Evaluation and mitigation of deformable image registration uncertainties for MRI-guided adaptive radiotherapy
CONCLUSIONS: Among the three MIM DIR algorithms, MIM-CC shows the smallest errors in terms of MDA and DSC but exhibits significant Jacobian uncertainties in the interior regions of abdominal organs. The hybrid FEM technique effectively mitigates the Jacobian uncertainties in these regions.PMID:38634799 | DOI:10.1002/acm2.14358 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 18, 2024 Category: Physics Authors: Hualiang Zhong Kristofer K Kainz Eric S Paulson Source Type: research

The impact of advancing the standard of care in radiotherapy on operational treatment resources
CONCLUSION: The clinical implementation of hypofractionated treatment regimens has successfully reduced the radiotherapy workload and operational treatment hours required to treat patients. This analysis describes the impact of changes to the standard of care on institutional resources.PMID:38634814 | DOI:10.1002/acm2.14363 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 18, 2024 Category: Physics Authors: Michael Roumeliotis Kundan Thind Hali Morrison Ben Burke Kevin Martell Lukas van Dyke Lisa Barbera Sarah Quirk Source Type: research

Novel utilization and quantification of Xsight diaphragm tracking for respiratory motion compensation in Cyberknife Synchrony treatment of liver tumors
CONCLUSION: The diaphragm has the potential to serve as an alternative to gold fiducial markers for detecting liver tumors in close proximity or within it. We also found that we needed to reduce the motion amplitude and train the respiration of the patients during liver radiotherapy, as well as control and evaluate their breathing.PMID:38622894 | DOI:10.1002/acm2.14341 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 16, 2024 Category: Physics Authors: Jianping Zhang Lin Wang Chenyu Xie Zhiyu Yang Benhua Xu Xiaobo Li Source Type: research

First implementation of an innovative infra-red camera system integrated into a mobile CBCT scanner for applicator tracking in brachytherapy-Initial performance characterization
CONCLUSION: We implemented for the first time a standalone combined camera-CBCT system for tracking in brachytherapy. The system showed high potential for establishing corresponding workflows.PMID:38626753 | DOI:10.1002/acm2.14364 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 16, 2024 Category: Physics Authors: Andre Karius Lisa Marie Leifeld Vratislav Strnad Rainer Fietkau Christoph Bert Source Type: research

Novel utilization and quantification of Xsight diaphragm tracking for respiratory motion compensation in Cyberknife Synchrony treatment of liver tumors
CONCLUSION: The diaphragm has the potential to serve as an alternative to gold fiducial markers for detecting liver tumors in close proximity or within it. We also found that we needed to reduce the motion amplitude and train the respiration of the patients during liver radiotherapy, as well as control and evaluate their breathing.PMID:38622894 | DOI:10.1002/acm2.14341 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 16, 2024 Category: Physics Authors: Jianping Zhang Lin Wang Chenyu Xie Zhiyu Yang Benhua Xu Xiaobo Li Source Type: research

First implementation of an innovative infra-red camera system integrated into a mobile CBCT scanner for applicator tracking in brachytherapy-Initial performance characterization
CONCLUSION: We implemented for the first time a standalone combined camera-CBCT system for tracking in brachytherapy. The system showed high potential for establishing corresponding workflows.PMID:38626753 | DOI:10.1002/acm2.14364 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 16, 2024 Category: Physics Authors: Andre Karius Lisa Marie Leifeld Vratislav Strnad Rainer Fietkau Christoph Bert Source Type: research

Implementation of a programmatic assessment model in radiation oncology medical physics training
CONCLUSIONS: An updated training program for Radiation Oncology Medial Physics registrars/residents was released in Australasia. Scientific content from a previous program was used as a foundation and revised for currency with the ability to accommodate a dynamic curriculum model. A programmatic model of assessment was created after comprehensive review and consultation. This new model of assessment provides more structured, ongoing assessment throughout the training period. It contains allowances for local bespoke assessment, and guidance for supervisors by the provision of marking templates and rubrics.PMID:38620004 | DO...
Source: Journal of Applied Clinical Medical Physics - April 15, 2024 Category: Physics Authors: Cathy Barbagallo Kristy Osborne Claire Dempsey Source Type: research

Characterization of a novel VenusX orthogonal dual-layer multileaf collimator
CONCLUSIONS: The αMLC benefits from its orthogonal dual-layer design. Leaf transmission, dose undulations at the field edge, and MLC field dependence of the leaf stepping angle of the dual-layer αMLC were remarkably reduced.PMID:38620027 | DOI:10.1002/acm2.14357 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 15, 2024 Category: Physics Authors: Qingxin Wang Qifeng Li Zhongqiu Wang Chengwen Yang Daguang Zhang Jun Wang Ping Wang Wei Wang Source Type: research

