Recently, VOLO™ was introduced as a new optimizer for CyberKnife® planning. In this study, we investigated possibilities to improve treatment plans for MLC‐based prostate SBRT with enhanced peripheral zone dose while sparing the urethra, and central lung tumors, compared to existing Sequential Optimization (SO). The primary focus was on reducing OAR doses. For 25 prostate and 25 lung patients treated

To investigate the effect of breathing motion on dose distribution for hepatocellular carcinoma (HCC) patients using four‐dimensional (4D) CT and deformable registration.

The Halcyon™ platform is self‐contained, combining a treatment planning (Eclipse) system TPS) with information management and radiation delivery components. The standard TPS beam model is configured and locked down by the vendor. A portal dosimetry‐based system for patient‐specific QA (PSQA) is also included. While ensuring consistency across the user base, this closed model may not be optimal for

This study aimed to compare the dose and noise level of four tube voltages in abdominal computerized tomography (CT) examinations in different abdominal circumference sizes of pregnant women. Fetal radiation doses were measured with two anthropomorphic pregnant phantoms and real‐time dosimeters of photoluminescence sensors using four tube voltages for abdominal CT. The noise level was measured at the

Abdominal compression can minimize breathing motion in stereotactic radiotherapy, though it may impact the positioning of dose‐limiting normal tissues. This study quantified the reproducibility of abdominal normal tissues and respiratory motion with the use of an abdominal compression device using MR imaging.

Diffusion‐weighted imaging (DWI) provides a valuable diagnostic tool for tumor evaluation. Yet, it is difficult to acquire daily MRI data sets in the traditional radiotherapy clinical setting due to patient burden and limited resources. However, integrated MRI radiotherapy treatment systems facilitate daily functional MRI acquisitions like DWI during treatment exams. Before ADC values from MR‐RT systems

Cone beam computed tomography (CBCT) is often used for patient setup based solely on bony anatomy. The goal of this work was to evaluate whether CBCT dose can be lowered to the level of kV image pair doses when used for bony anatomy‐based IGRT without compromising positioning accuracy.

Stereotactic radiosurgery (SRS) can be delivered with a standard linear accelerator (linac). At institutions having more than one linac, beam matching is common practice. In the literature, there are indications that machine central axis (CAX) matching for broad fields does not guarantee matching of small fields with side ≤2 cm. There is no indication on how matching for broad fields on axis translates

To evaluate the impact of gas removal on bladder and rectal doses during intracavitary and interstitial high‐dose‐rate brachytherapy (HDRB) for gynecologic cancers.

The treatment couch position of a patient in external beam radiation therapy (EBRT) is usually acquired during initial treatment setup. This procedure has shown potential failure modes leading to near misses and adverse events in radiation treatment. This study aims to develop a method to automatically determine the couch position before setting up a patient for initial treatment.

The purpose of this paper is to present and validate an originally developed application SkinCare used for skin dose mapping in interventional procedures, which are associated with relatively high radiation doses to the patient’s skin and possible skin reactions.

The objective of this study was to evaluate the robustness and reproducibility of computed tomography‐based texture analysis (CTTA) metrics extracted from CT images of a customized texture phantom built for assessing the association of texture metrics to three‐dimensional (3D) printed progressively increasing textural heterogeneity.

In passive scattering proton beam therapy, scattered protons from the snout and aperture increase the superficial dose, however, treatment planning systems (TPSs) based on analytic algorithms (such as proton convolution superposition) are often inaccurate in this aspect. This additional dose can cause permanent alopecia or severe radiation dermatitis. This study aimed to evaluate the effect of bolus

We conducted this study to construct a target coverage‐volume histogram (CVH) and leakage‐volume histogram (LVH) metrics and optimization strategy for the selection of the Iris collimator in Cyberknife Xsight lung tracking treatment through a retrospective analysis of target structures and clinical data.

