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AAPM Task Group Report 290: Respiratory motion management for particle therapy

Dose uncertainty induced by respiratory motion remains a major concern for treating thoracic and abdominal lesions using particle beams. This Task Group report reviews the impact of tumor motion and dosimetric considerations in particle radiotherapy, current motion‐management techniques, and limitat...

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Autores principales: Li, Heng, Dong, Lei, Bert, Christoph, Chang, Joe, Flampouri, Stella, Jee, Kyung‐Wook, Lin, Liyong, Moyers, Michael, Mori, Shinichiro, Rottmann, Joerg, Tryggestad, Erik, Vedam, Sastry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9306777/
https://www.ncbi.nlm.nih.gov/pubmed/35066871
http://dx.doi.org/10.1002/mp.15470
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author Li, Heng
Dong, Lei
Bert, Christoph
Chang, Joe
Flampouri, Stella
Jee, Kyung‐Wook
Lin, Liyong
Moyers, Michael
Mori, Shinichiro
Rottmann, Joerg
Tryggestad, Erik
Vedam, Sastry
author_facet Li, Heng
Dong, Lei
Bert, Christoph
Chang, Joe
Flampouri, Stella
Jee, Kyung‐Wook
Lin, Liyong
Moyers, Michael
Mori, Shinichiro
Rottmann, Joerg
Tryggestad, Erik
Vedam, Sastry
author_sort Li, Heng
collection PubMed
description Dose uncertainty induced by respiratory motion remains a major concern for treating thoracic and abdominal lesions using particle beams. This Task Group report reviews the impact of tumor motion and dosimetric considerations in particle radiotherapy, current motion‐management techniques, and limitations for different particle‐beam delivery modes (i.e., passive scattering, uniform scanning, and pencil‐beam scanning). Furthermore, the report provides guidance and risk analysis for quality assurance of the motion‐management procedures to ensure consistency and accuracy, and discusses future development and emerging motion‐management strategies. This report supplements previously published AAPM report TG76, and considers aspects of motion management that are crucial to the accurate and safe delivery of particle‐beam therapy. To that end, this report produces general recommendations for commissioning and facility‐specific dosimetric characterization, motion assessment, treatment planning, active and passive motion‐management techniques, image guidance and related decision‐making, monitoring throughout therapy, and recommendations for vendors. Key among these recommendations are that: (1) facilities should perform thorough planning studies (using retrospective data) and develop standard operating procedures that address all aspects of therapy for any treatment site involving respiratory motion; (2) a risk‐based methodology should be adopted for quality management and ongoing process improvement.
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spelling pubmed-93067772022-07-28 AAPM Task Group Report 290: Respiratory motion management for particle therapy Li, Heng Dong, Lei Bert, Christoph Chang, Joe Flampouri, Stella Jee, Kyung‐Wook Lin, Liyong Moyers, Michael Mori, Shinichiro Rottmann, Joerg Tryggestad, Erik Vedam, Sastry Med Phys AAPM Scientific Report Dose uncertainty induced by respiratory motion remains a major concern for treating thoracic and abdominal lesions using particle beams. This Task Group report reviews the impact of tumor motion and dosimetric considerations in particle radiotherapy, current motion‐management techniques, and limitations for different particle‐beam delivery modes (i.e., passive scattering, uniform scanning, and pencil‐beam scanning). Furthermore, the report provides guidance and risk analysis for quality assurance of the motion‐management procedures to ensure consistency and accuracy, and discusses future development and emerging motion‐management strategies. This report supplements previously published AAPM report TG76, and considers aspects of motion management that are crucial to the accurate and safe delivery of particle‐beam therapy. To that end, this report produces general recommendations for commissioning and facility‐specific dosimetric characterization, motion assessment, treatment planning, active and passive motion‐management techniques, image guidance and related decision‐making, monitoring throughout therapy, and recommendations for vendors. Key among these recommendations are that: (1) facilities should perform thorough planning studies (using retrospective data) and develop standard operating procedures that address all aspects of therapy for any treatment site involving respiratory motion; (2) a risk‐based methodology should be adopted for quality management and ongoing process improvement. John Wiley and Sons Inc. 2022-01-31 2022-04 /pmc/articles/PMC9306777/ /pubmed/35066871 http://dx.doi.org/10.1002/mp.15470 Text en © 2022 The Authors. Medical Physics published by Wiley Periodicals LLC on behalf of American Association of Physicists in Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle AAPM Scientific Report
Li, Heng
Dong, Lei
Bert, Christoph
Chang, Joe
Flampouri, Stella
Jee, Kyung‐Wook
Lin, Liyong
Moyers, Michael
Mori, Shinichiro
Rottmann, Joerg
Tryggestad, Erik
Vedam, Sastry
AAPM Task Group Report 290: Respiratory motion management for particle therapy
title AAPM Task Group Report 290: Respiratory motion management for particle therapy
title_full AAPM Task Group Report 290: Respiratory motion management for particle therapy
title_fullStr AAPM Task Group Report 290: Respiratory motion management for particle therapy
title_full_unstemmed AAPM Task Group Report 290: Respiratory motion management for particle therapy
title_short AAPM Task Group Report 290: Respiratory motion management for particle therapy
title_sort aapm task group report 290: respiratory motion management for particle therapy
topic AAPM Scientific Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9306777/
https://www.ncbi.nlm.nih.gov/pubmed/35066871
http://dx.doi.org/10.1002/mp.15470
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