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Results for "varian truebeam": 67 found

A Deep Learning Method for Direct Vmi Inference Using a Dual-Layer Radiotherapy Kv-CBCT Imager

Authors: Ross I. Berbeco, Vera Birrer, Raphael Bruegger, Pablo Corral Arroyo, Roshanak Etemadpour, Dianne M. Ferguson, Rony Fueglistaller, Thomas C. Harris, Yue-Houng Hu, Matthew W. Jacobson, Mathias Lehmann, Nicholas Lowther, Daniel Morf, Marios Myronakis

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

Abstract Preview: Purpose: A challenge for dual energy CBCT is that noise and residual errors in material decomposition steps can become amplified when forming low energy, high contrast virtual mono-energetic images (V...

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 Novel 3D Printed Tool to Enable Faster More Accurate Patient Positioning for Electron Radiotherapy

Authors: Christopher J. Mart, Daniel G. McDonald, Inna V. McGowin, Sean A. Roles

Affiliation: Medical University of South Carolina

Abstract Preview: Purpose: To improve the efficiency and accuracy of the positioning process for electron treatments by providing a pointer system for patient alignment to central axis (CAX) of the field at the correct...

A Predictive Tool for Optimizing Treatment System Allocation in Hypofractionated Whole-Breast Radiotherapy

Authors: Zhenzhen Dai, Anthony J. Doemer, Ryan Hall, Kenneth Levin, Bing Luo, Benjamin Movsas, Karen C. Snyder, Kundan S Thind, Eleanor Walker

Affiliation: Henry Ford Health, HFHS

Abstract Preview: Purpose: To investigate the feasibility of a predictive tool for efficient allocation of hypofractionated whole-breast irradiation patients between Varian Truebeam and Ethos systems.
Methods: A ful...

A Python Package for GPU-Accelerated Photon Dose Calculation for Advanced and Generalizable Auto-Planning Approaches: Validation for Multiple Linear Accelerator Vendors and Institutions

Authors: Jaryd Ricardo Christie, Anthony J. Doemer, William T. Hrinivich, Junghoon Lee, Calin Reamy, Kundan S Thind

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Johns Hopkins University, Henry Ford Health

Abstract Preview: Purpose: To develop and validate an open-source Python package for fast, widely compatible, and user-friendly photon dose calculation algorithm through comparisons with clinical treatment planning sys...

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 Analytical Framework to Quantify the Effect Obstructing Anatomical Features in Intrafractional Spectral Imaging Using a Dual-Layer Kv Imager

Authors: Ross I. Berbeco, Vera Birrer, Raphael Bruegger, Pablo Corral Arroyo, Roshanak Etemadpour, Dianne M. Ferguson, Rony Fueglistaller, Thomas C. Harris, Yue-Houng Hu, Matthew W. Jacobson, Mathias Lehmann, Marios Myronakis

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

Abstract Preview: Purpose:
Dual-layer kV imager (DLI) architecture enables the capability for single-shot dual-energy (DE) intrafraction imaging. As noise from individual DLI layers are primarily uncorrelated, simpl...

An Evaluation of an SRS Quality Assurance System for Complex Patient Plans.

Authors: John Bennet, Indrin J. Chetty, Tai H. Dou

Affiliation: Department of Radiation Oncology,Cedars Sinai Medical Center, Department of Radiation Oncology, Cedars Sinai Medical Center, Department of Radiation Oncology,Cedars-Sinai Medical Center

Abstract Preview: Purpose:
To investigate the effect of complexity of stereotactic radiosurgery (SRS) volumetric modulated arc therapy plans on gamma pass rates (GPR) using a novel high-resolution ion chamber array ...

