanar VMAT has the potential to treat tumors that are located in close proximity of critical organs or that are partially surrounded by normal tissues. The use of dynamic couch-gantry trajectories offers an opportunity for more precise and accurate delivery of radiation during cancer treatments.Despite the improvements that have been seen in non-coplanar VMAT, challenges still persist.In this thesis, we present a methodology for the determination of collision free couch-gantry orientations. This methodology is proposed to avoid the possibility of a collision during the motion of the couch and gantry during treatment.We propose an algorithm based on simulated annealing for non-coplanar VMAT treatment planning. This algorithm is used to select the best possible beam orientations for the accurate delivery of the prescribed dose.We also propose a RRT inspired algorithm for generating the trajectory for the non-coplanarVMAT plan delivery. The algorithm is proposed to solve the problem of the addition of intermediate beam orientations observed in beam selection methods.From the results of studies on the proposed methods, improvements to collision detection, global optimization and trajectory generation for non-coplanar VMAT treatment planning were observed. These improvements include a better dosimetry with respect to reductions in mean dose to the organs-at-risk and a more efficient delivery trajectory.Our studies indicate that there exists a reasonable trade-off between treatment plan quality and plan deliverability if the dosimetry of the VMAT treatment plan is continuously monitored during trajectory generation.

Download or read book World Congress on Medical Physics and Biomedical Engineering June 7 12 2015 Toronto Canada written by David A. Jaffray and published by Springer. This book was released on 2015-07-13 with total page 1790 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the proceedings of the IUPESM World Biomedical Engineering and Medical Physics, a tri-annual high-level policy meeting dedicated exclusively to furthering the role of biomedical engineering and medical physics in medicine. The book offers papers about emerging issues related to the development and sustainability of the role and impact of medical physicists and biomedical engineers in medicine and healthcare. It provides a unique and important forum to secure a coordinated, multileveled global response to the need, demand and importance of creating and supporting strong academic and clinical teams of biomedical engineers and medical physicists for the benefit of human health.

Download or read book Evaluation of Dose Calculations and Couch Positional Accuracy in the Context of Dynamic Couch Trajectories written by Joel Mullins and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Varian TrueBeam STx linear accelerator features a developer's mode in which treatment plans can be programmed that include patient couch motion during radiation delivery. The combination of synchronous couch/gantry trajectories with Varian volumetric modulated arc therapy (VMAT) optimizations, called RapidArc, can result in a treatment technique that has been designated Virtual Isocenter RapidArc (VIRA). Prior to its implementation, the accuracy of dose calculations in the Varian Eclipse treatment planning system, on which the RapidArc optimization depends, must be validated, as well as the positional accuracy of the TrueBeam patient couch. The dose calculation accuracy was evaluated extrinsically through the delivery of clinical dynamic multileaf collimator (DMLC) intensity modulated radiotherapy (IMRT) treatment plans as a function of source-to-surface distance (SSD) and measurement with ionization chamber and Gafchromic EBT3 film. Parameters intrinsic to dose calculations in Eclipse, the dosimetric leaf gap (DLG) and leaf transmission (LT), were also investigated for their dependence on SSD. The positional accuracy of the treatment couch was assessed through the generation of treatment plans with static couch/gantry, static couch/rotating gantry, and synchronous couch and gantry motion, with measurement of the real-time ionization chamber current positioned in a cylindrical phantom during radiation delivery. The relative agreement of ionization chamber measurements to Eclipse dose calculations for DMLC IMRT treatment plans decreased by 1.5±0.3% over SSDs in the range of 85 cm to 135 cm (less than 1.0% deviation from standard clinical reference conditions of 100 cm SSD). Gafchromic EBT3 film measurements were consistent with ionization chamber results, though noise in the film data at low doses resulted in large uncertainties. Measurements of DLG were independent of SSD, following corrections for geometric projection. LT showed a dependence on SSD of 0.09±0.02% over the SSD range investigated. The ionization chamber current measurements for synchronous couch and gantry rotation, analogous to the proposed VIRA technique, indicated a maximum deviation of 0.2 cm relative to treatment isocenter, equal to the deviation observed for the rotating gantry/static couch treatment, analogous to conventional VMAT delivery. These results indicate that the Varian TrueBeam and Eclipse maintain the necessary positional and dosimetric accuracy required for VMAT treatments involving dynamic couch trajectories." --

