Practical and technical key challenges in head and neck adaptive radiotherapy: The GORTEC point of view
•Overview of Head and Neck adaptive radiotherapy key steps.•Presentation of adaptive radiotherapy tools and workflows.•Practical recommendations for H&N adaptive radiotherapy.•Challenges of H&N ART and current difficulties or limitations. Anatomical variations occur during head and neck (H&a...
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| Veröffentlicht in: | Physica medica 2023-05, Vol.109, p.102568-102568, Article 102568 |
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| creator | Delaby, Nolwenn Barateau, Anaïs Chiavassa, Sophie Biston, Marie-Claude Chartier, Philippe Graulières, Eliane Guinement, Lucie Huger, Sandrine Lacornerie, Thomas Millardet-Martin, Corinne Sottiaux, Alain Caron, Jérôme Gensanne, David Pointreau, Yoann Coutte, Alexandre Biau, Julian Serre, Anne-Agathe Castelli, Joel Tomsej, Milan Garcia, Robin Khamphan, Catherine Badey, Aurélien |
| description | •Overview of Head and Neck adaptive radiotherapy key steps.•Presentation of adaptive radiotherapy tools and workflows.•Practical recommendations for H&N adaptive radiotherapy.•Challenges of H&N ART and current difficulties or limitations.
Anatomical variations occur during head and neck (H&N) radiotherapy (RT) treatment. These variations may result in underdosage to the target volume or overdosage to the organ at risk. Replanning during the treatment course can be triggered to overcome this issue. Due to technological, methodological and clinical evolutions, tools for adaptive RT (ART) are becoming increasingly sophisticated.
The aim of this paper is to give an overview of the key steps of an H&N ART workflow and tools from the point of view of a group of French-speaking medical physicists and physicians (from GORTEC). Focuses are made on image registration, segmentation, estimation of the delivered dose of the day, workflow and quality assurance for an implementation of H&N offline and online ART. Practical recommendations are given to assist physicians and medical physicists in a clinical workflow. |
| doi_str_mv | 10.1016/j.ejmp.2023.102568 |
| format | Article |
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Anatomical variations occur during head and neck (H&N) radiotherapy (RT) treatment. These variations may result in underdosage to the target volume or overdosage to the organ at risk. Replanning during the treatment course can be triggered to overcome this issue. Due to technological, methodological and clinical evolutions, tools for adaptive RT (ART) are becoming increasingly sophisticated.
The aim of this paper is to give an overview of the key steps of an H&N ART workflow and tools from the point of view of a group of French-speaking medical physicists and physicians (from GORTEC). Focuses are made on image registration, segmentation, estimation of the delivered dose of the day, workflow and quality assurance for an implementation of H&N offline and online ART. Practical recommendations are given to assist physicians and medical physicists in a clinical workflow.</description><identifier>ISSN: 1120-1797</identifier><identifier>EISSN: 1724-191X</identifier><identifier>DOI: 10.1016/j.ejmp.2023.102568</identifier><identifier>PMID: 37015168</identifier><language>eng</language><publisher>Italy: Elsevier Ltd</publisher><subject>Adaptive radiotherapy ; Automatic segmentation ; Dose accumulation ; Head ; Head and neck cancer ; Head and Neck Neoplasms - radiotherapy ; Human health and pathology ; Humans ; Image registration ; Life Sciences ; Neck ; Quality assurance ; Radiotherapy Dosage ; Radiotherapy Planning, Computer-Assisted - methods ; Radiotherapy, Image-Guided - methods ; Workflow</subject><ispartof>Physica medica, 2023-05, Vol.109, p.102568-102568, Article 102568</ispartof><rights>2023 Associazione Italiana di Fisica Medica e Sanitaria</rights><rights>Copyright © 2023 Associazione Italiana di Fisica Medica e Sanitaria. Published by Elsevier Ltd. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-577826ee961b5a97b5be6bbb59c8729242464aec64af60efab84c6762b6a89643</citedby><cites>FETCH-LOGICAL-c434t-577826ee961b5a97b5be6bbb59c8729242464aec64af60efab84c6762b6a89643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejmp.2023.102568$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,315,782,786,887,3554,27933,27934,46004</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37015168$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://u-picardie.hal.science/hal-04061410$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Delaby, Nolwenn</creatorcontrib><creatorcontrib>Barateau, Anaïs</creatorcontrib><creatorcontrib>Chiavassa, Sophie</creatorcontrib><creatorcontrib>Biston, Marie-Claude</creatorcontrib><creatorcontrib>Chartier, Philippe</creatorcontrib><creatorcontrib>Graulières, Eliane</creatorcontrib><creatorcontrib>Guinement, Lucie</creatorcontrib><creatorcontrib>Huger, Sandrine</creatorcontrib><creatorcontrib>Lacornerie, Thomas</creatorcontrib><creatorcontrib>Millardet-Martin, Corinne</creatorcontrib><creatorcontrib>Sottiaux, Alain</creatorcontrib><creatorcontrib>Caron, Jérôme</creatorcontrib><creatorcontrib>Gensanne, David</creatorcontrib><creatorcontrib>Pointreau, Yoann</creatorcontrib><creatorcontrib>Coutte, Alexandre</creatorcontrib><creatorcontrib>Biau, Julian</creatorcontrib><creatorcontrib>Serre, Anne-Agathe</creatorcontrib><creatorcontrib>Castelli, Joel</creatorcontrib><creatorcontrib>Tomsej, Milan</creatorcontrib><creatorcontrib>Garcia, Robin</creatorcontrib><creatorcontrib>Khamphan, Catherine</creatorcontrib><creatorcontrib>Badey, Aurélien</creatorcontrib><title>Practical and technical key challenges in head and neck adaptive radiotherapy: The GORTEC point of view</title><title>Physica medica</title><addtitle>Phys Med</addtitle><description>•Overview of Head and Neck adaptive radiotherapy key steps.•Presentation of adaptive radiotherapy tools and workflows.•Practical recommendations for H&N adaptive radiotherapy.•Challenges of H&N ART and current difficulties or limitations.