An International Multi-Institutional Espresso Study of Developing the Specialized-Equipment-Free Remote Audit for Single-Isocenter Multi-Target Stereotactic Radiosurgery

Authors: Juan-Francisco Calvo-Ortega, Andrew Cousins, Ashley Cullen, Andrew Dipulia, Peter B. Greer, Seng Boh Gary Lim, Shih-Chi Lin, D. Michael Lovelock, Conor McGarry, Victoria Robinson, Cameron Stanton, Baozhou Sun, Ching-Ling Teng, Gemma Warner, Benjamin J. Zwan

Affiliation: Northern Ireland Cancer Centre, Baylor College of Medicine, Department of Medical Physics, Memorial Sloan Kettering Cancer Center, Christchurch Hospital, Northwell, Central Coast Cancer Centre, Calvary Mater Hospital, Hospital Quironsalud Barcelona, Icahn School of Medicine at Mount Sinai, Chris O'Brien Lifehouse, University of Newcastle

Abstract Preview: Purpose: This multi-institution Electronic Silicon-based Remote Survey of Small-field Output (ESPRESSO) study aims to develop the remote audit process to evaluate the safety of single-isocenter multi-...

Assessment of the Quantum-CMOS Image Sensor for Use in Cherenkov Imaging during Radiation Therapy

Authors: Petr Bruza, Jeremy Eric Hallett, Brian W Pogue

Affiliation: Thayer School of Engineering, Dartmouth College, University of Wisconsin - Madison, University of Wisconsin-Madison

Abstract Preview: Purpose: Cherenkov imaging is a powerful tool for localizing entrance and exit dose during radiotherapy treatment. The current implementation uses an intensified-CMOS (iCMOS) camera allowing for high-...

Auto-Beam Hold Validation for Varian Sgrt Identify 3.0 on Truebeam Linear Accelerators

Authors: Hongyu Jiang, Wangyao Li, Dima Soultan, Fen Wang, Jun Xu

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

Abstract Preview: Purpose: To validate the Auto-Beam Hold functionality via the MMI connection between Varian SGRT system IDENTIFY 3.0 and treatment linacs.
Methods: A treatment plan was created in the Eclipse TPS u...

Automated Parametric Custom Collimator Creation for Preclinical Irradiation Studies

Authors: Muhammad Ramish Ashraf, Dixin Chen, Lloyd Emmanuel Kamole Ghomsi, Edward Elliot Graves, Billy W Loo, Stavros Melemenidis, Joseph B. Schulz, Lawrie Skinner

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

Abstract Preview: Purpose: Precise beam collimation is essential in preclinical radiotherapy studies to ensure accurate dose delivery. Manual design and fabrication of organ-specific collimators usually consist of mult...

Automation of Daily, Monthly, and Annual Image Quality Controls of Image-Guided Radiotherapy (IGRT) Systems

Authors: Alvaro Daniel Cruz Cortes, Robin Enric Lopez Fonseca, Valeria PĂŠrez MartĂ­nez

Affiliation: National Autonomous University of Mexico (UNAM), Faculty of Sciences, Biomedical Physics Program, National Autonomous University of Mexico (UNAM), Faculty of Sciences, National Autonomous University of Mexico (UNAM), Faculty of Sciences, Physics Program

Abstract Preview: Purpose: Automate and evaluate daily, monthly, and annual QC of IGRT systems, following the AAPM TG-198 protocol, through the development of a graphical user interface that enables efficient analysis ...

CBCT Dose Measurement for Common Protocols on Elekta Versahd and Varian Truebeam

Authors: Yingxuan Chen, Jun Li, Alexis N. Webb

Affiliation: Thomas Jefferson University

Abstract Preview: Purpose: Cone-beam computed-tomography (CBCT) is widely used for image-guided therapy. Cumulative dose from repeated CBCT might be a concern. This study aims to measure and compare the CBCT dose for c...

Can Automated Log-File Analysis Provide Insight into Machine Performance across Distinct Clinics?

Authors: Kellin M De Jesus, Leon Dunn, Les Sztandera, David H. Thomas

Affiliation: IsoAnalytics Pty. Ltd., Thomas Jefferson University

Abstract Preview: Purpose: Machine accuracy and performance are critical for ensuring the safety and efficacy of intensity-modulated radiotherapy (IMRT and VMAT). This study aims to analyze a large and diverse set of l...

