A feasible method for clinical delivery verification and dose reconstruction in tomotherapy

Delivery verification is the process in which the energy fluence delivered during a treatment is verified. This verified energy fluence can be used in conjunction with an image in the treatment position to reconstruct the full three-dimensional dose deposited. A method for delivery verification that...

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Veröffentlicht in:Medical physics (Lancaster) 2001-04, Vol.28 (4), p.528-542
Hauptverfasser: Kapatoes, J. M., Olivera, G. H., Ruchala, K. J., Smilowitz, J. B., Reckwerdt, P. J., Mackie, T. R.
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container_end_page 542
container_issue 4
container_start_page 528
container_title Medical physics (Lancaster)
container_volume 28
creator Kapatoes, J. M.
Olivera, G. H.
Ruchala, K. J.
Smilowitz, J. B.
Reckwerdt, P. J.
Mackie, T. R.
description Delivery verification is the process in which the energy fluence delivered during a treatment is verified. This verified energy fluence can be used in conjunction with an image in the treatment position to reconstruct the full three-dimensional dose deposited. A method for delivery verification that utilizes a measured database of detector signal is described in this work. This database is a function of two parameters, radiological path-length and detector-to-phantom distance, both of which are computed from a CT image taken at the time of delivery. Such a database was generated and used to perform delivery verification and dose reconstruction. Two experiments were conducted: a simulated prostate delivery on an inhomogeneous abdominal phantom, and a nasopharyngeal delivery on a dog cadaver. For both cases, it was found that the verified fluence and dose results using the database approach agreed very well with those using previously developed and proven techniques. Delivery verification with a measured database and CT image at the time of treatment is an accurate procedure for tomotherapy. The database eliminates the need for any patient-specific, pre- or post-treatment measurements. Moreover, such an approach creates an opportunity for accurate, real-time delivery verification and dose reconstruction given fast image reconstruction and dose computation tools.
doi_str_mv 10.1118/1.1352579
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source MEDLINE; Wiley Online Library All Journals
subjects Animals
Computed tomography
Databases, Factual
delivery verification
Dogs
dose reconstruction
dosimetry
Dosimetry/exposure assessment
Drug delivery
Energy delivery
Humans
Image sensors
Male
Medical image reconstruction
Medical imaging
Models, Statistical
Nasopharynx - pathology
Phantoms, Imaging
Physicists
Prostate - pathology
radiation therapy
Radiometry - methods
Radiotherapy, Conformal - methods
Real time information delivery
Tomography, X-Ray Computed - instrumentation
Tomography, X-Ray Computed - methods
tomotherapy
title A feasible method for clinical delivery verification and dose reconstruction in tomotherapy
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