Download or read book Khan s Treatment Planning in Radiation Oncology written by Faiz M. Khan and published by Lippincott Williams & Wilkins. This book was released on 2021-09-17 with total page 1342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering comprehensive coverage of the clinical, physical, and technical aspects of radiation treatment planning, Khan’s Treatment Planning in Radiation Oncology, Fifth Edition, provides a team approach to this complex field. Drs. Paul W. Sperduto and John P. Gibbons are joined by expert contributing authors who focus on the application of physical and clinical concepts to solve treatment planning problems—helping you provide effective, state-of-the-art care for cancer patients. This unique, well-regarded text has been updated throughout to reflect the most current practices in today’s radiation oncology treatment.

Download or read book Computational Science and Its Applications ICCSA 2019 written by Sanjay Misra and published by Springer. This book was released on 2019-06-28 with total page 728 pages. Available in PDF, EPUB and Kindle. Book excerpt: The six volumes LNCS 11619-11624 constitute the refereed proceedings of the 19th International Conference on Computational Science and Its Applications, ICCSA 2019, held in Saint Petersburg, Russia, in July 2019. The 64 full papers, 10 short papers and 259 workshop papers presented were carefully reviewed and selected form numerous submissions. The 64 full papers are organized in the following five general tracks: computational methods, algorithms and scientific applications; high performance computing and networks; geometric modeling, graphics and visualization; advanced and emerging applications; and information systems and technologies. The 259 workshop papers were presented at 33 workshops in various areas of computational sciences, ranging from computational science technologies to specific areas of computational sciences, such as software engineering, security, artificial intelligence and blockchain technologies.

Download or read book Artificial Intelligence in Radiation Oncology and Biomedical Physics written by Gilmer Valdes and published by CRC Press. This book was released on 2023-08-14 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: This pioneering book explores how machine learning and other AI techniques impact millions of cancer patients who benefit from ionizing radiation. It features contributions from global researchers and clinicians, focusing on the clinical applications of machine learning for medical physics. AI and machine learning have attracted much recent attention and are being increasingly adopted in medicine, with many clinical components and commercial software including aspects of machine learning integration. General principles and important techniques in machine learning are introduced, followed by discussion of clinical applications, particularly in radiomics, outcome prediction, registration and segmentation, treatment planning, quality assurance, image processing, and clinical decision-making. Finally, a futuristic look at the role of AI in radiation oncology is provided. This book brings medical physicists and radiation oncologists up to date with the most novel applications of machine learning to medical physics. Practitioners will appreciate the insightful discussions and detailed descriptions in each chapter. Its emphasis on clinical applications reaches a wide audience within the medical physics profession.

Download or read book Practical Essentials of Intensity Modulated Radiation Therapy written by K.S. Clifford Chao and published by Lippincott Williams & Wilkins. This book was released on 2013-10-18 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of Intensity Modulated Radiation Therapy was written to enhance the reader’s understanding of the cutting-edge technology of Intensity Modulated Radiation Therapy. It is designed to both update old readers and inform new readers about the complexities and details of clinical management. This completely updated edition provides a step-by-step, practical approach to the use of IMRT in the evaluation and treatment of cancer patients. Because of IMRT’s ability to employ individually controlled beamlets, it is an extremely promising technique, especially when paired with CT, PET, and/or MRI. With these improved procedures, doctors and clinicians will be able to take high resolution images of tumors while minimizing dosages to surrounding tissue. In order to focus on the most up to date IMRT techniques, the introductory chapters have been condensed to provide a brief overview of IMRT physics, mechanics and quality assurance, and also CT and MR imaging. To help assist in clinical decision-making it provides the reader with more than 700 full-color illustrations, IMRT tables and clear, straightforward descriptions that address a range of tumor types and sites including head and neck, urinary, and gynecologic cancers.

Download or read book Algorithms ESA 2008 written by Kurt Mehlhorn and published by Springer. This book was released on 2008-09-20 with total page 860 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book constitutes the refereed proceedings of the 16th Annual European Symposium on Algorithms, ESA 2008, held in Karlsruhe, Germany, in September 2008 in the context of the combined conference ALGO 2008. The 67 revised full papers presented together with 2 invited lectures were carefully reviewed and selected: 51 papers out of 147 submissions for the design and analysis track and 16 out of 53 submissions in the engineering and applications track. The papers address all current subjects in algorithmics reaching from design and analysis issues of algorithms over to real-world applications and engineering of algorithms in various fields. Special focus is given to mathematical programming and operations research, including combinatorial optimization, integer programming, polyhedral combinatorics and network optimization.

