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Results for "10x fff": 63 found

A Comparison of on-Isocenter Vs Off-Isocenter Planning for Lung SBRT on the Viewray Mridian

Authors: Nebi Demez, Shyam Pokharel, Suresh Rana, Lauren A. Rigsby, Tino Romaguera, Nishan Shrestha

Affiliation: Lynn Cancer Institute, Boca Raton Regional Hospital, Baptist Health South Florida

Abstract Preview: Purpose: Treatment plans on the ViewRay MRIdian are often planned with the target placed off isocenter due to the proximity of the bore to the patient, allowing for limited shifts. This is especially ...

A Dosimetric Analysis between Surgically Targeted (STaRT) Radiation Therapy and External Beam Stereotactic Radiation Therapy for Glioblastoma Resection Cavities

Authors: Jamieson Baker, Emel Calugaru, Yijian Cao, Jenghwa Chang, Jessica Jung, Jian Liu, Cindy Pham, Anurag Sharma, John Starner, Ching-Ling Teng, Michael A. Trager, Gabriella Wernicke

Affiliation: Northwell, Northwell Health, Radiation Medicine, Northwell Health, Hofstra University Medical Physics Program

Abstract Preview: Purpose: Our hospital network has options to treat recurrent glioblastoma (GBM) with surgically targeted Cesium-131 brachytherapy, external beam stereotactic radiotherapy (SRT) with Varian TrueBeam, H...

An Analytical Approach to Monitor Unit Calculation in Extended Distance Total Body Irradiation (TBI)

Authors: Cheewai Cheng, Indra J. Das, Jeffrey Yui Hei Wong, Poonam Yadav

Affiliation: Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine

Abstract Preview: Purpose: Radiation treatment machine replacement brings chaos and urgency of timely completion of machine commissioning for every procedure used including TBI that are time consuming. Based on past ex...

An Integrated, Web-Based Tool for Automated Treatment Time Calculations, Data Visualization, and Documentation for Superficial Radiotherapy Using an SRT-100 Vision

Authors: Stephen D. Davis, Alonso N. Gutierrez, Noah S. Kalman, Yongsook C. Lee, Michael Leyva, Alejandro Rene Llanes Lopez, Carlos M. Rivera, Ranjini P. Tolakanahalli

Affiliation: Miami Cancer Institute, Baptist Health South Florida, Miami Cancer Institute, Miami Cancer Institute, Baptist Health

Abstract Preview: Purpose: Accurate treatment time calculation is a critical component of superficial radiotherapy (SRT), particularly for the SRT-100 Vision, where dose delivery depends on applicator geometry, treatme...

Assessment of Automated Planning Templates for Genitourinary and Gastrointestinal Disease Sites for Online MR-Guided Adaptive Radiotherapy

Authors: Shahed Badiyan, Tsuicheng D. Chiu, Viktor M. Iakovenko, Steve Jiang, Christopher Kabat, Mu-Han Lin, Roberto Pellegrini, Arnold Pompos, Edoardo Salmeri, David Sher, Sruthi Sivabhaskar, Justin D. Visak

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, Global Clinical Science, Elekta AB, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center

Abstract Preview: Purpose: Adaptive treatment planning requires robust strategies to enable streamlined on-couch processes, creating a significant barrier for planners transitioning from conventional to adaptive planni...

Automated Treatment Planning Script for Bone Metastases Using Eclipse TPS

Authors: Maria Jose Almada, Bruno Forti, Andres Lima, Carlos Daniel Venencia

Affiliation: Instituto Zunino - Fundacion Marie Curie

Abstract Preview: Purpose:
To automate the planning of radiotherapy treatments for bone metastases using a script in the ECLIPSE planning system version 15.6 with a graphical interface.
Methods:
A script was d...

Characterization, Commissioning, and Clinical Evaluation of a Commercial Beo Optically Stimulated Luminescence (OSL) System

Authors: Brett G Erickson, Joseph P. Kowalski, Xinyi Li, Qiuwen Wu, Sua Yoo

Affiliation: Duke University, Mayo Clinic - Department of Radiation Oncology, Duke University Medical Center

Abstract Preview: Purpose: Characterization and commissioning of the BeO-based myOSLchip system was performed (per TG191) to assess its feasibility as a full replacement for the recalled Landauer aluminum oxide OSL in ...