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 ...

Comparative Analysis of Four Measurement Methods for Multileaf Collimator Backlash

Authors: Niko Ahjoniemi, Antti Kulmala, Katja Peltola

Affiliation: Clinical Research Institute HUS, Helsinki University Hospital

Abstract Preview: Purpose: To determine the backlash of a multileaf collimator (MLC) using four measurement methods: motor encoder (primary readout), linear potentiometer (secondary readout), amorphous silicon panel (p...

Comparative Evaluation of Dosimetric Treatment Plan Quality for Truebeam, and Tomotherapy in Spatially Fractionated Radiation Therapy

Authors: Raghavendiran Boopathy, Mansoor Khan, Srinidhi Rajagopalan

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

Abstract Preview: Purpose: This study aims to evaluate and compare the dosimetric outcomes of spatially fractionated radiotherapy (SFRT) grid planning techniques using Varian Eclipse for a Varian Edge C-arm LINAC syste...

Comparison of CBCT Dose Calculation Accuracy between Truebeam Hypersight Image Reconstruction Algorithms

Authors: Sarah Aubert, Harald Keller, Jeff D. Winter

Affiliation: Princess Margaret Cancer Centre

Abstract Preview: Purpose: Support for treatment planning directly on CBCT imaging on C-arm linacs will enable adaptive radiation therapy (ART) capacity with increased treatment technique flexibility. The HyperSight im...

Comparison of the Sun Nuclear Multi-Met Winston Lutz Test and Varian's Machine Performance Check for Isocenter Alignment for Rotational Accuracy

Authors: Junsheng Cao, Luis A. Maduro Bustos, Khushdeep Singh

Affiliation: Overlook Medical Center, Atlantic Health System at Morristown Medical Center

Abstract Preview: Purpose: To evaluate the agreement between the Sun Nuclear Multi-Met Winston Lutz test (WL) and Varian’s Machine Performance Check (MPC) in assessing isocenter alignment, couch, and collimator rotatio...

Deep Learning-Based Denoising for Template Matching in Real-Time Tumor Tracking Using Kv Scattered X-Ray Imaging

Authors: Weikang Ai, Xiaoyu Hu, Xun Jia, Kai Yang, Yuncheng Zhong

Affiliation: Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Massachusetts General Hospital, Department of Biomedical Engineering, Johns Hopkins University, Johns Hopkins University

Abstract Preview: Purpose: Real-time tumor tracking is critically important for respiratory motion management for lung cancer radiotherapy. A previously proposed application of a photon counting detector involves measu...

Detection of the Linac Jaw Face Angle Misalignment: Case Studies

Authors: Peter Balter, Andres V Cibrian, Song Gao

Affiliation: The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: The purpose of this study is to demonstrate a means of detecting misaligned jaw face angles on the Varian TrueBeam based on a beam symmetry metric for electron beam profiles.
Methods: Duri...

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...

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 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...

Dual Energy Cone Beam Computed Tomography for Artifact Reduction and Enhanced Image Quality Using Existing Hardware in Radiation Therapy

Authors: Michael J. Choi, Vindu Wathsala Kathriarachchi, Christopher L. Nelson, Andrew P. Soderstrom, Yawei Zhang

Affiliation: The University of Texas MD Anderson Cancer Center, MD Anderson, UF Health Proton Therapy Institute

Abstract Preview: Purpose: Cone Beam Computed Tomography (CBCT) is widely used in image-guided radiation therapy for patient positioning. While kV photons offer high image contrast, they are prone to artifacts caused b...

Dynamic Angular Couch Kinematics in Radiotherapy

Authors: Eva Lee, R. Lee MacDonald, Alasdair Syme, Christopher G. Thomas

Affiliation: Department of Radiation Oncology, QE2 Cancer Centre, Nova Scotia Health, Dalhousie University, Nova Scotia Health

Abstract Preview: Purpose:
Dynamic couch rotation in radiotherapy offers dosimetric benefits, however patient comfort remains a concern. This study investigates couch kinematics in trajectory-based radiotherapy plan...

