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Results for "breath hold": 36 found

A Comparative Analysis of the Dosimetric, Alignment, and Setup Efficiency in Left Breast Cancer Radiotherapy Treated with Dibh Using ABC and Sgrt

Authors: Aaron Conard, Victoria Croog, Marie Gurka, Lan Lin

Affiliation: Johns Hopkins University

Abstract Preview: Purpose:
This study evaluates the utility of the Active Breathing Coordinator (ABC) and Surface Guided Radiation Therapy (SGRT) techniques in implementing Deep Inspiration Breath Hold (DIBH) for le...

A Motion Analysis of Cardiac Substructures for Guiding Stereotactic Arrhythmia Radiotherapy Motion Management

Authors: Hongyu An, Phillip Cuculich, H Michael Gach, Yao Hao, Trevor McKeown, Clifford Robinson, Yuhao Wang, Deshan Yang

Affiliation: Washington University School of Medicine in St. Louis, Washington University School of Medicine, Duke University, Department of Radiation Oncology, Duke University, Washington University in St. Louis, Department of Radiation Oncology, Washington University School of Medicine in St. Louis

Abstract Preview: Purpose: This study investigated cardiac motion characteristics of ventricular tachycardia patients to support patient-specific motion management for stereotactic arrhythmia radiotherapy (STAR) treatm...

A Novel Metric for Predicting Heart Dose Assessment in Left-Sided Breast Cancer Radiotherapy

Authors: Yufeng Cao, Arun Gopal, Kai Huang, Kai Wang

Affiliation: Department of Radiation Oncology, University of Maryland School of Medicine, Department of Radiation Oncology, University of Maryland Medical Center, University of Maryland, Baltimore

Abstract Preview: Purpose: The treatment of left-sided breast tumors poses significant concerns regarding the risk of radiation-induced damage to nearby organs, particularly the heart. In clinical practice, breath-hold...

A Patient-Specific Approach to Surface Guided-DIBH SBRT Candidacy Using Surface Deformation Maps

Authors: Savannah Decker, Grace Gwe-Ya Kim, Laura Padilla

Affiliation: UC San Diego, University of California San Diego

Abstract Preview: Purpose: The success of surface-guided deep-inspiration breath-hold (SG-DIBH) treatments depends on accurate identification of suitable candidates. Sub-optimal patient selection can result in prolonge...

A Pilot Study to Implement a Definitive Breast SBRT Technique

Authors: Charmainne Cruje, Maria Dumol, Nawroz Fatima, Marisa Finlay, Kalaina Johnson, Raman Mohla, Jasleen Uppal

Affiliation: Trillium Health Partners, Carlo Fidani Regional Cancer Centre

Abstract Preview: Purpose: To evaluate the robustness of a breast SBRT protocol in achieving target coverage by utilizing online- and retrospectively-matched CBCT-to-CT images.
Methods: The first pilot patient was s...

Assessment of the Impact of CT Respiratory Motion on PET SUV Quantification through Virtual Imaging

Authors: Ehsan Abadi, Darrin Byrd, Paul E. Kinahan, Katie Marie Olivas, Ehsan Samei

Affiliation: Duke University, Center for Virtual Imaging Trials, Duke University, Clinical Imaging Physics Group, Department of Radiology, Duke University Health System, University of Washington

Abstract Preview: Purpose: To evaluate the impact of respiratory motion during CT acquisitions on PET image quantification using an integrated PET-CT simulation pipeline.
Methods: A validated CT simulator (DukeSim) ...

Breathing New Life into Pulmonary Imaging: Development and Clinical Validation of an X-Ray Interferometry System

Authors: Rachael Blair, Les Butler, Lillian Dickson, Kyungmin Ham, Charles Hartman, Kenneth (Kip) Matthews, Corinne Vanya

Affiliation: Louisiana State University, University of Minnesota, Refined Imaging LLC, Center for Advanced Microstructures and Devices

Abstract Preview: Purpose:
To develop and evaluate an x-ray interferometry system (XIS) for low-dose, high-sensitivity diagnostic imaging of lung diseases such as chronic obstructive pulmonary disease (COPD), asthma...