Clinical Implementation of Volumetric Modulated Arc Therapy (VMAT) for Total Body Irradiation (TBI) with Off-the-Shelf Tools

Authors: Kai-Cheng Chuang, Oana I. Craciunescu, Christopher Kelsey, Joseph Kowalski, Nicole Larrier, Xinyi Li, Sheridan G. Meltsner, Anna E. Rodrigues, Yang Sheng, Qiuwen Wu

Affiliation: Duke University, Duke University Medical Center

Abstract Preview: Purpose: To clinically implement a Volumetric Modulated Arc Therapy (VMAT) procedure for Total Body Irradiation (TBI) with off-the-shelf tools.
Methods: Patient is treated on linac couch with a hyb...

Commissioning Radcalc v7.3 with a Collapsed Cone Calculation Algorithm for 6X FFF and 10X FFF Energies

Authors: Maria Jose Almada, Carlos Bohorquez, Maximiliano Musso, Rosa Petit, Carlos Daniel Venencia, Lucy D. Wolfsberger

Affiliation: LAP, Instituto Zunino - Fundacion Marie Curie

Abstract Preview: Purpose:
PSQA is crucial in maintaining patient safety, typically depending on dosimetric measurements. However, advancements in computational technology have highlighted the growing significance o...

Comparison of Mlc Off-Axis Characteristics for Eclipse AAA v18 and v16 Using Portal Dosimetry

Authors: Junsheng Cao, Khushdeep Singh

Affiliation: Overlook Medical Center

Abstract Preview: Purpose: Eclipse v18 introduces Enhanced Leaf Modeling for MLCs. This study investigates the MLC off-axis characteristics using portal dosimetry
Methods:
MLC characteristics were analyzed for th...

Comprehensive Commissioning of an O-Ring-Shaped Image-Guided Radiotherapy System with a Gimbal-Mounted Linear Accelerator

Authors: Tetsuo Fukuda, Hideaki Hirashima, Kohei Kawata, Yukako Kishigami, Takashi Mizowaki, Mitsuhiro Nakamura, Yohei Sawada, Maika Urago

Affiliation: Kyoto University, kyotoUnivercity, Hitachi high-tech, Department of Radiation Oncology and Image-applied Therapy, Graduate School of Medicine, Kyoto University

Abstract Preview: Purpose: To present the comprehensive commissioning results of the O-ring shaped linac, OXRAY.
Materials and Methods: OXRAY enables a novel three-dimensional unicursal noncoplanar irradiation metho...

Deeptuning: A Deep Learning Dose Prediction Framework for Interactive Plan Tuning

Authors: Mingli Chen, Huan Amanda Liu, Weiguo Lu, Lin Ma

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, Mayo Clinic

Abstract Preview: Purpose: To reduce the back-and-forth in planning process between physicians and dosimetrists resulting from trade-off exploration, we proposed a novel deep learning framework called DeepTuning.
Me...

Dependency of CT Number on Position in the Field-of-View for Single- and Multi-Energy Images Acquired with Energy-Integrating-Detector and Photon-Counting-Detector CT Scanners

Authors: Yanle Hu, Shuai Leng, Cynthia H. McCollough, Maryam Sadeghian, Joe Swicklik

Affiliation: Mayo Clinic Arizona, Mayo Clinic

Abstract Preview: Purpose: To assess the dependency of CT numbers on position in the field-of-view (FOV) using single-energy (SE) and dual-energy (DE) images and energy-integrating detector (EID) and photon-counting de...

Design and Testing of a 3D-Winston-Lutz Phantom to Quantify Isocentricity of Pencil Beam Scanning Proton Therapy Machines

Authors: Imad M. Ali, Nesreen Alsbou, Baraa Kalani

Affiliation: Oklahoma State University, University of Central Oklahoma, University of Oklahoma Health Sciences Center

Abstract Preview: Purpose: To develop a three-dimensional Winston-Lutz phantom to quantify the isocentricity of the gantry, couch, and on-board imager of the MEVION-S250i proton therapy machine.
Methods: A 3D-scinti...

Development and Clinical Validation of Hyperarc Stereotactic Radiosurgery Method for Intraocular Tumors

Authors: Chase Cochran, Damodar Pokhrel, William St Clair

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky, Radiation Medicine

Abstract Preview: Purpose: Currently, intraocular disease is primarily treated via COMS-plaques brachytherapy. Various stereotactic approaches via photons/proton beam have also been implemented (CyberKnife/GammaKnife/p...

Development of a Beam Profile Variation Observation Model for Intensity Modulated Radiotherapy

Authors: Kaile Li

Affiliation: Alexander T. Augusta Miliary Medical Center

Abstract Preview: Purpose: To develop a experimental method in observation of beam profile transfer model in intensity modulated radiotherapy (IMRT).
Methods: A picket fence plan was generated in Eclipse treatment p...

