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Results for "gamma knife": 29 found

A 3D Printed Ion Chamber Insert Solution for Absolute Dosimetry with Varying Ionisation Chambers in Radiosurgery.

Authors: Shashanksharad Kale, Gopishankar Natanasabapathi, Daya Nand Kishore Sharma

Affiliation: All India Institute of Medical Sciences (AIIMS), Department of Radiation Oncology, All India Institute of Medical Sciences

Abstract Preview: Purpose:
The study demonstrates a novel 3D printing method to fabricate an ion chamber insert (ICI) for absolute dosimetry purpose in gamma knife radiosurgery (GKRS).
Methods:
Our institute u...

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...

A Motion Tracking Quality Assurance Platform for the Leksell Gamma Knife Hdmm System

Authors: Tsuicheng D. Chiu, Strahinja Stojadinovic, Aaron Thomlinson, You Zhang

Affiliation: Department of Radiation Oncology, UT Southwestern Medical Center, Medical Artificial Intelligence and Automation (MAIA) Lab, Department of Radiation Oncology, UT Southwestern Medical Center, The University of Texas Southwestern Medical Center, University of Texas Southwestern Medical Center

Abstract Preview: Purpose: Design and develop an automated verification and validation platform for the Elekta Leksell Gamma Knife (GK) Icon/Esprit High-Definition Motion Management (HDMM) system.

Methods: The H...

A Pilot Survey on Medical Physics Residency Education in External Beam Special Procedures

Authors: Courtney R. Buckey, Jay W. Burmeister, Minsong Cao, Grace Chang, Yu Kuang, Yixiang Liao, Yi Rong, Dandan Zheng

Affiliation: Mayo Clinic, Mayo Clinic Arizona, Karmanos Cancer Center, Gershenson ROC, Wayne State University School of Medicine, Department of Radiation Oncology, University of California, Los Angeles, Medical Physics Program, University of Nevada, Rush University Medical Center, University of Rochester

Abstract Preview: Purpose: Investigate the adequacy of training for therapeutic medical physics residents in select special procedures.
Methods: After a review of existing literature, a multi-institutional group dev...

Adapting Newer Treatment Planning Strategy for Uveal Melanoma Cases Using Gamma Knife Radiosurgery

Authors: Deepak Agrawal, Subhash Gupta, Shashanksharad Kale, Gopishankar Natanasabapathi, Manoj Phalak, Dhanabalan Rajasekaran, Surendra Kumar Saini, Subramani Vellaiyan

Affiliation: All India Institute of Medical Sciences (AIIMS), All India Institute of Medical Sciences

Abstract Preview: Purpose:
To evaluate planning strategy for uveal melanoma tumor (UM) in gamma knife stereotactic radiosurgery (GKSRS) using Lightning inverse planning software for treatment planning.
Methods:

An Advanced Automated Pipeline for Brain Tumor Segmentation on MRI Images in Gamma Knife Radiotherapy

Authors: Zachery Colbert, Matthew Foote, Michael Huo, Mark Pinkham, Prabhakar Ramachandran, Mihir Shanker

Affiliation: Radiation Oncology, Princess Alexandra Hospital, Ipswich Road, Princess Alexandra Hospital

Abstract Preview: Purpose: The study aimed to develop and implement deep learning-based autosegmentation models for the autosegmentation of four key tumor types: brain metastasis, pituitary adenoma, vestibular schwanno...

Auto-Contouring of OAR Enhances Patient Safety and Workflow in Gamma Knife Stereotactic Radiosurgery

Authors: Sven Ferguson, S. Murty Goddu, Ana Heermann, Taeho Kim, Nels C. Knutson, Hugh HC Lee, Shanti Marasini, Timothy Mitchell, Seungjong Oh, Kevin Renick

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

Abstract Preview: Purpose: In the Gamma Knife stereotactic radiosurgery (GK-SRS), the delineation of organs-at-risks (OARs) was not fully automated. Due to the cumbersome nature of manual OAR contouring, dose evaluatio...