Can We Use Smaller Margin for the Planned Target Volume with Adaptive Radiotherapy?

Authors: Mahmoud H Abdelgawad, Shahabeddin mostafanazhad Aslmarand, Lili Chen, Xiaoming Chen, Ahmed A. Eldib, Teh Lin, Chang Ming Charlie Ma, Robert A. Price

Affiliation: Physics department, Faculty of science, Al-Azhar University, Fox Chase Cancer Center

Abstract Preview: Purpose: Many modern radiotherapy clinics are moving to online adaptive radiotherapy. A recent upgrade of the CBCT-based adaptive radiotherapy system introduced ultra-high-speed image acquisition. Thi...

Characterisation of Breathing Volumes and Surface Motion for Upright and Supine Treatment Positions

Authors: Sophie Boisbouvier, David Cobben, Anthony L Criscuolo, Michael W. Kissick, Mark Ramtohul, Gordon Sands, Tracy Underwood

Affiliation: University of Surrey, Department of Medical Physics, Queen Elizabeth Hospital, Lung Cancer and Sarcoma Radiotherapy, The Clatterbridge Cancer Centre, Leo Cancer Care, Radiotherapy department, Centre Léon Bérard

Abstract Preview: Purpose:
Pulmonary function tests (PFTs) help assess treatment options for lung cancer patients. Conventionally, these are undertaken upright, whereas radiotherapy is administered supine. This stud...

Comparison of Cine Cardiac Magnetic Resonance (CMR) Imaging Performance: 0.6 T Versus 1.5 T, Is 0.6 T Fit for Purpose?

Authors: Jacinta E. Browne, Tzu Cheng Chao, Ajit Deveraj, Ece Ercan, Tim Leiner, Alessio Perazzolo, Michal Povazan, Jouke Smink, Camilla Vita, Spencer Waddle, Dinghui Wang

Affiliation: Università Cattolica del Sacro Cuore, Philips Healthcare, Mayo Clinic

Abstract Preview: Purpose:
In recent years, mid-field MRI has shown promise to meet the technical demands of cardiac imaging1. Mid-field strengths offer advantages to CMR due to shorter T1-relaxation times, lower sp...

Comparison of Dose Metrics to Critical Heart Substructures for Different Planning Techniques, and Scan Techniques for Right Sided Breast Irradiation

Authors: Wesley A. Belcher, Aidan Burke, Matthew Green, Taylor Stamey

Affiliation: ECU Health, East Carolina University Brody School of Medicine

Abstract Preview: Purpose: The purpose of this study was to determine the effect of using deep inhalation breath hold (DIBH) vs. free breathing (FB) and intensity-modulated radiation therapy (IMRT) vs. 3D for right-sid...

Comparison of Optimized Magnetic Resonance Sequences in the Treatment Planning of Surface Brachytherapy

Authors: Ivan M. Buzurovic, Phillip M. Devlin, Evangelia Kaza, Michael John Lavelle

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 work in surface brachytherapy (SBT) has demonstrated the feasibility of using magnetic resonance (MR)-guidance in place of Computer Tomography (CT) in SBT planning. The purpose of this...

Confidence in a Tattoo-Less Transition

Authors: Laura A. Doyle, Amy S. Harrison, Allyson P Koecher, Jackson D Reeves, Lindsay B Romak

Affiliation: Christiana Care

Abstract Preview: Purpose: Surface guided radiation therapy (SGRT) is increasingly utilized in radiation oncology, allowing for transition away from permanent skin marks to SGRT-based daily treatment setup. Following i...

Contingency Planning for Left-Sided Breast Radiation Treatment Using Breath-Hold Technique with Different Delivery Methods

Authors: Nrusingh C. Biswal, Sally Cheston, Sung-Woo Lee, Weiguang Yao, Baoshe Zhang

Affiliation: Department of Radiation Oncology, University of Maryland School of Medicine

Abstract Preview: Purpose: The deep inspiration breath-hold (DIBH) technique in left breast radiation reduces doses to critical organs such as the heart, left lung, and left anterior descending artery (LAD). With the a...