Development of a Knowledge-Based Planning Model for Optimal Trade-Off Guidance in Locally Advanced Non-Small Cell Lung Cancer

Authors: Ming Chao, Hao Guo, Tenzin Kunkyab, Yang Lei, Tian Liu, Kenneth Rosenzweig, Robert Samstein, James Tam, Junyi Xia, Jiahan Zhang

Affiliation: Icahn School of Medicine at Mount Sinai

Abstract Preview: Purpose:
The aim of the study is to develop a trade-off prediction model to efficiently guide the treatment planning process for patients with stage III non-small cell lung cancer (NSCLC).
Metho...

Developments of a Low-Cost Multi-Target Winston-Lutz Phantom and Software for SRS Linac Machines

Authors: Nellie Brovold, Wenbo Gu, Huan Amanda Liu, Lin Ma

Affiliation: University of Pennsylvania, Mayo Clinic

Abstract Preview: Purpose: To develop a low-cost comprehensive QA phantom and software for single-iso multi-target SRS Linac machines. This phantom can perform 1) Winston-Lutz QA test for on-axis and off-axis targets, ...

Direct-to-Unit Dose Calculations for Stereotactic Radiosurgery on a C-Arm Linac with Modern on-Board Imaging Solutions

Authors: Theodore Higgins Arsenault, Kenneth W. Gregg, Lauren E Henke, Rojano Kashani, Haley K Perlow, Alex T. Price, Atefeh Rezaei, Prashant Vempati, Runyon C. Woods

Affiliation: University Hospitals Seidman Cancer Center

Abstract Preview: Purpose: The HyperSight imaging feature on C-arm linacs(HS-CBCT) offers increased CT number accuracy over conventional on-board imaging. The C-arm geometry allows for noncoplanar treatments common to ...

Directional Dependence of Detectors for Beam Profiles and Output Factors in Small Field Dosimetry

Authors: Indra J. Das, Ahtesham Ullah Khan, Andrew J. White

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine

Abstract Preview: Purpose: Small field dosimetry presents challenges due to lateral disequilibrium and the selection of suitable detectors. Volume averaging and density corrections hamper accurate profile measurements....

Dosimetric Assessment of Multicriteria Optimization for Accelerated Partial Breast Irradiation (APBI)

Authors: Alyssa Gadsby, William J. Godwin, Jennifer L. Harper, Daniel G. McDonald, Jean L. Peng, Alek K. Rapchak, Sean A Roles, Austin M. Skinner, Stephanie Tan

Affiliation: Medical University of South Carolina

Abstract Preview: Purpose: Multi-Criteria Optimization (MCO) theoretically allows for increased dose control during optimization. This study is the first to compare standard optimization (SO) and MCO for accelerated pa...

Dosimetric Comparison of 6X and 10X Flattening Filter-Free Photon Beams on a Truebeam Linac Using the Eclipse TPS

Authors: Carlos E. Cardenas, Udbhav S. Ram, Marcin Wierzbicki

Affiliation: The University of Alabama at Birmingham, University of Alabama at Birmingham, Juravinski Cancer Centre

Abstract Preview: Purpose:
This study aims to systematically evaluate the dosimetric properties and delivery efficiency of 6X-FFF and 10X-FFF beams for lung SBRT on the Varian TrueBeam STx using the Eclipse TPS 16.1...

EPR Oximetry for Hypoxia Assessment in Deep Tissues Using Oxytrack

Authors: Maciej M. Kmiec, Periannan Kuppusamy, Ryan C. O'Connell, Sergey V. Petryakov, Conner Ubert

Affiliation: Dartmouth College

Abstract Preview: Purpose: The rigid needle-like EPR sensor, OxyTrack, was developed to provide minimally invasive, reliable, and quantitative measurements of oxygen distribution (pO2) in deep tissues. EPR oximetry's c...

Evaluating Pulse Normalization for Enhanced Ion Chamber Signal Correction in Relative Dosimetry during Beam Scanning

Authors: Alejandro Cuadra, Paulina E. Galavis, Juan Leal, Enrique Lozano, Franklin Reggio, Gabriel Zelada

Affiliation: Clínica Iram, Clinica Alemana, Hospital Clínico de Magallanes, E&G Medical Systems Ltda, NYU Langone Health

Abstract Preview: Purpose: To investigate and compare the new method “Pulse Normalization” proposed by Sun Nuclear to correct ion chamber signal for fluctuations in the accelerator output while performing relative dosi...