Implementation of a programmatic assessment model in radiation oncology medical physics training
CONCLUSIONS: An updated training program for Radiation Oncology Medial Physics registrars/residents was released in Australasia. Scientific content from a previous program was used as a foundation and revised for currency with the ability to accommodate a dynamic curriculum model. A programmatic model of assessment was created after comprehensive review and consultation. This new model of assessment provides more structured, ongoing assessment throughout the training period. It contains allowances for local bespoke assessment, and guidance for supervisors by the provision of marking templates and rubrics.PMID:38620004 | DO...
Source: Journal of Applied Clinical Medical Physics - April 15, 2024 Category: Physics Authors: Cathy Barbagallo Kristy Osborne Claire Dempsey Source Type: research

Characterization of a novel VenusX orthogonal dual-layer multileaf collimator
CONCLUSIONS: The αMLC benefits from its orthogonal dual-layer design. Leaf transmission, dose undulations at the field edge, and MLC field dependence of the leaf stepping angle of the dual-layer αMLC were remarkably reduced.PMID:38620027 | DOI:10.1002/acm2.14357 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 15, 2024 Category: Physics Authors: Qingxin Wang Qifeng Li Zhongqiu Wang Chengwen Yang Daguang Zhang Jun Wang Ping Wang Wei Wang Source Type: research

Design and implementation of automated notification systems and an electronic whiteboard for radiation therapy planning monitoring
CONCLUSIONS: Our experience shows that this system requires minimal human intervention, improves the treatment planning workflow and process by reducing errors and delays in the treatment planning process, positively impacts on-time treatment plan completion, and reduces the need for compressed or rushed treatment planning timelines.PMID:38615273 | DOI:10.1002/acm2.14344 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 14, 2024 Category: Physics Authors: Ping Yan Jin Shen Amar Basavatia Madhur K Garg Wolfgang A Tom é Source Type: research

Design and implementation of automated notification systems and an electronic whiteboard for radiation therapy planning monitoring
CONCLUSIONS: Our experience shows that this system requires minimal human intervention, improves the treatment planning workflow and process by reducing errors and delays in the treatment planning process, positively impacts on-time treatment plan completion, and reduces the need for compressed or rushed treatment planning timelines.PMID:38615273 | DOI:10.1002/acm2.14344 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 14, 2024 Category: Physics Authors: Ping Yan Jin Shen Amar Basavatia Madhur K Garg Wolfgang A Tom é Source Type: research

Evaluating automatically generated normal tissue contours for safe use in head and neck and cervical cancer treatment planning
CONCLUSIONS: This study shows that dosimetrically equivalent normal tissue contours can be created for HN and cervical cancers using deep learning techniques. In general, differences between the contours did not affect the passing or failing of clinical dose tolerances.PMID:38610118 | DOI:10.1002/acm2.14338 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 13, 2024 Category: Physics Authors: Raphael Douglas Adenike Olanrewaju Raymond Mumme Lifei Zhang Beth M Beadle Laurence Edward Court Source Type: research

An adult and pediatric size-based contrast administration reduction phantom study for single and dual-energy CT through preservation of contrast-to-noise ratio
CONCLUSIONS: Our work provided a quantitative baseline for other institutions to further optimize their scanning protocols to reduce the use of ICM.PMID:38605540 | DOI:10.1002/acm2.14340 (Source: Journal of Applied Clinical Medical Physics)
Source: Journal of Applied Clinical Medical Physics - April 12, 2024 Category: Physics Authors: Jia Wang Xinhui Duan Usman Mahmood Sarah Eva McKenney Samuel Loren Brady Source Type: research

Monte Carlo evaluation of uncertainties in photon and electron TG-51 absorbed dose calibration
CONCLUSIONS: Despite the different methodology and assumptions, the estimated uncertainty in photon beam calibration is close to that in the addendum. The careful user should be able to easily reach a 95% confidence interval (CI) of ± 2.3% for photon beam calibration with standard instrumentation. For electron beams calibrated with a Farmer chamber, the estimated uncertainties are slightly larger, and the 95% CI is ±2.6% for 6 MeV and slightly smaller than this for 18 MeV. There is no clear energy dependence in these results. It is unlikely that the user will be able to improve on these uncertainties as the dominant fact...
Source: Journal of Applied Clinical Medical Physics - April 12, 2024 Category: Physics Authors: Patrick N McDermott Source Type: research