Determination of Optimal Surface Rois for Sgrt-Guided Dibh Treatment of Abdominal Cancer

Authors: Megan E. Daly, Ajay Fernandez, Ryan D. Hernandez, Soo Kyoung Kim, Arta Monjazeb, Minahal Naveed, Peter C. Park, Jotsna Singh, Payton H. Stone

Affiliation: UC Davis Cancer Center

Abstract Preview: Purpose: To identify optimal deep-inspiration breath-hold (DIBH) surface-guided radiotherapy (SGRT) regions of interest (ROIs) for abdominal stereotactic body radiation therapy (SBRT) treatments.
M...

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 Evaluation of Comprehensive Motion Management in 1.5T MR-Linac for Real-Time Gated Radiotherapy

Authors: Kin Yin Cheung, Chen-Yu Huang, Chi Wah Kong, Ka Ki Lau, Pei-Xiong Li, Pak Hang Nam, Mei Yan Tse, Jierong Wang, Bin Yang, Siu Ki Yu, Jing Yuan, Chi To Yung, Shang Peng Felix Yung

Affiliation: Medical Physics Department, Hong Kong Sanatorium and Hospital, Research Department, Hong Kong Sanatorium and Hospital

Abstract Preview: Purpose: Intrafraction motion management remains a major challenge in magnetic resonance-guided radiotherapy (MRgRT). The recent clinical release of an active motion management system aims to enhance ...

Estimation of Heart Dose in Left Breast Cancer Radiotherapy: Assessment of Vdibh Feasibility Using the Supervised Machine Learning Algorithm

Authors: Rajeev Gupta, Shriram Ashok Rajurkar, Teerthraj Verma

Affiliation: King George's Medical University, King George's Medical University, UP

Abstract Preview: Purpose:
The volunteer deep inspiration breath hold (vDIBH) technique is used to reduce the heart dose in left breast cancer radiotherapy. Many times, it is faced that despite rigorous exercise and...

Evaluating the Readiness for Ultra-Hypofractionated Prostate and Breast Radiotherapy in Sub-Saharan Africa: A Strategic Needs-Assessment of Six Leading African Institutions

Authors: Samuel O. Adeneye, Victoria Susan Ainsworth, Azeezat Ajose, Stephen M. Avery, Munir Awol, Kavuma Awusi, Onyinye Balogun, Rohini Bhatia, Frank Chinegwundoh, Jumaa Dachi Kisukari, Curtiland Deville, Katy Graef, Yao Hao, M. Saiful Huq, Luca Incrocci, Adedayo O. Joseph, Solomon Kibudde, Joerg Lehmann, Heng Li, Abba Mallum, Thokozani Mkhize, Twalib Ngoma, Wilfred Ngwa, Christopher F. Njeh, Janine Simons, William Swanson, Maureen Bilinga Tendwa, Joseph Weygand, Krishni Wijesooriya

Affiliation: Uganda Cancer Institute, Johns Hopkins University, BIO Ventures for Global Health, Weill Cornell Medicine, Washington University School of Medicine, South Africa Health Product Regulatory Authority, University of Pennsylvania, University of Massachusetts Lowell, NSIA-LUTH Cancer Center, University of Lagos, Indiana University School of Medicine, Department of Radiation Oncology, Erasmus Medical Center, Department of Radiation Oncology and Applied Science, Dartmouth Health, Addis Ababa University, Ocean Road Cancer Institute, Emory University, Barts Health NHS Trust, Inkosi Albert Luthuli Central Hospital, Lagos University Teaching Hospital, UPMC Hillman Cancer Center and University of Pittsburgh School of Medicine, University of Virginia School of Medicine, University of Newcastle

Abstract Preview: Purpose: Sub-Saharan Africa continues to face a critical shortage in radiotherapy resources, exacerbating the region’s growing cancer burden. One potential strategy that can partially offset this prob...