Evaluation of the Latest Plastic Scintillating Detector System with Probe Sizes of 0.5 × 0.5 mm2 and 1.0 × 1.0 mm2 for Small Field Dosimetry

Authors: Milad BaradaranGhahfarokhi, Ashley Elizabeth Bonner, James R. Burns, Annie Cooney, George X. Ding, Kenneth L. Homann, Guozhen Luo

Affiliation: Corewell Health William Beaumont University Hospital, Vanderbilt University Medical Center

Abstract Preview: Purpose: The goal of this study was to evaluate the performance of a new plastic scintillating detector (PSD) system with 0.5×0.5 mm2 and 1.0×1.0 mm2 probes (referred to as Medscint0.5 and Medscint1.0...

Feasibility and Consistency of a Quad Wedge with a 2D Detector Array for Routine Quality Assurance on a MR-Linac

Authors: Grace Hutchinson, Daniel E. Hyer, Samuel D. Rusu, Blake R. Smith, Joel J. St-Aubin

Affiliation: Iowa Health Care, University of Iowa

Abstract Preview: Purpose: To assess the feasibility and consistency of the Sun Nuclear Corporation (SNC) MR conditional Quad Wedge, as an accessory to the IC Profiler-MR, and to evaluate beam output and energy in the ...

Free Radical Irradiation Emergent (FIRE) MRI: Real-Time MR-Based Quantification of Radiation-Produced Free Radical Generation on a Clinical MR-Linac

Authors: Claire Keun Sun Park, Atchar Sudhyadhom, Veena Venkatachalam, Noah Warner

Affiliation: Harvard–MIT Program in Health Sciences and Technology, Massachusetts Institute of Technology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School,, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School

Abstract Preview: Purpose: Modern radiotherapy achieves sub-millimeter spatial accuracy but fails to account for patient- and spatially-specific variations in biological response. Free radical generation (FRG), particu...

High-Fidelity Monte-Carlo Model Development and Validation of a 0.5T Bi-Planar Linac-MR Using Topas: Multileaf Collimator Modeling, Positioning, and Dose Verification in Slab Phantoms

Authors: B. Gino Fallone, Alireza Gazor, Andrei D. Ghila, Gawon Han, Patricia A. K. Oliver, Michael W. Reynolds, Keith D. Wachowicz, Tania Rosalia Wood, Shima Y. Tari, Eugene Yip

Affiliation: Medical Physics Division, Department of Oncology, University of Alberta, Nova Scotia Health, Dept. of Medical Physics and Dalhousie University, Dept. of Physics and Atmospheric Science, Dept. of Radiation Oncology, Dept. of Medical Physics, Cross Cancer Institute and Dept. of Oncology, University of Alberta; MagnetTx Oncology Solutions, www.magnetTX.com, Department of Medical Physics, Arthur J. E. Child Comprehensive Cancer Centre, Dept. of Medical Physics, Cross Cancer Institute and Dept. of Oncology, University of Alberta, Department of Medical Physics, BC Cancer, Medical Physics Division, Department of Oncology, University of Alberta and Department of Medical Physics, Cross Cancer Institute

Abstract Preview: Purpose: To develop and validate a high-fidelity Monte-Carlo (MC) model of a 0.5T bi-planar Linac-MR in TOPAS, focusing on accurate Multileaf Collimator (MLC) modelling and positioning for open apertu...

Image Guidance for Mitigating the Impact of Table Walkout on Delivered Dose in Non-Coplanar Stereotactic Radiotherapy

Authors: William E Burrell, Philip F. Durham, Anne N Hubbard, Yohan Akeakamai Walter, Hsinshun Terry Wu

Affiliation: Willis Knighton Cancer Center

Abstract Preview: Purpose: Linear accelerator (LINAC)-based single-isocenter, multi-target (SIMT) treatment has streamlined the stereotactic radiosurgery (SRS) workflow. However, off-isocenter treatment carries multipl...

Impact of IMRT Beam Scatter and Electronic Noise on Real-Time Kv and Fluoroscopy Image Quality

Authors: Wei Luo, Cameron Thayer-Freeman, Yifeng Zhao

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky

Abstract Preview: Purpose: Real-time Kilovoltage (kV) imaging has emerged as a powerful clinical aid, providing high-precision localization of moving targets during treatment. However, the Megavoltage (MV) treatment be...

Impact of Ion Chamber Selection on Enhanced Leaf Modeling Predictions of Dosimetric Leaf Gap and Leaf Transmission Factors

Authors: Michael Ashenafi, Nicholas Becerra Espinosa, Mario Ramos Gallardo, Matthew Pacella, Sean M. Tanny

Affiliation: Department of Radiation Oncology, University of Rochester

Abstract Preview: Purpose: A new multileaf collimator (MLC) model has been introduced in Varian Eclipse v18.0, with the treatment planning system (TPS) explicitly modeling the leaf end effects. The vendor recommends a ...

