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Performance assessment of two motion management systems for frameless stereotactic radiosurgery

BACKGROUND/PURPOSE: Frameless stereotactic radiosurgery (SRS) requires dedicated systems to monitor patient motion in order to avoid inaccurate radiation delivery due to involuntary shifts. The purpose of this study is to assess the accuracy and sensitivity of two distinct motion monitoring systems...

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Autores principales: Wang, Hao, Xu, Zhiyong, Grantham, Kevin, Zhou, Yongkang, Cui, Taoran, Zhang, Yin, Liu, Bo, Wang, Xiao, Vergalasova, Irina, Reyhan, Meral, Weiner, Joseph, Danish, Shabbar F., Yue, Ning, Nie, Ke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7840652/
https://www.ncbi.nlm.nih.gov/pubmed/33047151
http://dx.doi.org/10.1007/s00066-020-01688-8
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author Wang, Hao
Xu, Zhiyong
Grantham, Kevin
Zhou, Yongkang
Cui, Taoran
Zhang, Yin
Liu, Bo
Wang, Xiao
Vergalasova, Irina
Reyhan, Meral
Weiner, Joseph
Danish, Shabbar F.
Yue, Ning
Nie, Ke
author_facet Wang, Hao
Xu, Zhiyong
Grantham, Kevin
Zhou, Yongkang
Cui, Taoran
Zhang, Yin
Liu, Bo
Wang, Xiao
Vergalasova, Irina
Reyhan, Meral
Weiner, Joseph
Danish, Shabbar F.
Yue, Ning
Nie, Ke
author_sort Wang, Hao
collection PubMed
description BACKGROUND/PURPOSE: Frameless stereotactic radiosurgery (SRS) requires dedicated systems to monitor patient motion in order to avoid inaccurate radiation delivery due to involuntary shifts. The purpose of this study is to assess the accuracy and sensitivity of two distinct motion monitoring systems used for frameless SRS. METHODS: A surface image-guided system known as optical surface monitoring system (OSMS), and a fiducial marker-based system known as high definition motion management (HDMM) as part of the latest Gamma Knife Icon® were compared. A 3D printer-based cranial motion phantom was developed to evaluate the accuracy and sensitivity of these two systems in terms of: (1) the capability to recognize predefined shifts up to 3 cm, and (2) the capability to recognize predefined speeds up to 3 cm/s. The performance of OSMS, in terms of different reference surfaces, was also evaluated. RESULTS: Translational motion could be accurately detected by both systems, with an accuracy of 0.3 mm for displacement up to 1 cm, and 0.5 mm for larger displacements. The reference surface selection had an impact on OSMS performance, with flat surface resulting in less accuracy. HDMM was in general more sensitive when compared with OSMS in capturing the motion, due to its faster frame rate, but a delay in response was observed with faster speeds. Both systems were less sensitive in detection of superior-inferior motion when compared to lateral or vertical displacement directions. CONCLUSION: Translational motion can be accurately and sensitively detected by OSMS and HDMM real-time monitoring systems. However, performance variations were observed along different motion directions, as well as amongst the selection of reference images. Caution is needed when using real-time monitoring systems for frameless SRS treatment.
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spelling pubmed-78406522021-02-04 Performance assessment of two motion management systems for frameless stereotactic radiosurgery Wang, Hao Xu, Zhiyong Grantham, Kevin Zhou, Yongkang Cui, Taoran Zhang, Yin Liu, Bo Wang, Xiao Vergalasova, Irina Reyhan, Meral Weiner, Joseph Danish, Shabbar F. Yue, Ning Nie, Ke Strahlenther Onkol Original Article BACKGROUND/PURPOSE: Frameless stereotactic radiosurgery (SRS) requires dedicated systems to monitor patient motion in order to avoid inaccurate radiation delivery due to involuntary shifts. The purpose of this study is to assess the accuracy and sensitivity of two distinct motion monitoring systems used for frameless SRS. METHODS: A surface image-guided system known as optical surface monitoring system (OSMS), and a fiducial marker-based system known as high definition motion management (HDMM) as part of the latest Gamma Knife Icon® were compared. A 3D printer-based cranial motion phantom was developed to evaluate the accuracy and sensitivity of these two systems in terms of: (1) the capability to recognize predefined shifts up to 3 cm, and (2) the capability to recognize predefined speeds up to 3 cm/s. The performance of OSMS, in terms of different reference surfaces, was also evaluated. RESULTS: Translational motion could be accurately detected by both systems, with an accuracy of 0.3 mm for displacement up to 1 cm, and 0.5 mm for larger displacements. The reference surface selection had an impact on OSMS performance, with flat surface resulting in less accuracy. HDMM was in general more sensitive when compared with OSMS in capturing the motion, due to its faster frame rate, but a delay in response was observed with faster speeds. Both systems were less sensitive in detection of superior-inferior motion when compared to lateral or vertical displacement directions. CONCLUSION: Translational motion can be accurately and sensitively detected by OSMS and HDMM real-time monitoring systems. However, performance variations were observed along different motion directions, as well as amongst the selection of reference images. Caution is needed when using real-time monitoring systems for frameless SRS treatment. Springer Berlin Heidelberg 2020-10-12 2021 /pmc/articles/PMC7840652/ /pubmed/33047151 http://dx.doi.org/10.1007/s00066-020-01688-8 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Article
Wang, Hao
Xu, Zhiyong
Grantham, Kevin
Zhou, Yongkang
Cui, Taoran
Zhang, Yin
Liu, Bo
Wang, Xiao
Vergalasova, Irina
Reyhan, Meral
Weiner, Joseph
Danish, Shabbar F.
Yue, Ning
Nie, Ke
Performance assessment of two motion management systems for frameless stereotactic radiosurgery
title Performance assessment of two motion management systems for frameless stereotactic radiosurgery
title_full Performance assessment of two motion management systems for frameless stereotactic radiosurgery
title_fullStr Performance assessment of two motion management systems for frameless stereotactic radiosurgery
title_full_unstemmed Performance assessment of two motion management systems for frameless stereotactic radiosurgery
title_short Performance assessment of two motion management systems for frameless stereotactic radiosurgery
title_sort performance assessment of two motion management systems for frameless stereotactic radiosurgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7840652/
https://www.ncbi.nlm.nih.gov/pubmed/33047151
http://dx.doi.org/10.1007/s00066-020-01688-8
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