Failure Mode and Effects Analysis (FMEA) on Use of Surface Guided Imaging

Authors: Victoria Noelle Bry, Tamara Egan, Eric C. Ford, Angelia Landers, Juergen Meyer

Affiliation: Fred Hutch Cancer Center, University of Washington, Department of Radiation Oncology, Fred Hutchinson Cancer Center, University of Washington, University of Washington

Abstract Preview: Purpose: Surface guided radiation therapy (SGRT) can improve patient safety, however, its complex integration may expose processes to increased risk of error. This work identifies potential failures f...

Free-Breathing VMAT and IMRT Versus Deep Inspiration Breath- Hold 3D-CRT Techniques for Left-Breast Cancer: A Practical Solution for Developing Countries

Authors: Md. Yousuf Ali, Parvin Akhter Banu, Ehteshamul Hoque, Qazi Mushtaq Hussain, Md Jobairul Islam, Md. Abdul Mannan, Sadia Afrin Sarah, Mostafa Aziz Sumon, Ahammad Al Mamun Sweet, AFM Kamal Uddin

Affiliation: Labaid Cancer Hospital & Superspeciality Centre

Abstract Preview: Purpose: Radiotherapy for left-sided breast cancer can induce cardiac injury. Deep Inspiration Breath Hold (DIBH) is a technique that minimizes cardiac exposure during treatment. This study compares d...

High-Fidelity Synthetic CT Generation from CBCT for Dibh Breast Cancer Patients Using Shortest Path Regularization

Authors: Manju Liu, Weiwei Sang, Yanyan Shi, Zhenyu Yang, Fang-Fang Yin, Chulong Zhang, Lihua Zhang, Rihui Zhang

Affiliation: Jiahui International Hospital, Jiahui International Hospital, Radiation Oncology, Duke Kunshan University, Medical Physics Graduate Program, Duke Kunshan University

Abstract Preview: Purpose: This study aims to transform cone-beam computed tomography (CBCT) images acquired from deep inspiration breath-hold (DIBH) breast cancer patients into high-fidelity synthetic CT (sCT) images....

Identifying Candidates for Endobronchial Valve (EBV) Treatment for Patients with Moderate to Severe Emphysema: Exploring the Use of Estimated Lung Elasticity Using a Biomechanically Based Model Derived from CT Image Data

Authors: Ryan Andosca, Peter Boyle, Grace Hyun Kim, Minji Victoria Kim, Michael Vincent Lauria, Michael F. McNitt-Gray, Gabriel Melendez-Corres, Jack Neylon, Brad Stiehl, Pang Yu Teng

Affiliation: David Geffen School of Medicine at UCLA, University of California, Los Angeles, UCLA Department of Radiology, Department of Radiation Oncology, University of California, Los Angeles, UCLA, Cedars-Sinai Medical Center

Abstract Preview: Purpose: Endobronchial Valves (EBV) are one of the few treatment options for patients with moderate to severe emphysema. Eligibility is typically assessed from CT image data analysis including Emphyse...

Impact of Breathing Trace on Gating Uncertainty

Authors: William P. Donahue, Lauren Smith, Shu (Stella) Xing

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: To quantify the dosimetric uncertainty of end-exhale gating as a function of breathing pattern.

Methods: A Truebeam delivered AP square fields to EBT4 film placed in the Quasar MRI4D M...

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...

Lung Mass Variability in Clinical Chest CT Imaging with Automatic Contouring Tool

Authors: Yasaman Anbari, Srinivas Cheenu Kappadath, Benjamin P. Lopez

Affiliation: University of Houston, UT MD Anderson Cancer Center

Abstract Preview: Purpose: To improve lung dosimetry for 90Y-radioembolization planning, CT-based techniques have been proposed for patient-specific lung mass estimation instead of assuming nominal 1 kg lung masses. He...

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...

Python-Based Patient Coaching System for Gated Treatment Delivery

Authors: Usha Robins Abraham, Monique Lockhart Chisem, Alonso N. Gutierrez, Janos Juhasz, Michael Leyva, Carlos M. Rivera, Ranjini P. Tolakanahalli, Vanessa Vega Fleites

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

Abstract Preview: Purpose:
Accurate breath hold (BH) gated treatments rely heavily on patient cooperation. Maintaining consistent breath-hold levels can be challenging for patients. Surface image guidance (SGRT) is ...