Impact of Jaw Reproducibility and Source Occlusion on Small Field Dosimetry

Authors: Mylinh Dang, Indra J. Das, George X. Ding, Ahtesham Ullah U Khan, Andrew J. White

Affiliation: Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Northwestern Medicine, Vanderbilt University Medical Center

Abstract Preview: Purpose: The large variability in field output factor (FOF) observed among various studies is speculated to be due to uncertainty in jaw reproducibility that is linked directly with source occlusion. ...

Impact of Lung Density on Plan Quality and Delivery Parameters in Lung Stereotactic Body Radiation Therapy (SBRT) Plans

Authors: David Chighvinadze, Indra J. Das, Jeremy D. Donaghue, Kevin Stephans, Gregory Videtic, Sugandima Weragoda, Ping Xia

Affiliation: Cleveland Clinic, Cleveland Clinic Sandusky, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, Cleveland Clinic Fairview

Abstract Preview: Purpose:: Evaluate the impact of lung density variations on plan quality and delivery parameters in lung SBRT Plans.
Methods: For a hypothetical case with a real patient anatomy, three GTVs with vo...

Impact of Patient Size on the Choices of Dual and Single Energy CT for Accurate Liver Fat Volume Fraction Quantification

Authors: Xinhua Li, Jie Zhang, Yifang (Jimmy) Zhou

Affiliation: University of Kentucky, Cedars-Sinai Medical Center

Abstract Preview: Purpose: Fat volume fraction (FVF) is an important biomarker for non-alcoholic fatty liver disease. CT can be a good modality for FVF assessment if the accuracy is adequate. We aimed to study the impa...

Impact of Photon Beam Energy and Symmetry on the Radial Profile Correction Factor for FFF Beams

Authors: Wesley S. Culberson, Larry A. DeWerd, Ahtesham Ullah Khan, Zachary James Welchel

Affiliation: Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin - Madison, University of Wisconsin-Madison

Abstract Preview: Purpose: Flattening filter free (FFF) linac beams exhibit a centrally peaked beam profile due to the forward-directed bremsstrahlung production from MeV electrons, leading to volume averaging effects ...

Impact of Respiratory Motion and MRI Sequences on Tumour Volume Determination in MR-Guided Radiotherapy

Authors: Kin Yin Cheung, Chen-Yu Huang, Chi Wa Kong, Pei-Xiong Li, Pak Hang Nam, Bin Yang, Siu Ki Yu, Chi To Yung

Affiliation: Medical Physics Department, Hong Kong Sanatorium and Hospital

Abstract Preview: Purpose:
The Elekta Unity system facilitates daily adaptive radiotherapy using MRI-based treatment planning. However, MR images are prone to motion artefacts caused by respiratory motion, potential...

Impact of Six Degrees of Freedom Intrafraction Motion on Target Coverage for Single-Isocenter Multi-Target Stereotactic Radiosurgery

Authors: Anupama Chundury, Hyejoo Kang, John C. Roeske, Iris A. Rusu

Affiliation: Loyola University Medical Center, Department of Radiation Oncology, Stritch School of Medicine, Loyola University Chicago, Stritch School of Medicine Loyola University Chicago, Cardinal Bernardin Cancer Center, Loyola University Chicago

Abstract Preview: Purpose: To quantify the dosimetric impact of six degrees of freedom (6DoF) intrafractional errors on gross tumor volume (GTV) and planning target volumes (PTV) for single-isocenter multi-target stere...

Impact of Source-to-Imager Distance on Patient-Specific Quality Assurance Using Epid

Authors: Hajee Reyaz Ali Sahib, Sangeeta Hazarika, Muthukumaran Manavalan, Jaswin Raj, Daya Nand Sharma, Seema Sharma, Subramani Vellaiyan

Affiliation: AIIMS NCI Jhajjar, PTW North America Corporation, All India Institute of Medical Sciences

Abstract Preview: Purpose:
Purpose is to investigate the effect of extended source-to-imager distances (SID) on the resolution of VMAT patient-specific quality assurance (PSQA) in portal dosimetry (PD).
Methods:<...