This study evaluated unexpected dosimetric errors caused by machine control accuracy, patient setup errors, and patient weight changes/internal organ deformations. Trajectory log files for 13 gynecologic plans with seven‐ or nine‐beam dynamic multileaf collimator (MLC) intensity‐modulated radiation therapy (IMRT), and differences between expected and actual MLC positions and MUs were evaluated. Effects

The parotid gland is recognized as a major‐risk organ in whole‐brain irradiation; however, the beam delivery from the left and right sides cannot reduce the parotid gland dose. The four‐field box technique using a head‐tilting device has been reported to reduce the parotid gland dose by excluding it from the radiation field. This study aimed to determine the appropriate head tilt angle to reduce the

A high‐energy‐resolution whole‐body SPECT‐CT device (Discovery NM/CT 870 CZT; C‐SPECT) equipped with a CZT detector has been developed and is being used clinically. A MEHRS collimator has also been developed recently, with an expected improvement in imaging accuracy using medium‐energy radionuclides. The objective of this study was to compare and analyze the accuracies of the following devices: a WEHR

This study aimed to investigate the feasibility of generating pseudo dual‐energy CT (DECT) from one 120‐kVp CT by using convolutional neural network (CNN) to derive additional information for quantitative image analysis through phantom study.

Spectral computed tomography (spectral CT) provides access to clinically relevant measures of endogenous and exogenous materials in patients. For pediatric patients, current spectral CT applications include lesion characterization, quantitative vascular imaging, assessments of tumor response to treatment, and more.

According to the US Census Bureau, recent immigrants to the United States are more likely to have a college education than earlier immigrants or the native born.1 In particular, in 2018 13.9% of immigrants ages 25 and older hold a postgraduate degree2 compared to about 13.1% of US adults.1 However, in a highly technological discipline like medical physics, even the highest education needs to be integrated

To develop an efficient and economic daily quality research tool (DQRT) for daily check of multiplatform linear accelerators (LINACs) with flattening filter (FF) and flattening filter‐free (FFF) photon beams by using an Electronic Portal Image Device (EPID).

To evaluate the dosimetric and image‐guided radiation therapy (IGRT) performance of a novel generative adversarial network (GAN) generated synthetic CT (synCT) in the brain and compare its performance for clinical use including conventional brain radiotherapy, cranial stereotactic radiosurgery (SRS), planar, and volumetric IGRT.

1 Overview The past decade has been a golden age for artificial intelligence (AI), with an explosive amount of research and development. From AlphaGo to self‐driving vehicles and brain–computer interface, transformative changes and bold ideas are sweeping through our everyday lives. One important application area is the field of medicine. In medicine, AI has also dominated scientific conferences in

Gold nanoparticles (AuNPs) are visualized and quantified in a human‐sized phantom with a clinical MDCT scanner.

Since the development of one‐ and two‐million volt x‐ray machines in the 1930s, which led to the reduction of both skin erythema and bone necrosis as well as an increase in depth dose, medical physicists have worked steadily to develop radiation sources and techniques for increasing the therapeutic ratios for most solid tumors. One of the major results of this research was the linear electron accelerator

An increasing number of implantable or external devices can impact whether patients can receive radiological imaging examinations. This study examines and tests the Neulasta (pegfilgrastim) Onpro on‐body injector in multiple imaging environments.

The aim of the present study based on the PriCoTTF‐phase I/II trial is the quantification of skin‐normal tissue complication probabilities of patients with newly diagnosed glioblastoma multiforme treated with Tumor Treating Field (TTField) electrodes, concurrent radiotherapy, and temozolomide. Furthermore, the skin‐sparing effect by the clinically applied strategy of repetitive transducer array fixation

Deep inspiration breath hold (DIBH) and respiratory gating (RG) are widely used to reduce movement of target and healthy organs caused by breathing during irradiation. We hypothesized that accuracy and efficiency comparable to DIBH can be achieved with RG for pancreas treatment.

To quantify daily residual deviations from the planned geometry after image‐guided prostate radiotherapy with endorectal balloon and to evaluate their effect on the delivered dose distribution.

The purpose of this study was to assess the effect of obesity and iterative reconstruction on the ability to reduce exposure by studying the accuracy for detection of low‐contrast low‐attenuation (LCLA) liver lesions on computed tomography (CT) using a phantom model.

To investigate the diagnostic value and feasibility of radiomics‐based texture analysis in differentiating pulmonary sclerosing pneumocytoma (PSP) from solid malignant pulmonary nodules (SMPN) on single‐ and three‐phase computed tomography (CT) images.

