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Combining inter-observer variability, range and setup uncertainty in a variance-based sensitivity analysis for proton therapy

Margin concepts in proton therapy aim to ensure full dose coverage of the clinical target volume (CTV) in presence of setup and range uncertainty. Due to inter-observer variability (IOV), the CTV itself is uncertain. We present a framework to evaluate the combined impact of IOV, setup and range unce...

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Autores principales: Hofmaier, Jan, Walter, Franziska, Hadi, Indrawati, Rottler, Maya, von Bestenbostel, Rieke, Dedes, George, Parodi, Katia, Niyazi, Maximilian, Belka, Claus, Kamp, Florian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645917/
https://www.ncbi.nlm.nih.gov/pubmed/34917780
http://dx.doi.org/10.1016/j.phro.2021.11.005
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author Hofmaier, Jan
Walter, Franziska
Hadi, Indrawati
Rottler, Maya
von Bestenbostel, Rieke
Dedes, George
Parodi, Katia
Niyazi, Maximilian
Belka, Claus
Kamp, Florian
author_facet Hofmaier, Jan
Walter, Franziska
Hadi, Indrawati
Rottler, Maya
von Bestenbostel, Rieke
Dedes, George
Parodi, Katia
Niyazi, Maximilian
Belka, Claus
Kamp, Florian
author_sort Hofmaier, Jan
collection PubMed
description Margin concepts in proton therapy aim to ensure full dose coverage of the clinical target volume (CTV) in presence of setup and range uncertainty. Due to inter-observer variability (IOV), the CTV itself is uncertain. We present a framework to evaluate the combined impact of IOV, setup and range uncertainty in a variance-based sensitivity analysis (SA). For ten patients with skull base meningioma, the mean calculation time to perform the SA including 1.6 × 10(4) dose recalculations was 59 min. For two patients in this dataset, IOV had a relevant impact on the estimated CTV D(95%) uncertainty.
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spelling pubmed-86459172021-12-15 Combining inter-observer variability, range and setup uncertainty in a variance-based sensitivity analysis for proton therapy Hofmaier, Jan Walter, Franziska Hadi, Indrawati Rottler, Maya von Bestenbostel, Rieke Dedes, George Parodi, Katia Niyazi, Maximilian Belka, Claus Kamp, Florian Phys Imaging Radiat Oncol Technical Note Margin concepts in proton therapy aim to ensure full dose coverage of the clinical target volume (CTV) in presence of setup and range uncertainty. Due to inter-observer variability (IOV), the CTV itself is uncertain. We present a framework to evaluate the combined impact of IOV, setup and range uncertainty in a variance-based sensitivity analysis (SA). For ten patients with skull base meningioma, the mean calculation time to perform the SA including 1.6 × 10(4) dose recalculations was 59 min. For two patients in this dataset, IOV had a relevant impact on the estimated CTV D(95%) uncertainty. Elsevier 2021-12-02 /pmc/articles/PMC8645917/ /pubmed/34917780 http://dx.doi.org/10.1016/j.phro.2021.11.005 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Hofmaier, Jan
Walter, Franziska
Hadi, Indrawati
Rottler, Maya
von Bestenbostel, Rieke
Dedes, George
Parodi, Katia
Niyazi, Maximilian
Belka, Claus
Kamp, Florian
Combining inter-observer variability, range and setup uncertainty in a variance-based sensitivity analysis for proton therapy
title Combining inter-observer variability, range and setup uncertainty in a variance-based sensitivity analysis for proton therapy
title_full Combining inter-observer variability, range and setup uncertainty in a variance-based sensitivity analysis for proton therapy
title_fullStr Combining inter-observer variability, range and setup uncertainty in a variance-based sensitivity analysis for proton therapy
title_full_unstemmed Combining inter-observer variability, range and setup uncertainty in a variance-based sensitivity analysis for proton therapy
title_short Combining inter-observer variability, range and setup uncertainty in a variance-based sensitivity analysis for proton therapy
title_sort combining inter-observer variability, range and setup uncertainty in a variance-based sensitivity analysis for proton therapy
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645917/
https://www.ncbi.nlm.nih.gov/pubmed/34917780
http://dx.doi.org/10.1016/j.phro.2021.11.005
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