Improving the Robustness of AI-Based Detection and Segmentation for Brain Metastasis By Optimizing Loss Function and Multi-Dataset Training

Authors: Omar Awad, Alfredo Enrique Echeverria, Issam M. El Naqa, Daniel Allan Hamstra, Yiding Han, Ryan Lafratta, Abdallah Sherif Radwan Mohamed, Piyush Pathak, Zaid Ali Siddiqui, Baozhou Sun, Vincent Ugarte

Affiliation: H. Lee Moffitt Cancer Center, Harris Health, Baylor College of Medicine

Abstract Preview: Purpose:
Accurate detection and segmentation of brain metastases are critical for diagnosis, treatment planning, and follow-up imaging but are challenging due to labor-intensive manual assessments ...

Initial Comparison of 3D CBCT Performance: New Mobile C-Arm Vs. O-Arm Unit

Authors: Wendy Siman, Wei Zhou

Affiliation: University of Colorado Anschutz Medical Campus, School of Medicine

Abstract Preview: Purpose:
To compare the image quality and radiation dose of 3D cone-beam CT modes of a mobile C-arm and an O-arm unit for intraoperative imaging.
Methods:
A 50-µm tungsten wire was imaged at ...

Investigating the Effect of Beam Flattening Filter on Dose Estimated with Varian’s Original and Enhanced Mlc Models

Authors: Kenny Guida, Hongyu Jiang, Harold Li, Hem Bahadur Moktan Tamang

Affiliation: University of Nebraska Medical Center, Department of Radiation Oncology, University of Kansas Medical Center

Abstract Preview: Purpose: Varian Eclipse v18.0 introduced Enhanced Leaf Model (ELM) of MLC, which provides better dose calculation accuracy than original DLG-based MLC model. The leaf-gap (LG) parameter for ELM repres...

Investigation of Treatment Planning System (TPS) Algorithms for Helical Tomotherapy Total Body Irradiation (TBI)

Authors: John T Barrett, Chulhaeng Huh, Farshad Mostafaei, Michelle Rocque, Austin Sanders

Affiliation: Department of Radiation Oncology, Medical College of Georgia, Augusta University, Department of Radiation Oncology, Augusta University, Georgia Radiation Therapy Center, Wellstar-MCG Health

Abstract Preview: Purpose: This study involved the use of Accuray’s TPS (Precision) and RayStation TPS for planning TBI treatments. TBI was delivered using Accuray’s Radixact machine, and dose calculation algorithm, do...

LD-V1 Film Characterization for MV Beam Quality

Authors: Ruiming Chen Edmondson, Darwin Abraham Garcia, James A. Kavanaugh, Joseph John Lucido

Affiliation: Mayo Clinic

Abstract Preview: Purpose: Characterize the dose response and reproducibility of a low-dose film for 6 MV photon beam and assess the film’s energy dependence between kV and MV energies.
Methods: A single 8’x10’ LD-V...

Maximizing Integrated Treatment Planning Tools to Increase Automation for X-Ray-Based Adaptive Lung Sabr

Authors: Shahed Badiyan, Chien-Yi Liao, Mu-Han Lin, David D.M. Parsons, Justin D. Visak, Brien Timothy Washington, Kenneth Westover, Yuanyuan Zhang

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab & Department of Radiation Oncology, UT Southwestern Medical Center, Department of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX

Abstract Preview: Purpose: Adaptive radiotherapy (ART) programs are resource-intensive due to their technical complexities, requiring highly skilled planners. Leveraging integrated automated treatment planning system (...

Monitor Unit (MU) Substructure Analysis for Low MU Deliveries

Authors: Indra J. Das, Ahtesham U. Khan, Andrew J. White, Poonam Yadav

Affiliation: Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine

Abstract Preview: Purpose: During intensity modulated radiotherapy (IMRT) planning, low MU segments (< 3 MU) are commonly avoided due to documented dosimetric nonlinearity and poor reproducibility. This work aims to ex...

Monte Carlo Verification of Field-Size Dependent Backscatter Effect in Superficial HDR Brachytherapy

Authors: Mandar S. Bhagwat, Casey Y. Lee

Affiliation: Duke University, Massachusetts General Hospital and Harvard Medical School

Abstract Preview: Purpose: TG43-based dose calculation leads to inaccurate field-size dependent dose calculation in superficial HDR brachytherapy, due to full-scatter condition accounted in TG43, but not during treatme...

Novel Automatic Detection of Surface Brachytherapy Applicators and Catheters on Vibe MR Images

Authors: Ivan M. Buzurovic, Evangelia Kaza

Affiliation: Department of Radiation Oncology, Dana-Farber/Brigham and Women’s Cancer Center, Harvard Medical School, Brigham and Women's Hospital, Harvard Medial School, Dana-Farber Cancer Institute, Department of Radiation Oncology

Abstract Preview: Purpose: Recent advances allow for depiction of surface brachytherapy flap applicators using MRI, with empty catheters detected by signal intensity reduction. As manual catheter detection is subjectiv...