Clinical Outcomes of Gamma Knife Stereotactic Radiosurgery Treatments for Intracranial Arteriovenous Malformations & Fistulas: A Single Institutional Retrospective Study

Authors: Madeleine Arbogast, David Dorndos, Denise E Foltz, Justin Fraser, Damodar Pokhrel, William St Clair

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

Abstract Preview: Purpose: For stereotactic radiosurgery (SRS) treatments of intracranial arteriovenous malformations (AVM) and fistulas (AVF), same-day Leksell Gamma Knife (GK) is the preferred modality. Long-term cli...

Commissioning and Validation of a Commercially Available 3D Linear Stage Device for Gamma Knife Hdmm QA

Authors: Alonso N. Gutierrez, Matthew D. Hall, Rupesh Kotecha, Yongsook C. Lee, Michael W. McDermott, Minesh P. Mehta, Ranjini P. Tolakanahalli, D. Jay J. Wieczorek

Affiliation: Miami Cancer Institute, Baptist Health South Florida

Abstract Preview: Purpose: The objective of this study is to systematically evaluate and validate the performance of a commercially available 3D Linear stage device as a quality assurance (QA) tool to validate position...

Comparison of Frame-Based and Frameless Gamma Knife Coordinate Spaces for Treatment of Trigeminal Neuralgia

Authors: Tatiana Bejarano, Omer Gal, Alonso N. Gutierrez, Matthew D. Hall, Rupesh Kotecha, Yongsook C. Lee, Michael W. McDermott, Minesh P. Mehta, Robert H. Press, Carlos M. Rivera, Ranjini P. Tolakanahalli, D. Jay J. Wieczorek

Affiliation: Miami Cancer Institute, Baptist Health South Florida

Abstract Preview: Purpose:
Gamma Knife (GK) cone beam computed tomography-based stereotactic reference (CBCTRef) combined with pre-planning MRI, provides a flexible alternative to the historical frame-based localiza...

Deep Learning-Based Plan Quality Prediction for Gamma Knife Radiosurgery of Brain Metastases

Authors: Chih-Wei Chang, Runyu Jiang, Mark Korpics, Yuan Shao, Aranee Sivananthan, Zhen Tian, Ralph Weichselbaum, Xiaofeng Yang, Aubrey Zhang, Xiaoman Zhang

Affiliation: Department of Radiation & Cellular Oncology, University of Chicago, University of Chicago, Department of Physics, University of Chicago, Emory University, Department of Radiation Oncology and Winship Cancer Institute, Emory University, School of Public Health, University of Illinois Chicago

Abstract Preview: Purpose: Gamma Knife (GK) plan quality can vary significantly among planners, even for cases handled by the same planner. Although plan quality metrics such as coverage, selectivity, and gradient inde...

Design and Use of a Modified Commercial Phantom for Gamma Knife End-to-End Testing

Authors: Edward A. Opalko, Matthew B. Podgorsak, Dheerendra Prasad

Affiliation: Roswell Park Comprehensive Cancer Center

Abstract Preview: Purpose: To design a 3D printed insert for Varian’s SRS Head Phantom that allows for multi-planar film dosimetry and to evaluate its ability in end-to-end testing for Gamma Knife treatments.
Method...

Determining the Effect of Motion during Gamma Knife Stereotactic Radiosurgery on Anterior and Posterior Lesions Using an Anthropomorphic Phantom

Authors: Guang-Pei Chen, Nitish Chopra, Juan A. Garcia-Alvarez, Mi Huang, Slade J. Klawikowski, Haidy G. Nasief, George A. Noid, Abdul Parchur, Eric S. Paulson, Christina M. Sarosiek, Christopher Schultz

Affiliation: Department of Radiation Oncology, Medical College of Wisconsin

Abstract Preview: Purpose: During routine delivery of mask-based Gamma Knife (GK) SRS, motion is tracked via the position of a reflective sticker placed on the patient’s nose relative to two stationary reflectors on th...

Development of a Deep Learning Model for Accurate Brain Dose Prediction in Multi-Target Stereotactic Radiosurgery Plan Evaluation

Authors: Wenchao Cao, Yingxuan Chen, Haisong Liu, Wenyin Shi, Wentao Wang, Lydia J. Wilson, Zhenghao Xiao

Affiliation: Thomas Jefferson University

Abstract Preview: Purpose: Multi-target stereotactic radiosurgery (SRS) planning poses challenges due to complex geometries, small target volumes, and steep dose gradients. Achieving a balance between target coverage a...