Evaluating the Capabilities of Hypersight CBCT for Advanced Dual-Energy CBCT Imaging in Online Adaptive Radiotherapy

Authors: Yi-Fang Wang, Yading Yuan

Affiliation: Columbia University Irving Medical Center, Department of Radiation Oncology, Columbia University Irving Medical Center

Abstract Preview: Purpose: HyperSight, the latest CBCT technology from Varian Medical Systems, integrates rapid 6-second data acquisition with advanced iterative reconstruction and upgraded hardware. Previous studies h...

Evaluating the Impact of an Average Versus Machine-Specific Dosimetric Leaf Gap on Dose Calculation

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: The newest version of a large commercial treatment planning system (TPS) has introduced a new physical MLC model. We compare the impact of using an averaged dosimetric leaf gap (DLG) value ve...

Evaluating the Interchangeability of Two Similar but Not Beam-Matched Varian Truebeam Linear Accelerators in the Delivery of Patient-Specific Quality Assurance

Authors: Elizabeth M. Alves, Alistair K. Templeton, Julius V. Turian

Affiliation: Rush University Medical Center

Abstract Preview: Purpose: To test the performance of two similar, but not beam-matched, linacs in interchangeably delivering IMRT and VMAT patient-specific quality assurance (PSQA) tests.
Methods: Two TrueBeam lina...

Evaluation of Radiomic Feature Robustness in Quantitative CBCT Imaging for Radiotherapy of Prostate Cancer

Authors: Cem Altunbas, Farhang Bayat, Roy Bliley, Brian Kavanagh, Uttam Pyakurel, Tyler Robin, Ryan Sabounchi

Affiliation: Department of Radiation Oncology, University of Colorado School of Medicine, Taussig Cancer Center, Cleveland Clinic

Abstract Preview: Purpose: The use of image features extracted from serial CBCT images to assess radiotherapy response and toxicity is an active research area. However, poor image quality often compromises reliability ...

Evaluation of Treatment Delivery Efficiency and Workflow Optimization in Prostate Stereotactic Body Radiation Therapy: A Comparative Study of C-Arm and O-Ring Linear Accelerators

Authors: Yijian Cao, Jenghwa Chang, Lyu Huang

Affiliation: Northwell, Hofstra University Medical Physics Program

Abstract Preview: Purpose: This study evaluates the treatment delivery efficiency and workflow of two advanced linear accelerator systems—Varian’s TrueBeam (C-arm) and Halcyon (O-ring)—for prostate Stereotactic Body Ra...

Evaluation of Treatment Planning Feasibility and Dosimetric Quality of the Reflexion™ X1 System for Complex Spinal Targets

Authors: Thomas I. Banks, Bin Cai, Andrew R. Godley, Yang Kyun Park, Hao Peng, Rameshwar Prasad, Chenyang Shen, Shunyu Yan, Haozhao Zhang

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

Abstract Preview: Purpose:
The RefleXionÂŽ X1 (RefleXion Medical, Inc., Hayward, CA) uniquely integrates KVCT and PET as on-board image guidance for radiotherapy. It has been installed and commissioned for clinical u...

Evaluation of a Commercial Metal Artifact Reduction Algorithm for IGRT in Patients with Hip Prostheses

Authors: Laura Bennett, Matthew Charles, Greg Cooley, John M. Floberg, Ryan Hutten, Elissa Khoudary, Nicholas Lynch, Kaili Ranta, Jordan M. Slagowski, Trevor Wilson

Affiliation: University of Pennsylvania, Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, Department of Human Oncology, University of Wisconsin-Madison, University of Wisconsin-Madison

Abstract Preview: Purpose: To evaluate the impact of an iterative cone beam CT with metal artifact reduction (iCBCT+MAR) reconstruction algorithm (HyperSight TrueBeam 4.1, Varian Medical Systems) on image quality and s...