Off-Axis Dependency of the Sun Nuclear MapCheck3 Diode Array

Authors: Alyssa Gadsby, William J. Godwin, Daniel G. McDonald, Jean L. Peng, Alek K. Rapchak, Sean A Roles, Austin M. Skinner, Stephanie Tan

Affiliation: Medical University of South Carolina

Abstract Preview: Purpose: The Sun Nuclear MapCheck3 device is used for patient-specific QA. While it is typically employed in perpendicular field-by-field delivery using the Isocentric Mounting Fixture, fields not ful...

Photon-Counting CT Versus Dual Energy CT for Liver Fat Volume Fraction Assessment

Authors: Chao Guo, Xinhua Li, Michael F. McNitt-Gray, Di Zhang, Yifang (Jimmy) Zhou

Affiliation: UCLA, David Geffen School of Medicine at UCLA, Cedars-Sinai Medical Center

Abstract Preview: Purpose: The objective was to quantify the liver fat volume fraction (FVF) with virtual monochromatic imaging (VMI) using photon-counting CT (PCCT) and dual energy CT (DECT).
Methods: A custom desi...

Preplanning Physics Consultation with Voxelized EQD2: A Proactive Approach for Streamlined Dose Management in High-Risk Re-Irradiation Patients

Authors: Katja M. Langen, Mark McDonald, Bill Stokes, Yinan Wang, Suk Whan (Paul) Yoon

Affiliation: Emory University, Department of Radiation Oncology and Winship Cancer Institute, Emory University

Abstract Preview: Purpose: Effective dose management in high-risk re-irradiation (ReRT) patients entails early, detailed special physics consultation (SPC) to mitigate risks from cumulative radiation dose. SPCs have tr...

Presenting a Novel Treatment Scheme for Debulking Unresectable Large Tumors: Feasibility, Safety and Patient Reported Early Clinical Outcomes of SBRT Immediately Post-Spatially Fractionated Radiotherapy Delivery

Authors: James Knight II, Joshua Misa, Damodar Pokhrel, William St Clair, Eddy S Yang

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky, Radiation Medicine

Abstract Preview: Purpose: Highly-heterogenous sieve-like dose distribution via SFRT to large/bulky tumors (≥6 cm) could enhance tumor cell-death via both direct/indirect cell-kill mechanisms. Adding highly-conformal S...

Robustness Evaluation of Aperture Shape Controller in Postmastectomy Radiotherapy of Breast Cancer Using Volumetric Modulated Arc Therapy

Authors: Yukio Fujita, Satoshi Ishikura, Fumiki Ito, Yujiro Nakajima, Takumi Sakamoto, Naoki Tohyama, Ryohei Yamauchi

Affiliation: Komazawa University Graduate School, St. Luke's International Hospital

Abstract Preview: Purpose: The aperture shape controller (ASC) is an Eclipse feature that increases muti-leaf collimator (MLC) aperture size. This study aimed to evaluate the effects of ASC settings on the robustness o...

Safety of Off-Axis Treatment for Selection of Optimal Beam Angles in SBRT of the Posteriorly Located Lung Lesions

Authors: Reza Farjam, Russell K Hales, Todd R. McNutt, Mohammad Rezaee, Ehsan Tajikmansoury, K. Ranh Voong

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Johns Hopkins University

Abstract Preview: Purpose: Optimal beam angles and off-axis isocenter selection are important to achieve high quality plan and collision-free delivery in stereotactic body radiotherapy (SBRT) of the posteriorly located...

Stereotactic Body Radiosurgery for Refractory Ventricular Tachycardia: Presenting Efficient Clinic Workflow, Dosimetric Analysis and Patients Reported Clinical Results

Authors: Karam Ayoub, Aaron B Hesselson, Ronald C McGarry, Joshua Misa, Damodar Pokhrel

Affiliation: University of Kentucky, Department of Radiation Medicine, University of Kentucky, Department of Cardiology

Abstract Preview: Purpose: Noninvasive stereotactic body radiosurgery (SBRS) is emerging treatment option for advanced heart failure patients with refractory-ventricular tachycardia (rVT) who experienced recurrent impl...

Synthetic Vs. Conventional Planar Imaging: Performance and Clinical Feasibility

Authors: Jennifer Kwak, Chelsea Manica, Justin K. Mikell, Michael Silosky, Wendy Siman

Affiliation: Washington University School of Medicine in St. Louis, University of Colorado Anschutz Medical Campus, School of Medicine, Rocky Vista University

Abstract Preview: Purpose:
This study evaluates synthetic planar imaging (synP) from SPECT projections against conventional planar imaging, focusing on detectability, spatial resolution, and feasibility. SynP allows...