Dose Reconstruction from Prompt-Gamma Imaging Towards Real-Time Adaptive Proton Therapy

Authors: Thomas R. Bortfeld, Prof. Elisabetta De Bernardi, Tianxue Du, Beatrice Foglia, Chiara Gianoli, Takamitsu Masuda, Katia Parodi, Marco Pinto, Boon-Keng Kevin Teo, Yunhe Xie

Affiliation: Department Of Radiation Oncology, Massachusetts General Hospital (MGH), School of Medicine and Surgery, University of Milano-Bicocca, Department of Medical Physics, Ludwig-Maximilians-Universität München (LMU Munich), Department of Medical Physics, Ludwig-Maximilians-Universität (LMU) München, National Institutes for Quantum Science and Technology (QST), University of Pennsylvania, Department of Experimental Physics - Medical Physics, Ludwig-Maximilians-Universität (LMU) München

Abstract Preview: Purpose: The full potential offered by protons in clinical practice is limited by range uncertainties. One possibility for monitoring is through secondary prompt gammas (PG). PG emission along the pen...

Dosimetry of Gamma Knife Stereotactic Radiosurgery Tissue Heterogeneity Corrections for Pituitary Adenomas

Authors: James M. Brindle, Gene A. Cardarelli, Alexis Leuci, Mark J. Rivard

Affiliation: Warren Alpert Medical School of Brown University

Abstract Preview: Purpose: Leskell GammaPlan (LGP) is equipped with the Collapsed Cone Convolution (CCC) and TMR10 calculation algorithms. Use of the CCC algorithm accounts for tissue heterogeneities not considered in ...

EBT4 Film Dosimetry and the Significance of the ¼ Fwhm Rule for Gamma Knife Output Factors

Authors: Jingying Lin, Stevan Pecic, Strahinja Stojadinovic

Affiliation: University of Belgrade, The University of Texas Southwestern Medical Center

Abstract Preview: Purpose: This study aims to determine the magnitude of polarization-induced dosimetric error for EBT4 films at different scanning orientations, and to provide guidance on selecting appropriate regions...

Estimation of Brain Tumor’s Intra-Fraction Movement during Radiosurgery Using Fiducial Markers on the Skin Surface – a Simulation Study

Authors: Damien C. Mathew, Brandon Hai Nguyen, Satwik Pani, Yoichi Watanabe

Affiliation: Minnespolis Radiation Oncology, Department of Radiation Oncology, University of Minnesota Medical School, Washington University

Abstract Preview: Purpose: To formulate a computational algorithm to quantify the tumor movement from the motion data of landmarks on the brain surface. To estimate the magnitude of tumor movement when the head makes a...

Evaluation of Synaptive MRI Geometric Distortion with Sun Nuclear MR Distortion and Image Fusion Head Phantom

Authors: Michael Evan Chaga, Timothy Chen, Darra M. Conti, Jing Feng, Wenzheng Feng, Joseph Hanley, Jeff Stainsby, Tingyu Wang

Affiliation: Synaptive Medical, Hackensack Meridian Health, Jersey Shore University Medical Center

Abstract Preview: Purpose:
The Synaptive MRI is a 0.5T superconducting head only system (first US install 2023). This is the first study that evaluates the geometric accuracy using a Sun Nuclear MR Distortion and Im...

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 ...

Mobetron Quality Assurance Tools

Authors: Robert A. Dahl

Affiliation: Mayo Foundation

Abstract Preview: Purpose: To develop tools to simplify/accelerate the quality assurance testing of the Mobetron mobile linear accelerator and increase safety when moving it to different OR’s.

Methods: The Mobet...

Monte Carlo Derived Correction Factors for Ion Chambers Used in the Calibration of Gamma Knife Perfexion Model: Impact of Phantom Materials and Chamber Orientation on Dosimetric Accuracy

Authors: Catherine Coolens, Robert K. Heaton, Lalageh Mirzakhanian, Tasnim Rahman, Jan P. Seuntjens

Affiliation: Princess Margaret Cancer Centre & University of Toronto, McGill University, Princess Margaret Cancer Centre, Princess Margaret Hospital, University of Toronto

Abstract Preview: Purpose: Commissioning of a Gamma Knife® (GK) (Elekta, Sweden) unit requires precise dosimetric reference measurements, particularly for small fields. The IAEA TRS-483/AAPM TG-155 code of practice (20...