Reliable Markerless Lung Tumor Tracking with Built-in Patient-Specific Quality Assurance

Authors: Weixing Cai, Laura I. Cervino, Qiyong Fan, Yabo Fu, Tianfang Li, Xiang Li, Jean M. Moran, Hai Pham, Pengpeng Zhang

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: AAPM Task Group Report 273 emphasizes the importance of rigorous validation to ensure the generalizability and robustness of machine learning-based clinical tools before their implementation ...

Reproducibility of Target Position during Surface-Guided Breath-Hold Adaptive SBRT of Liver Cancer

Authors: Lili Chen, Xiaoming Chen, Chang Ming Charlie Ma, Joshua Meyer

Affiliation: Fox Chase Cancer Center

Abstract Preview: Purpose: Fast CBCT (HyperSight) acquisition technique together with a surface-guided breath-hold (SGBH) would allow a better image quality for accurate target/organ delineation. It facilitates breath-...

Respiratory Monitoring in Human Subjects Using a Low-Cost Optical Imaging System Prototype

Authors: Marian Axente, Mandeep Kaur

Affiliation: Emory University

Abstract Preview: Purpose: To validate a low-cost optical imaging system for respiratory monitoring by comparing its accuracy and feasibility against the clinical gold standard in human subjects.
Methods: Following ...

Retrospective Comparison of Treatment Plan Quality As a Function of Delivery Time for SBRT Thoracic Tumors

Authors: Danielle Renee Daiger, Nicholas N. Sperling

Affiliation: University of Toledo, University of Toledo Medical Center

Abstract Preview: Purpose:
To retrospectively evaluate the impact of planned delivery time on plan quality metrics for breath-hold VMAT SBRT thoracic cancer patients.
Methods:
Patients treated for SBRT thoraci...

Robustness of Deep Learning-Based Motion Compensated 4D-CBCT Reconstruction to out-of-Distribution Data

Authors: Geoffrey D. Hugo, Eric Laugeman, Thomas R. Mazur, Pamela Samson, Kim A. Selting, Zhehao Zhang

Affiliation: University of Illinois, Washington University in St. Louis School of Medicine, WashU Medicine

Abstract Preview: Purpose: To investigate the robustness of a deep learning (DL)-based 4D-CBCT motion-compensated (MoCo) reconstruction method to out-of-distribution data.
Methods: Our developed 4D-CBCT reconstructi...

The Unspoken Impact of Couch Sag on Breathing-Traces Collected during Patient Simulation

Authors: Giorgi Archuadze, William P. Donahue, David Kanchaveli, Shih-Chi Lin, Sebastian Meyer, Grace Tang

Affiliation: Department of Medical Physics, Memorial Sloan Kettering Cancer Center

Abstract Preview: Purpose: Breathing traces captured at simulations are often used for deep-inspiration breath-hold (DIBH) treatments. However, systematic drift can occur in the traces that is unrelated to the patients...

Ultrafast Proton Delivery with Pin Ridge Filters (pRFs): A Novel Approach for Motion Management in Proton Therapy

Authors: Zachary Diamond, Pretesh Patel, Sibo Tian, Yinan Wang, Xiaofeng Yang, David Yu, Ahmal Jawad Zafar, Jun Zhou

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

Abstract Preview: Purpose: Active breath-hold techniques effectively mitigate respiratory motion but poses challenges for patients who are unable to tolerate the procedure. Conventional planning relies on multiple ener...

Using the Liver Dome for Real-Time Respiratory Motion Adaptive Tracking in Cyberknife Stereotactic Body Radiotherapy (SBRT) for Lung Tumors

Authors: Hulya Ozdemir Buss, Julius G. Ojwang, Neelu Soni

Affiliation: Mercy Hospital Springfield

Abstract Preview: Purpose: The CyberKnife (CK) Synchrony system provides sub-millimeter motion-tracking accuracy during stereotactic body radiotherapy (SBRT). For lung tumors near the diaphragm, we evaluated the feasib...