IGRT/ART phantom with programmable independent rib cage and tumor motion

Purpose: This paper describes the design and experimental evaluation of the Methods and Advanced Equipment for Simulation and Treatment in Radiation Oncology (MAESTRO) thorax phantom, a new anthropomorphic moving ribcage combined with a 3D tumor positioning system to move target inserts within stati...

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Veröffentlicht in:Medical physics (Lancaster) 2014-02, Vol.41 (2), p.022106-n/a
Hauptverfasser: Haas, Olivier C. L., Mills, John A., Land, Imke, Mulholl, Pete, Menary, Paul, Crichton, Robert, Wilson, Adrian, Sage, John, Anna, Morenc, Depuydt, Tom
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container_issue 2
container_start_page 022106
container_title Medical physics (Lancaster)
container_volume 41
creator Haas, Olivier C. L.
Mills, John A.
Land, Imke
Mulholl, Pete
Menary, Paul
Crichton, Robert
Wilson, Adrian
Sage, John
Anna, Morenc
Depuydt, Tom
description Purpose: This paper describes the design and experimental evaluation of the Methods and Advanced Equipment for Simulation and Treatment in Radiation Oncology (MAESTRO) thorax phantom, a new anthropomorphic moving ribcage combined with a 3D tumor positioning system to move target inserts within static lungs. Methods: The new rib cage design is described and its motion is evaluated using Vicon Nexus, a commercial 3D motion tracking system. CT studies at inhale and exhale position are used to study the effect of rib motion and tissue equivalence. Results: The 3D target positioning system and the rib cage have millimetre accuracy. Each axis of motion can reproduce given trajectories from files or individually programmed sinusoidal motion in terms of amplitude, period, and phase shift. The maximum rib motion ranges from 7 to 20 mm SI and from 0.3 to 3.7 mm AP with LR motion less than 1 mm. The repeatability between cycles is within 0.16 mm root mean square error. The agreement between CT electron and mass density for skin, ribcage, spine hard and inner bone as well as cartilage is within 3%. Conclusions: The MAESTRO phantom is a useful research tool that produces programmable 3D rib motions which can be synchronized with 3D internal target motion. The easily accessible static lungs enable the use of a wide range of inserts or can be filled with lung tissue equivalent and deformed using the target motion system.
doi_str_mv 10.1118/1.4860662
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Each axis of motion can reproduce given trajectories from files or individually programmed sinusoidal motion in terms of amplitude, period, and phase shift. The maximum rib motion ranges from 7 to 20 mm SI and from 0.3 to 3.7 mm AP with LR motion less than 1 mm. The repeatability between cycles is within 0.16 mm root mean square error. The agreement between CT electron and mass density for skin, ribcage, spine hard and inner bone as well as cartilage is within 3%. Conclusions: The MAESTRO phantom is a useful research tool that produces programmable 3D rib motions which can be synchronized with 3D internal target motion. 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L.</creatorcontrib><creatorcontrib>Mills, John A.</creatorcontrib><creatorcontrib>Land, Imke</creatorcontrib><creatorcontrib>Mulholl, Pete</creatorcontrib><creatorcontrib>Menary, Paul</creatorcontrib><creatorcontrib>Crichton, Robert</creatorcontrib><creatorcontrib>Wilson, Adrian</creatorcontrib><creatorcontrib>Sage, John</creatorcontrib><creatorcontrib>Anna, Morenc</creatorcontrib><creatorcontrib>Depuydt, Tom</creatorcontrib><title>IGRT/ART phantom with programmable independent rib cage and tumor motion</title><title>Medical physics (Lancaster)</title><addtitle>Med Phys</addtitle><description>Purpose: This paper describes the design and experimental evaluation of the Methods and Advanced Equipment for Simulation and Treatment in Radiation Oncology (MAESTRO) thorax phantom, a new anthropomorphic moving ribcage combined with a 3D tumor positioning system to move target inserts within static lungs. 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L.</creator><creator>Mills, John A.