Novel AI-Powered Tool to Objectively Evaluate Brain Dose for Multi-Met Stereotactic Radiosurgery Optimization

Authors: Wenchao Cao, Yingxuan Chen, Haisong Liu, Richard A. Popple, Wenyin Shi, Rodney J. Sullivan, Wentao Wang, Lydia J. Wilson, Zhenghao Xiao

Affiliation: Thomas Jefferson University, The University of Alabama at Birmingham, University of Alabama at Birmingham

Abstract Preview: Purpose: Objectively evaluating brain sparing as a plan-quality indicator for patients receiving stereotactic radiosurgery (SRS) to multiple metastases (multi-met) is complicated by variability in tar...

Optimal Lattice Design for Spatially Fractionated Radiotherapy (SFRT) of Brain Metastasis in Gamma Knife (GK)

Authors: Brankica Andelic, Young-Bin Cho, Tara M. Gray, Andrew Robert Hadfield, Hakan Nordstrom

Affiliation: Elekta, Cleveland Clinic

Abstract Preview: Purpose: Spatially Fractionated Radiotherapy (SFRT) requires highly modulated dose distribution inside a tumor volume optimized using sets of planning structure of spheres in a lattice arrangement. To...

Recommendations for Lightning Optimization Settings during Gamma Knife Simultaneous Integrated Boost Planning

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:
This study evaluates optimization strategies in the Gamma Knife Gamma Plan Lightning optimizer for simultaneous integrated boost (SIB) scenarios, aiming to identify clinically viable setti...

Retrospective Analysis of Treatment Pauses Due to Intrafraction Movement for Frameless Single Fraction Gamma Knife Icon Radiosurgery

Authors: Nina Burbure, Tawfik G. Giaddui, Shidong Li, Curtis Miyamoto, Jeremy Price, Bin Wang

Affiliation: FCCC at Temple University Hospital

Abstract Preview: Purpose: Frameless gamma knife (GK) treatments use a thermoplastic mask coupled with high-definition motion management system that utilizes an infrared camera, and a reflective marker placed on the pa...

Retrospective Planning Study for the Evaluation of Biological Effectiveness of Spatially Fractionated Radiation Therapy with Gamma-Knife Radiosurgery on Brain Metastases

Authors: Brankica Andelic, Young-Bin Cho, Tara M. Gray, Bingqi Guo, Andrew Robert Hadfield, Hakan Nordstrom, Jacob Scott, John Suh, Nara Yoon

Affiliation: Adelphi University, Elekta, Cleveland Clinic

Abstract Preview: Purpose: To investigate the biological effect of Spatially Fractionated Radiation Therapy (SFRT) within Gamma-Knife (GK) using retrospective planning for brain metastases patients. This study presents...

SRS Treatment Planning for Brain Metastases on Varian Truebeam and Elekta Gamma Knife Icon

Authors: Carl D. Elliston, Lawrence Koutcher, Michael J. Price, Adam C. Riegel, Michael B Sisti, Tony J.C. Wang, Andy (Yuanguang) Xu

Affiliation: Columbia University Irving Medical Center

Abstract Preview: Purpose: An inverse treatment planning software was recently introduced to Gamma Knife radiosurgery. The purpose of this study is to compare the plan quality of the Gamma Knife ”Lightning” with that o...

Workflow for Same Day Linac-Based Stereotactic Radiosurgery

Authors: William Amestoy, Carolina Benjamin, Markus Bredel, Rodrigo Delgadillo, Nesrin Dogan, Michael E Ivan, Ricardo J Komotar, Gregory J. Kubicek, Eric Mellon, Ivaylo B. Mihaylov, Maria Irene Monterroso, Raymond A. Schulz, Ashish Shah, Robert M Starke

Affiliation: University of Miami, Department of Radiation Oncology, University of Miami, University of Miami Sylvester Comprehensive Cancer Center, Varian Medical Systems

Abstract Preview: Purpose: Stereotactic Radiosurgery (SRS) is a widely used treatment modality in radiation oncology, utilizing various technologies such as Gamma Knife (GK), Cyber Knife (CK) and Linac-based SRS with H...