This Editorial will summarize some of the recent tendencies of publication explored in a recent Wiley Society Newsletter on the open access movement: http://s1133198723.t.en25.com/e/es?s=1133198723&e=6599750&elqTrackId=be52ad97a9d24b6c8db9974cd2051faf&elq=fef810d97dae4c9c9b098792bf9de575&elqaid=48002&elqat=1 . As it turns out, in a recent survey about Society Publications, Wiley determined that no‐cost

1 INTRODUCTION In the past three decades, all carbon ion treatment centers are mainly located in Europe and Asia, yet the therapeutic benefits of carbon ion therapy were first discovered in the United States in 1970s. Clinical outcome studies are coming out in the recent years from those centers comparing carbon ion treatment with conventional photon radiotherapy or surgery.1, 2 People might have been

A synchrotron‐based real‐time image gated spot‐scanning proton beam therapy (RGPT) system with inserted fiducial markers can irradiate a moving tumor with high accuracy. As gated treatments increase the beam delivery time, this study aimed to investigate the frequency of intra‐field adjustments corresponding to the baseline shift or drift and the beam delivery efficiency of a synchrotron‐based RGPT

Radiotherapy components of an magnetic resonnace‐guided radiotherapy (MRgRT) system can alter the magnetic fields, causing spatial distortion and image deformation, altering imaging and radiation isocenter coincidence and the accuracy of dose calculations. This work presents a characterization of radiotherapy component impact on MR imaging quality in terms of imaging isocenter variation and spatial

Dark current radiation produced during linac beam‐hold has the potential to lead to unplanned dose delivered to the patient. With the increased usage of motion management and step‐and‐shoot IMRT deliveries for MR‐guided systems leading to increased beam‐hold time, it is necessary to consider the impact of dark current radiation on patient treatments.

Out‐of‐field organs are not commonly designated as dose calculation targets during radiation therapy treatment planning, but they might entail risks of second cancer. Risk components include specific internal body scatter, which is a dominant source of out‐of‐field doses, and head leakage, which can be reduced by external shielding. Our simulation study quantifies out‐of‐field organ doses and estimates

Position accuracy of the multi‐leaf collimator (MLC) is essential in stereotactic body radiotherapy (SBRT). This study is aimed to investigate the dosimetric impacts of the MU‐weighted MLC positioning uncertainties of SBRT for patients with early stage peripheral non‐small cell lung cancer (NSCLC).

This study aimed to develop a high‐dose‐rate brachytherapy (HDR‐BT) quality assurance (QA) tool for verification of source positions, and to report on its effectiveness.

To report on the use of surface guided imaging during frameless intracranial stereotactic radiotherapy with automated delivery via HyperArcTM (Varian Medical Systems, Palo Alto, CA).

For many patients, stereotactic radiosurgery (SRS) offers a minimally invasive, curative option when surgical techniques are not possible. To date, the literature supporting the efficacy and safety of SRS treatment techniques uses photon beams. However, with the number of proton therapy facilities exponentially growing and the favorable physical properties of proton beam radiation therapy, there is

The aim of this study was to provide a comprehensive assessment of patient intrafraction motion in linac‐based frameless stereotactic radiosurgery (SRS) and radiotherapy (SRT).

Monte Carlo (MC)‐based treatment planning requires a choice of dose voxel size (DVS) and statistical uncertainty (SU). These parameters effect both the precision of displayed dose distribution and time taken to complete a calculation. For efficient, accurate, and precise treatment planning in a clinical setting, optimal values should be selected. In this investigation, 30 volumetric modulated arc therapy

This project determined the range of island block geometric configurations useful for the clinical utilization of intensity‐modulated bolus electron conformal therapy (IM‐BECT).

To evaluate the dosimetric impact of daily positioning variations measured with cone‐beam computed tomography (CBCT) on whole‐breast radiotherapy patients treated in the prone position.

