Ontology type: schema:ScholarlyArticle
2004-09
AUTHORSGerd Straßmann, Peter Vacha, Torsten Osterhaus, Anke Battmann, Detlev Richter, Kamal Nashwan, Hans Otto Neidel, Klaus Jochen Klose, Rita Engenhart-Cabillic
ABSTRACTPURPOSE: To develop a manually movable laser system connected to the CT table for alignment of the isocenter cross of irradiation fields on the patient's skin directly after CT software simulation. MATERIAL AND METHODS: The specially designed laser system was constructed in the authors' department, and the mean focusing accuracy of isocenter translations was analyzed using Alderson phantom measurements. The mean overall accuracy from setup to treatment of the whole procedure of CT software simulation was measured by the comparison of bone structures and mamma contour of the digitally reconstructed radiograph (DRR) with the verification film. The time taken for the different setup procedure steps was evaluated for 70 breast cancer patients who were treated using tangential fields. RESULTS: The mean focusing accuracy of the manually movable laser system after defined isocenter translation was measured as 0.8 +/- 0.5 mm, the mean patient movement on the CT table as 2.0 +/- 1 mm, and the mean positioning accuracy of the first treatment after patient positioning corresponding to the skin alignments as 3.9 +/- 1.5 mm. The time periods for the different steps of the CT software simulation were measured, and the total duration was found to be 35.8 +/- 3.3 min. CONCLUSION: In general, the main advantage of well-known CT software simulation when compared to conventional simulation is the relief of the real X-ray simulator which is feasible with fast planning software (EXOMIO) and the presented movable laser system. More... »
PAGES597-600
http://scigraph.springernature.com/pub.10.1007/s00066-004-1247-9
DOIhttp://dx.doi.org/10.1007/s00066-004-1247-9
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1047560220
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/15378191
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