Evaluation of the Dosimetric Characteristics of Multi-Layers of Brass Mesh Bolus for Electron Treatment

Authors: Yunzhi Ma, Ling Zhuang

Affiliation: Northwestern Medicine

Abstract Preview: Purpose: Multiple layers of brass mesh bolus (RPD, Inc., Albertville, MN) may be needed to provide better body conformity and sufficient dose build up on patient surface during electron treatment. Thi...

Evaluation of the Varian Truebeam Linac Matching Process: Before, during, and after the Commission

Authors: Edwin Quashie, Yun Wang

Affiliation: Indiana University Medical School, Indiana University School of Medicine, Department of Radiation Oncology

Abstract Preview: Purpose: To provide a formal evaluation for the TrueBeam linac matching process before, during and after the commission of the newly installed TrueBeam linac which we want to match to an existing True...

Feasibility of Efficient Offline Adaptive Replanning with Hypersight High-Performance Cone-Beam CT on Truebeam for Pelvis RT

Authors: Jochen Cammin, Shifeng Chen, Arun Gopal, Kai Huang, Jason K Molitoris, Amit Sawant, Kai Wang

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

Abstract Preview: Purpose: The HyperSight CBCT optional feature on Varian TrueBeam linacs offers a larger field-of-view, improved Hounsfield units (HU) accuracy, and overall improved image quality, including metal arti...

High-Resolution Limited-Angle CBCT Image Reconstruction for Non-Coplanar Radiation Therapy Via Dual-Domain Ordered-Subset Neural Representation with Prior Embedding (DDOS-NeRP)

Authors: Yu Gao, Lei Xing, Siqi Ye

Affiliation: Department of Radiation Oncology, Stanford University

Abstract Preview: Purpose:
Limited-angle CBCT (LA-CBCT) scans are often the only option for non-coplanar radiation therapy to prevent potential mechanical collisions. However, the consecutive angular occlusion of pr...

High-Temporal Dynamic CBCT Imaging Via Gaussian Neural Representation

Authors: Weixing Cai, Laura I. Cervino, Yabo Fu, Licheng Kuo, Tianfang Li, Xiang Li, Jean M. Moran, Huiqiao Xie, Hao Zhang

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

Abstract Preview: Purpose: This study introduces a novel spatiotemporal Gaussian neural representation framework to reconstruct high-temporal dynamic CBCT images from 1-minute acquisition, preserving motion dynamics an...

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 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 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 ...

Investigation of Metallic Artefact Reduction Capabilities of Hypersight Enabled Platforms

Authors: Harald Keller, Iymad Mansour, Jeff D. Winter

Affiliation: Princess Margaret Cancer Centre

Abstract Preview: Purpose: The growing number of adaptive therapy applications is motivating image segmentation and direct dose calculation on CBCT. The purpose of this investigation is to evaluate the recently release...

Linac Based Dose-Escalated Radiation Therapy for Pancreatic Cancer: Assessing Respiratory Motion

Authors: Neal Andruska, Lianna D. DiMaso-Myers

Affiliation: Northwestern Medicine

Abstract Preview: Purpose: To provide details on how our clinic assesses respiratory motion during treatment of a pancreatic adenocarcinoma during dose escalated radiation therapy on a linear accelerator with the aid o...

Management of 4D CBCT Dose for Patients with Implanted Cardiac Devices

Authors: Won Chang, Vadim L. Stakhursky, Yevgeniy Vinogradskiy

Affiliation: Jefferson Einstein, Alliance Cancer Specialists, Thomas Jefferson University

Abstract Preview: Purpose: 4DCBCT is a powerful tool for localization of moving targets when treating lung tumors with hypofractionated regimens (SBRT). However, for patients with implanted cardiac devices (ICD) in clo...

Minimizing Positioning Errors in Intracranial SRS: The Role of Verification Imaging after 6-Dof Corrections

Authors: Anthony J. Doemer, Yimei Huang, Benjamin Movsas, Ellen Park, Mira Shah, Salim Siddiqui, Karen C. Snyder, Kundan S Thind, Bo Zhao

Affiliation: Henry Ford Health

Abstract Preview: Purpose: The 6 degrees-of-freedom (6-DoF) robotic couch is considered essential for linac-based stereotactic radiosurgery (SRS), particularly for irregularly shaped targets adjacent to critical organs...