Anatomical variations occur during head and neck (H&N) radiotherapy (RT) treatment. These variations may result in underdosage to the target volume or overdosage to the organ at risk. Replanning during the treatment course can be triggered to overcome this issue. Due to technological, methodological and clinical evolutions, tools for adaptive RT (ART) are becoming increasingly sophisticated.
The aim of this paper is to give an overview of the key steps of an H&N ART workflow and tools from the point of view of a group of French-speaking medical physicists and physicians (from GORTEC). Focuses are made on image registration, segmentation, estimation of the delivered dose of the day, workflow and quality assurance for an implementation of H&N offline and online ART. Practical recommendations are given to assist physicians and medical physicists in a clinical workflow.</description><subject>Adaptive radiotherapy</subject><subject>Automatic segmentation</subject><subject>Dose accumulation</subject><subject>Head</subject><subject>Head and neck cancer</subject><subject>Head and Neck Neoplasms - radiotherapy</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Image registration</subject><subject>Life Sciences</subject><subject>Neck</subject><subject>Quality assurance</subject><subject>Radiotherapy Dosage</subject><subject>Radiotherapy Planning, Computer-Assisted - methods</subject><subject>Radiotherapy, Image-Guided - methods</subject><subject>Workflow</subject><issn>1120-1797</issn><issn>1724-191X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9P3DAQxS1UBBT4AhyQj-WQxXb8J6l6QSsKSCtRVYvEzbKdCfGSTVI7u9V--3oJ5chlPB795mn0HkIXlMwoofJ6NYPVepgxwvI0YEIWB-iEKsYzWtLnL6mnjGRUleoYfY1xRUjOmBBH6DhXhAoqixP08isYN3pnWmy6Co_gmu7t9wo77BrTttC9QMS-ww2Y6g3qwL1iU5lh9FvAwVS-HxsIZth9x8sG8N3j7-XtHA-970bc13jr4e8ZOqxNG-H8_T1FTz9vl_P7bPF49zC_WWSO53zMhFIFkwClpFaYUllhQVprRekKxUrGGZfcgEullgRqYwvupJLMSlOUkuen6GrSTafrIfi1CTvdG6_vbxZ6PyOcSMop2dLEfpvYIfR_NhBHvfbRQduaDvpN1EylMyTLpUgom1AX-hgD1B_alOh9GHql92HofRh6CiMtXb7rb-waqo-V_-4n4McEQHIkuRR0dB46B5UP4EZd9f4z_X9cTplI</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Delaby, Nolwenn</creator><creator>Barateau, Anaïs</creator><creator>Chiavassa, Sophie</creator><creator>Biston, Marie-Claude</creator><creator>Chartier, Philippe</creator><creator>Graulières, Eliane</creator><creator>Guinement, Lucie</creator><creator>Huger, Sandrine</creator><creator>Lacornerie, Thomas</creator><creator>Millardet-Martin, Corinne</creator><creator>Sottiaux, Alain</creator><creator>Caron, Jérôme</creator><creator>Gensanne, David</creator><creator>Pointreau, Yoann</creator><creator>Coutte, Alexandre</creator><creator>Biau, Julian</creator><creator>Serre, Anne-Agathe</creator><creator>Castelli, Joel</creator><creator>Tomsej, Milan</creator><creator>Garcia, Robin</creator><creator>Khamphan, Catherine</creator><creator>Badey, Aurélien</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>202305</creationdate><title>Practical and technical key challenges in head and neck adaptive radiotherapy: The GORTEC point of view</title><author>Delaby, Nolwenn ; 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Anatomical variations occur during head and neck (H&N) radiotherapy (RT) treatment. These variations may result in underdosage to the target volume or overdosage to the organ at risk. Replanning during the treatment course can be triggered to overcome this issue. Due to technological, methodological and clinical evolutions, tools for adaptive RT (ART) are becoming increasingly sophisticated.
The aim of this paper is to give an overview of the key steps of an H&N ART workflow and tools from the point of view of a group of French-speaking medical physicists and physicians (from GORTEC). Focuses are made on image registration, segmentation, estimation of the delivered dose of the day, workflow and quality assurance for an implementation of H&N offline and online ART. Practical recommendations are given to assist physicians and medical physicists in a clinical workflow.</abstract><cop>Italy</cop><pub>Elsevier Ltd</pub><pmid>37015168</pmid><doi>10.1016/j.ejmp.2023.102568</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adaptive radiotherapy Automatic segmentation Dose accumulation Head Head and neck cancer Head and Neck Neoplasms - radiotherapy Human health and pathology Humans Image registration Life Sciences Neck Quality assurance Radiotherapy Dosage Radiotherapy Planning, Computer-Assisted - methods Radiotherapy, Image-Guided - methods Workflow |
| title | Practical and technical key challenges in head and neck adaptive radiotherapy: The GORTEC point of view |
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