Download or read book Intensity Modulated Radiation Therapy written by S. Webb and published by CRC Press. This book was released on 2015-05-06 with total page 441 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical conformal radiotherapy is the holy grail of radiation treatment and is now becoming a reality through the combined efforts of physical scientists and engineers, who have improved the physical basis of radiotherapy, and the interest and concern of imaginative radiotherapists and radiographers. Intensity-Modulated Radiation Therapy de

Download or read book Adult CNS Radiation Oncology written by Eric L. Chang and published by Springer. This book was released on 2018-07-27 with total page 746 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book elucidates the radiation therapy protocols and procedures for the management of adult patients presenting with primary benign and malignant central nervous system tumors. With the development of new treatment strategies and rapid advancement of radiation technology, it is crucial for radiation oncologists to maintain and refine their knowledge and skills. Dedicated exclusively to adult CNS radiation oncology, this textbook explores CNS tumors ranging from the common to the esoteric as well as secondary cancers of metastatic origin. The first half of the book is organized anatomically: tumors of the brain, spinal cord, leptomeninges, optic pathway, ocular choroid, and skull base. The second half covers primary CNS lymphoma, rare CNS tumors, metastatic brain disease, vascular conditions of the CNS, radiation-associated complications, and radiation modalities. Each chapter provides guidance on treatment field design, target delineation, and normal critical structure tolerance constraints in the context of the disease being treated. Learning objectives, case studies, and Maintenance of Certification Self-Assessment Continuing Medical Education-style questions and answers are incorporated throughout the book. This is an ideal guide for radiation oncologists, residents, and fellows, but medical students may also find value in the text.

Download or read book Handbook of Robotic and Image Guided Surgery written by Mohammad Hossein Abedin Nasab and published by Elsevier. This book was released on 2019-09-25 with total page 753 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Robotic and Image-Guided Surgery provides state-of-the-art systems and methods for robotic and computer-assisted surgeries. In this masterpiece, contributions of 169 researchers from 19 countries have been gathered to provide 38 chapters. This handbook is 744 pages, includes 659 figures and 61 videos. It also provides basic medical knowledge for engineers and basic engineering principles for surgeons. A key strength of this text is the fusion of engineering, radiology, and surgical principles into one book. - A thorough and in-depth handbook on surgical robotics and image-guided surgery which includes both fundamentals and advances in the field - A comprehensive reference on robot-assisted laparoscopic, orthopedic, and head-and-neck surgeries - Chapters are contributed by worldwide experts from both engineering and surgical backgrounds

Download or read book Adaptive Radiation Therapy written by X. Allen Li and published by CRC Press. This book was released on 2011-01-27 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modern medical imaging and radiation therapy technologies are so complex and computer driven that it is difficult for physicians and technologists to know exactly what is happening at the point-of-care. Medical physicists responsible for filling this gap in knowledge must stay abreast of the latest advances at the intersection of medical imaging an

Download or read book Proceedings 3 COMPSAC79 the IEEE Computer Society s Third International Computer Software Applications Conference November 5 Tutorial November 6 8 1979 Conference the Palmer House Chicago Illinois written by and published by . This book was released on 1979 with total page 920 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy written by Stanley H. Benedict and published by CRC Press. This book was released on 2014-08-01 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by internationally known experts in the field, Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy examines one of the fastest-developing subspecialties within radiation oncology. These procedures deliver large doses of radiation in one to five sessions to a precisely determined target. Often these techniques have proven to be as or more effective than traditional radiation therapy techniques, while at the same time being cost-efficient and convenient for the patient. These techniques, however, require careful planning, specialized equipment, and well-trained staff. This volume provides a cutting-edge look at the biological and technical underpinnings of SRS and SBRT techniques. It includes a history of the development of SRS and SBRT; clinical applications of the techniques; dedicated devices for delivering precisely shaped, high doses of radiation; use of in-room imaging for treatment planning and treatment guidance; immobilization techniques for accurate targeting; and future developments that will continue to evolve and refine existing techniques. A valuable introduction to those just learning about these specialized techniques, and an ideal reference for those who are already implementing them, this book covers a wide variety of topics, with clear discussions of each aspect of the technology employed.