Modified Dehazenet for Scatter Correction in Triggered Imaging: Enhancing Visibility and Alignment Precision for Radiation Therapy

Authors: Hyosung Cho, Dae Yup Han, Duhee Jeon, Jiwon Park, Hyesun Yang

Affiliation: Department of Therapeutic Radiology, Yale University School of Medicine, Yonsei University

Abstract Preview: Purpose: Scatter in X-ray imaging degrades image quality, hindering the visibility of critical anatomical features and complicating patient alignment in radiation therapy. This study aims to improve s...

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...

Multi-Vendor Linac Isocenter Evaluation: Implications for SRS in Radiotherapy

Authors: Blessing Chinelo Akah, Brad Barhorst, Daniel W. Neck, David J. Perrin, Chad Robertson, Sotirios Stathakis

Affiliation: Mary Bird Perkins Cancer Center

Abstract Preview: Purpose: To evaluate the performance and radiation isocenter of Elekta and Varian linear accelerator using Aktina Isopoint.
Methods: The Aktina Isopoint was used to measure the physical and radiati...

On the Spectral Changes of Magna-Field Photon Beams Used in Total Body Irradiation

Authors: Larry A. DeWerd, Ahtesham Ullah Khan

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

Abstract Preview: Purpose: Total body irradiation (TBI) technique uses high energy photon beams with extended source-to-surface distances (SSDs) to irradiate the entire patient to prepare them for bone marrow or stem c...

Optimizing the Collimator Angles in Radiation Isocenter Localization Using Winston-Lutz Tests

Authors: Weiliang Du

Affiliation: The University of Texas MD Anderson Cancer Center

Abstract Preview: Purpose: Winston-Lutz (WL) tests are often used to localize the radiation isocenter of a linac. The selection of gantry and collimator angles can affect the accuracy of the resulting isocenter. The ef...

Patient-Specific Quality Assurance in SBRT Treatments Using 3D Polymer Gel Dosimetry

Authors: Esteban Arzaga-Barajas, Paola Jazmin Guadarrama Huerta, Jose Alejandro Jimenez, Guerda Massillon-JL, Maria Adela Poitevin-ChacĂłn, Alejandro Rodriguez-Laguna

Affiliation: UNAM, Medica Sur

Abstract Preview: Purpose: To perform patient-specific quality assurance (PSQA) tests for four SBRT treatments of patients diagnosed with vertebral, ilium, pelvic lymph node and lung tumors.
Methods: MAGIC gel consi...

Personalized and Automated Head & Neck Radiotherapy Planning with AI-Guided Optimization

Authors: Michael Bowers, Patrik Brodin, Madhur Garg, Rafi Kabarriti, William P. Martin, Todd R. McNutt, Julie Shade, Wolfgang A. TomĂŠ, Christian Velten

Affiliation: Johns Hopkins University, Oncospace, Inc., Montefiore Medical Center

Abstract Preview: Purpose: Development of an automated planning tool utilizing AI generated patient-specific dose-volume histogram predictions for rapid H&N plan generation.
Methods: Planning best-practices were dev...

Pulse-Based Method of Electrometer Calibration for High Instantaneous Currents Produced in Ultra-High Dose per-Pulse Electron Beams

Authors: Wesley S. Culberson, Miguel Angel Flores Mancera, Jeff Radtke

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

Abstract Preview: Purpose: Electrometers are fundamental instruments for absorbed dose determination, and their accuracy is strongly dependent on their calibration. The standard procedure of electrometer calibration is...

Quantitative Analysis of Long-Term Optical Density Variations of Irradiated and Un-Irradiated EBT3 Films

Authors: Rick Holly, Sumudu Katugampola

Affiliation: Gesinger Medical Center, Geisinger Medical Center

Abstract Preview: Purpose:
To quantitatively analyze long term variations in optical density of un-irradiated and irradiated EBT3 radio-chromic films and their effects on dose calibration curves in a clinical settin...