In conventional stereotactic radiosurgery (SRS), treatment of multiple brain metastases using multiple isocenters is time‐consuming resulting in long dose delivery times for patients. A single‐isocenter technique has been developed which enables the simultaneous irradiation of multiple targets at one isocenter. This technique requires accurate positioning of the patient to ensure optimal dose coverage

Cone beam computed tomography (CBCT) offers advantages such as high ray utilization rate, the same spatial resolution within and between slices, and high precision. It is one of the most actively studied topics in international computed tomography (CT) research. However, its application is hindered owing to scatter artifacts. This paper proposes a novel scatter artifact removal algorithm that is based

Real‐time magnetic resonance guided radiation therapy (MRgRT) uses 2D cine imaging for target tracking. This work evaluates the percent image uniformity (PIU) and spatial integrity of cine images in the presence of multileaf collimator (MLC) and gantry motion in order to simulate sliding window and volumetric modulated arc therapy (VMAT) conditions.

To evaluate two three‐dimensional (3D)/3D registration platforms, one two‐dimensional (2D)/3D registration method, and one 3D surface registration method (3DS). These three technologies are available to perform six‐dimensional (6D) registrations for image‐guided radiotherapy treatment.

Men treated for localized prostate cancer by radiotherapy have often a remaining life span of 10 yr or more. Therefore, the risk for secondary malignancies should be taken into account. Plans for ten patients were evaluated which had been performed on an Oncentra® treatment planning system for a treatment with an Elekta Synergy™ linac with Agility™ head. The investigated techniques involved IMRT and

The commissioning and benchmark of a Monte Carlo (MC) model of the 6‐MV Brainlab‐Mitsubishi Vero4DRT linear accelerator for the purpose of quality assurance of clinical dynamic wave arc (DWA) treatment plans is reported. Open‐source MC applications based on EGSnrc particle transport codes are used to simulate the medical linear accelerator head components. Complex radiotherapy irradiations can be simulated

The aim of this work was to establish a methodological approach for creation and optimization of an atlas for auto‐contouring, using the commercial software MIM MAESTRO (MIM Software Inc. Cleveland OH).

To evaluate (a) the effects of megavoltage (MV)‐scatter on concurrent kilovoltage (kV) projections (PMVkV) acquired during rotational delivery, and (b) the image quality of intra‐irradiation cone‐beam computed tomography (ii‐CBCT) images acquired during prostate volumetric‐modulated arc therapy (VMAT) delivery.

This note describes the performance of a quality assurance (QA) tool built for daily checks of the Gamma Knife’s high definition motion management (HDMM) system.

To determine if the gamma knife icon (GKI) can provide superior stereotactic radiotherapy (SRT) dose distributions for appropriately selected meningioma and post‐resection brain tumor bed treatments to volumetric modulated arc therapy (VMAT).

During treatment planning for head‐and‐neck volumetric‐modulated arc therapy (VMAT), manual contouring of the metal artifact area of artificial teeth is done, and the area is replaced with water computed tomography (CT) values for dose calculation. This contouring of the metal artifact areas, which is performed manually, is subject to human variability. The purpose of this study is to evaluate and

The purpose of this study is to dually evaluate the effectiveness of PlanIQ in predicting the viability and outcome of dosimetric planning in cases of complex re‐irradiation as well as generating an equivalent plan through Pinnacle integration. The study also postulates that a possible strength of PlanIQ lies in mitigating pre‐optimization uncertainties tied directly to dose overlap regions where re‐irradiation

To evaluate the accuracy of a deep learning‐based auto‐segmentation mode to that of manual contouring by one medical resident, where both entities tried to mimic the delineation "habits" of the same clinical senior physician.

In order to reduce heart dose, DIBH has become a common practice in left‐sided whole breast irradiation. This technique involves a significant strain on patients due to the breath‐hold requirements. We hereby investigate the dosimetric and delivery feasibility of using flattening filter free (FFF) energies with electronic tissue compensation (ECOMP) planning technique to reduce the required breath‐hold

The interruption time is the irradiation interruption that occurs at sites and operations such as the gantry, collimator, couch rotation, and patient setup within the field in radiotherapy. However, the radiobiological effect of prolonging the treatment time by the interruption time for tumor cells is little evaluated. We investigated the effect of the interruption time on the radiobiological effectiveness