Target Region-Specific Dose-Volume Parameters for Estimate of Brain Toxicity in Single-Isocenter Multiple-Metastases Linac-Based Stereotactic Radiosurgery

Authors: David L. Barbee, Jose R. Teruel Antolin, Jinyu Xue

Affiliation: NYU Langone Health

Abstract Preview: Purpose: This work introduces a method of regional dose evaluation of normal brain tissue using local target-specific evaluation and compares to global dose evaluation for linac-based single-isocenter...

Towards Optimal Target Dose Conformity and Dose Drop-Off: Evaluation of a New Optimization Approach for Biology-Guided Radiotherapy Treatment Planning

Authors: Grant Gibbard, Chunhui Han, An Liu

Affiliation: RefleXion Medical, Department of Radiation Oncology, City of Hope National Medical Center

Abstract Preview: Purpose: To evaluate the efficacy of a new approach to streamline treatment planning for biology-guided radiotherapy (BgRT) of fluorodeoxyglucose (FDG)-avid bony lesions on a BgRT machine with real-ti...

Tumor Dose Escalation for Recurrent Head and Neck SRT Via a Hyperarc-Based Rapidplan Model

Authors: Shane McCarthy, Damodar Pokhrel, William St. Clair, Eddy S Yang

Affiliation: University of Kentucky, Department of Radiation Medicine

Abstract Preview: Purpose: Demonstrating the feasibility of dose escalation for stereotactic recurrent head and neck (RHN) cancers through the deployment of a Hyper-Arc Based RapidPlan (HARP) model through an Eclipse S...

Two's Company, Three's a Crowd? a Bayesian Approach to Optimizing the Number of Measurement Readings in Radiation Therapy QA

Authors: Siyong Kim, Ava Paek, Joseph B. Schulz, James J. Sohn, Eric D. Stolen, Ethan D. Stolen

Affiliation: Department of Radiation & Cellular Oncology, University of Chicago, University of Central Florida, Virginia Commonwealth University, Department of Radiation and Cellular Oncology, University of Chicago, Department of Radiation Oncology, Stanford University School of Medicine

Abstract Preview: Purpose: The American Association of Physicists in Medicine Task Group 142 (AAPM TG-142) guidelines recommend three measurements during monthly quality assurance to keep results within two standard de...

Ultra-Fast Commissioning and Quality Assurance with Plastic Scintillation Detector

Authors: Saad Bin Saeed Ahmed, Marcos Feijoo, Wazir Muhammad, Charles Shang, Naseem Ud Din

Affiliation: South Florida Proton Therapy Institute, Miami Cancer Institute, Blue Physics LLC, Florida Atlantic University

Abstract Preview: Purpose: Accurate, efficient, and reliable commissioning of linear accelerator (LINAC) is critical for ensuring high-quality radiation therapy treatments. The study uses advanced detector technology a...

Using a-Si 1200 Epid Portal Dosimetry for VMAT Commissioning

Authors: Ryan Burri, Nazanin Hoshyar, Jerry W. McCoy, Yulin Song, Huma Syed

Affiliation: Bay Pines VA Medical Center

Abstract Preview: Purpose: The study aimed to streamline traditionally manual, iterative, and time-consuming VMAT commissioning process. The goal was to identify an optimal set of MLC dosimetric parameters that minimiz...

Validation of an Independent Dose Calculation Software for ZAP-X Stereotactic Radiosurgery

Authors: Michael Evan Chaga, Timothy Chen, Shabbar Danish, Jesse Feng, Joseph Hanley, Georg A. Weidlich

Affiliation: Zap Surgical, Tenafly High School, Jersey Shore University Medical Center

Abstract Preview: Purpose: ZapMU is the first independent monitor unit check software freely available supporting ZAP-X. In this study, the validation of ZapMU for independent check of dose calculation is performed, ut...

Variations in Radiation Isocenter Offsets from the Winston-Lutz Test Performed on Different Photon Energies

Authors: Cambridge L Bui-Nguyen, Alexander S. Nguyen, Liqiang (Lee) Tao

Affiliation: Varian AOS @Epic Care, UC Berkeley

Abstract Preview: Purpose: To quantity variations in Winston Lutz (WL) test results due to different energies used in SBRT, SRT or SRS.
Methods: A WL phantom with a 6.4 mm diameter center radio-opaque sphere is used...