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...

Sentinel: Development and Implementation of an Automated, Passive Varian Log File and Treatment Plan Analysis

Authors: Leon Dunn

Affiliation: IsoAnalytics Pty. Ltd.

Abstract Preview: Purpose: The purpose of this work is to present the development and results of an automated Varian Trajectory Log file processing software platform called Sentinel (IsoAnalytics Pty. Ltd.).
Methods...

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...

Technical Feasibility and Accuracy of Dynamic Longitudinal Couch Motion during Beam Delivery

Authors: Chonthicha Bunchuailuea, David Geeler, Martin Sabel, Claas Wessels

Affiliation: Varian Medical Systems

Abstract Preview: Purpose: Elongated treatment sites, such as craniospinal treatments, pose multiple challenges in today’s practices, requiring multiple CBCTs for position verifications per fraction, which might increa...

The Effect of 2D Antiscatter Grid-Based CBCT on Tissue Visualization in the Prostate Region: An Observer Study on Tissue Delineation Accuracy

Authors: Cem Altunbas, Adam Avant, Farhang Bayat, Roy Bliley, Ian Boor, Brian Kavanagh, Uttam Pyakurel, Tyler Robin, Ryan Sabounchi

Affiliation: Department of Radiation Oncology, University of Colorado School of Medicine, Taussig Cancer Center, Cleveland Clinic

Abstract Preview: Purpose: Improved soft tissue visualization plays an important role in target localization and treatment plan adaptation in CBCT-guided radiotherapy. In this work, a novel CBCT approach, 2D antiscatte...

The Use of a Milled NIST Traceable Tld for End-to-End Validation in Mlc and Cone SRS Programs.

Authors: Ross Bland, Zachary A. Christ, Sophy Mangana, Feba Mathew, Stephanie K. Phoenix, Joseph Salloum, Jason D. Stanford, William Zollinger

Affiliation: Forrest General Cancer Center, Northeast Louisiana Cancer Institute, Florida Atlantic University

Abstract Preview: Purpose: The objective of this paper is twofold: 1) to explore the efficacy of using referenced beam models supplied by the vendor (Brainlab) and 2) the efficacy of NIST traceable TLD for end-to-end v...

Treatment Plan Comparisons of Head and Neck Cancers on Varian Ethos/Halcyon and Truebeam Linac

Authors: Yunfeng Cui, Joseph P. Kowalski, Qiuwen Wu, Yibo Xie

Affiliation: Duke University, Duke University Medical Center

Abstract Preview: Purpose: A Varian Ethos/Halcyon linac was recently commissioned in our clinic and was used to treat head and neck cancer patients. The purpose of this study is to compare treatment plan quality and de...

Using a Generative Adversarial Network (GAN) for Source Particle Generation in Monte Carlo Radiation Therapy Simulations

Authors: Jiankui Yuan, Dandan Zheng, Tingliang Zhuang

Affiliation: Medical Artificial Intelligence and Automation (MAIA) Laboratory, Department of Radiation Oncology, UT Southwestern Medical Center, University of Rochester, Varian Medical Systems, Advanced Oncology Solutions

Abstract Preview: Purpose: In Monte Carlo (MC) radiation therapy dose calculations, latent variance exists when directly applying phase-space files (PSF) with a finite number of source particles, while the latter is pr...

dosimetric Characterization of Tungsten Eye Shields Using Monte Carlo Simulation

Authors: Omer Abdulaziz Ali, Robin Hill, Nathan Huntelerslag

Affiliation: Waikato Hospital, Hamilton, New Zealand, Central Coast Cancer Centre, Gosford, Australia

Abstract Preview: Purpose: Characterizing transmission through eye shields is essential to understanding dose distribution in underlying tissues. This study aims to utilize Monte Carlo (MC) simulations to model and cha...