</creator><creator>Land, Imke</creator><creator>Mulholl, Pete</creator><creator>Menary, Paul</creator><creator>Crichton, Robert</creator><creator>Wilson, Adrian</creator><creator>Sage, John</creator><creator>Anna, Morenc</creator><creator>Depuydt, Tom</creator><general>American Association of Physicists in Medicine</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>OTOTI</scope></search><sort><creationdate>201402</creationdate><title>IGRT/ART phantom with programmable independent rib cage and tumor motion</title><author>Haas, Olivier C. 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L.</creatorcontrib><creatorcontrib>Mills, John A.</creatorcontrib><creatorcontrib>Land, Imke</creatorcontrib><creatorcontrib>Mulholl, Pete</creatorcontrib><creatorcontrib>Menary, Paul</creatorcontrib><creatorcontrib>Crichton, Robert</creatorcontrib><creatorcontrib>Wilson, Adrian</creatorcontrib><creatorcontrib>Sage, John</creatorcontrib><creatorcontrib>Anna, Morenc</creatorcontrib><creatorcontrib>Depuydt, Tom</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Medical physics (Lancaster)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haas, Olivier C. L.</au><au>Mills, John A.</au><au>Land, Imke</au><au>Mulholl, Pete</au><au>Menary, Paul</au><au>Crichton, Robert</au><au>Wilson, Adrian</au><au>Sage, John</au><au>Anna, Morenc</au><au>Depuydt, Tom</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>IGRT/ART phantom with programmable independent rib cage and tumor motion</atitle><jtitle>Medical physics (Lancaster)</jtitle><addtitle>Med Phys</addtitle><date>2014-02</date><risdate>2014</risdate><volume>41</volume><issue>2</issue><spage>022106</spage><epage>n/a</epage><pages>022106-n/a</pages><issn>0094-2405</issn><eissn>2473-4209</eissn><coden>MPHYA6</coden><abstract>Purpose: This paper describes the design and experimental evaluation of the Methods and Advanced Equipment for Simulation and Treatment in Radiation Oncology (MAESTRO) thorax phantom, a new anthropomorphic moving ribcage combined with a 3D tumor positioning system to move target inserts within static lungs. Methods: The new rib cage design is described and its motion is evaluated using Vicon Nexus, a commercial 3D motion tracking system. CT studies at inhale and exhale position are used to study the effect of rib motion and tissue equivalence. Results: The 3D target positioning system and the rib cage have millimetre accuracy. Each axis of motion can reproduce given trajectories from files or individually programmed sinusoidal motion in terms of amplitude, period, and phase shift. The maximum rib motion ranges from 7 to 20 mm SI and from 0.3 to 3.7 mm AP with LR motion less than 1 mm. The repeatability between cycles is within 0.16 mm root mean square error. The agreement between CT electron and mass density for skin, ribcage, spine hard and inner bone as well as cartilage is within 3%. Conclusions: The MAESTRO phantom is a useful research tool that produces programmable 3D rib motions which can be synchronized with 3D internal target motion. The easily accessible static lungs enable the use of a wide range of inserts or can be filled with lung tissue equivalent and deformed using the target motion system.</abstract><cop>United States</cop><pub>American Association of Physicists in Medicine</pub><pmid>24506638</pmid><doi>10.1118/1.4860662</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Access via Wiley Online Library; Alma/SFX Local Collection
subjects ACCURACY
AMPLITUDES
Analysis of motion
Biological material, e.g. blood, urine
Haemocytometers
bone
Cancer
CARTILAGE
CHEST
Computed tomography
Computerised tomographs
computerised tomography
Digital computing or data processing equipment or methods, specially adapted for specific applications
Dosimetry
ERRORS
EVALUATION
IGRT
Image data processing or generation, in general
image motion analysis
Kinematics
lung
Lung Neoplasms - physiopathology
Lung Neoplasms - radiotherapy
LUNGS
medical image processing
Medical imaging
motion management
Movement
NEOPLASMS
PHANTOMS
Phantoms, Imaging
PHASE SHIFT
Position sensitive detectors
radiation therapy
RADIOLOGY AND NUCLEAR MEDICINE
radiotherapy phantom
Radiotherapy, Intensity-Modulated - instrumentation
rib cage
ribs
Ribs - physiology
skin
spine
Therapeutic applications, including brachytherapy
thorax
Three dimensional sensing
Tissues
Tracking devices
tumours
VERTEBRAE
Vicon
title IGRT/ART phantom with programmable independent rib cage and tumor motion
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