Surface-Guided Radiotherapy: Can We Move on from the Era of Three-Point Markers to the New Era of Thousands of Points?
Abstract
:1. Introduction
1.1. SGRT Systems
1.1.1. Catalyst+ HD (C-RAD, Upsala, Sweden)
1.1.2. AlignRT Advance (VisionRT, London, UK)
1.1.3. IDENTIFY (Varian Medical Systems, Palo Alto, CA, USA)
1.1.4. ExacTrac (Brainlab, Munich, Germany)
2. Materials and Methods
3. Results
3.1. General
3.2. Breast
3.3. Head and Neck/Brain
3.4. Thorax
3.5. Abdomen
3.6. Pelvis
Authors | Sample | SGRT Device | Mean Residual Errors ± SD or Median Residual Errors (Range) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Vertical (mm) | Longitudinal (mm) | Lateral (mm) | RMS (mm) | Yaw (°) | Pitch (°) | Roll (°) | ||||||||||
SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | |||
Stanley et al. (2017) [22] | 600–900 frx (Both setup techniques were used for each patient) | Catalyst HD | N/A | N/A | N/A | N/A | N/A | N/A | 6 ± 2 | 14 ± 7 | N/A | N/A | N/A | N/A | N/A | N/A |
Cravo Sa (2018) [23] | 10 Pts SGRT vs. 10 Pts tattoos (breast FB) | AlignRT | −2.1 ± 1.4 | 3.1 ± 2.9 | 0.5 ± 2.9 | −2.2 ± 3.3 | −0.2 ± 1.3 | 2.2 ± 2.9 | N/A | N/A | −0.01 | −0.28 | 0.3 ± 1.22 | 0.25 ± 1.11 | 0.72 | 0.05 |
Hattel et al. (2019) [27] | 99 frx SGRT vs. 44 frx tattoos | AlignRT | N/A | N/A | N/A | N/A | N/A | N/A | 4.2 | 5.4 | N/A | N/A | N/A | N/A | N/A | N/A |
Kügele et al. (2019) [25] | 37 Pts SGRT vs. 26 Pts tattoos (tangential treatment) | Catalyst (1 unit) | 1.5 ± 1.7 | 0.6 ± 3.7 | 0.4 ± 1.5 | 0.8 ± 3.7 | −0.5 ± 1.4 | −0.6 ± 3.3 | 2.4 (0–8.1) | 4.2 (0–19.7) | N/A | N/A | N/A | N/A | N/A | N/A |
42 Pts SGRT vs. 34 Pts tattoos (locoregional treatment) | Catalyst HD | −0.3 ± 2.9 | 0.7 ± 3.1 | −0.1 ± 2.8 | 0.1 ± 3.3 | −0.5 ± 2.8 | 0.1 ± 3.4 | 4 (0–13.5) | 4.7 (0–18.7) | N/A | N/A | N/A | N/A | N/A | N/A | |
Rigley et al. (2020) [28] | 191 frx SGRT vs. 197 frx tattoos (right breast FB) | AlignRT | N/A | N/A | N/A | N/A | N/A | N/A | 4.7 | 5.2 | N/A | N/A | N/A | N/A | N/A | N/A |
191 frx SGRT vs. 201 frx tattoos (left breast DIBH) | N/A | N/A | N/A | N/A | N/A | N/A | 4.5 | 7.6 | N/A | N/A | N/A | N/A | N/A | N/A | ||
Nguyen et al. (2021) [26] | 10 Pts SGRT vs. 10 Pts tattoos (breast FB) | AlignRT (Installed in O-ring linac) | 2 ± 2 | 3 ± 4 | −1 ± 3 | −1 ± 6 | 3 ± 2 | 0 ± 5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Svestad et al. (2022) [35] | 25 Right Breast Pts (Both setup techniques were used for each patient; half of the fractions with SGRT and the other half with tattoos) | AlignRT | −3.2 ± 1.1 | −0.4 ± 2.7 | 0.2 ± 2.7 | 0.5 ± 3.5 | 0.7± 1.6 | −0.1 ± 1.3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Kang et al. (2023) [24] | 38 breast Pts (Both setup techniques were used for each patient; 3 frx with SGRT and 3 tattoos with SGRT) | AlignRT (installed in O-ring linac) | 1.9 ± 1.2 | 2.7 ± 1.6 | 2.9 ± 2.1 | 2 ± 1.2 | 1.9 ± 0.7 | 2.1 ± 1 | N/A | N/A | 0.51 ± 0.26 | 0.51 ± 0.24 | 0.3 ± 0.22 | 0.32 ± 0.3 | 0.19 ± 0.13 | 0.29 ± 0.22 |
Authors | Sample | SGRT Device | Mean Residual Errors ± SD or Median Residual Errors (Range) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Vertical (mm) | Longitudinal (mm) | Lateral (mm) | Yaw (°) | Pitch (°) | Roll (°) | |||||||||
SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | |||
Carl et al. (2018) [20] | 689 frx (Patients were positioned using tattoos and verified with IGRT. Residual errors for SGRT were calculated theoretically) | Catalyst HD | 0.13 ± 2.88 | −0.03 ± 2.27 | 0.17 ± 2.11 | 0.29 ± 1.89 | −0.21 ± 2.14 | −0.18 ± 1.71 | N/A | N/A | N/A | N/A | N/A | N/A |
Wei et al. (2020) [30] | 10 Pts SGRT vs. 10 Pts tattoos (oropharynx) | AlignRT | 0.38 ± 0.79 | −1.68 ± 1.09 | 0.03 ± 0.86 | 0.63 ± 1.52 | 0.36 ± 1.22 | 0.09 ± 0.95 | −0.14 ± 0.40 | −0.09 ± 0.34 | 0.68 ± 0.49 | −0.08 ± 0.95 | 0.2 ± 1.21 | 0.26 ± 1.07 |
10 Pts SGRT vs. 10 Pts Tattoo (oral cavity) | −0.06 ± 1.16 | −2.77 ± 1.33 | 0.19 ± 0.89 | 1.5 ± 1.46 | −0.49 ± 1.11 | −0.11 ± 1.82 | 0.12 ± 0.44 | 0.10 ± 0.19 | 0.15 ± 0.42 | 0.1 ± 0.65 | 0.29 ± 0.81 | −0.33 ± 0.90 | ||
10 Pts SGRT vs. 10 Pts tattoos (nasopharynx/sinonasal) | −0.32 ± 0.58 | −0.04 ± 1.40 | −0.33 ± 0.54 | 0.39 ± 1.26 | −0.25 ± 0.63 | −0.38 ± 1.9 | 0.11 ± 0.31 | 0.03 ± 0.35 | 0.44 ± 0.66 | 0.18 ± 0.52 | −0.45 ± 1.06 | 0.01 ± 0.93 | ||
Flores-Martinez (2020) [29] | 107 frx SGRT vs. 117 frx tattoos | AlignRT (installed in O-ring linac) | N/A | N/A | N/A | N/A | N/A | N/A | 0.79 ± 0.66 | 0.93 ± 0.98 | 0.53 ± 0.45 | 1.24 ± 0.97 | 0.54 ± 0.49 | 0.80 ± 0.76 |
Chen (2023) [31] | 20 Pts SGRT vs. 20 Pts tattoos (SRS/SRT) | AlignRT | 0.4 (0.2–0.7) | 1.1 (0.5–1.6) | 0.7 (0.3–1.1) | 1 (0.4–1.7) | 0.3 (0.1–0.7) | 0.9 (0.5–1.5) | 0.2 (0.05–0.5) | 0.75 (0.3–1.15) | 0.4 (0.1–0.6) | 0.6 (0.2–1.3) | 0.2 (0.1–0.35) | 0.6 (0.2–0.85) |
Authors | Sample | SGRT Device | Mean Residual Errors ± SD | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Vertical (mm) | Longitudinal (mm) | Lateral (mm) | RMS (mm) | Yaw (°) | Pitch (°) | Roll (°) | ||||||||||
SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | |||
Walter et al. (2016) [19] | 8 Pts—25 frx (Patients were positioned using tattoos and verified with IGRT. Residual errors for SGRT were calculated theoretically) | Catalyst (1 unit) | 0.5 ± 3.2 | 0.6 ± 4.1 | −5 ± 7.9 | −2 ± 3.5 | 0.6 ± 2.6 | 0.7 ± 2.5 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Carl et al. (2018) [20] | 460 frx (Patients were positioned using tattoos and verified with IGRT. Residual errors for SGRT were calculated theoretically) | Catalyst HD | −0.01 ± 4.64 | 0.22 ± 4.18 | −1.14 ± 4.66 | −0.65 ± 3.65 | −0.13 ± 4.67 | −0.21 ± 4.06 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Blake et al. (2022) [32] | 19 Pts SGRT vs. 17 Pts tattoo | AlignRT | 2 ± 3 | −1 ± 2 | 0 ± 3 | 0 ± 5 | 0 ± 3 | 0 ± 3 | N/A | N/A | 0.3 ± 1.5 | 0.2 ± 1.4 | 0.3 ± 1.1 | 0.4 ± 1.2 | 0 ± 1.3 | −0.4 ± 1.3 |
Zhao et al. (2022) [21] | 25 Pts—202 frx (Patients were positioned using tattoos and verified with IGRT. Residual errors for SGRT were calculated theoretically) | AlignRT | 3.1 ± 2.4 | 3.2 ± 3.1 | 4.6 ± 4.4 | 3.4 ± 3.9 | 2.6 ± 2.5 | 2.9 ± 2.8 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Qubala (2023) [33] | 10 Pts—100 frx (Both setup techniques were used for each patient) | AlignRT | 1.9 ± 2.8 | 0.2 ± 2.3 | −1.1 ± 2.9 | 0.1 ± 3 | 0.5 ± 1.4 | 0.4 ± 2.2 | 5.7 ± 2.2 | 5 ± 1.6 | −0.5 ± 0.5 | −0.2 ± 0.8 | 0 ± 0.5 | 0.5 ± 0.8 | 0.2 ± 0.5 | 0.3 ± 0.9 |
Authors | Sample | SGRT Device | Mean Residual Errors ± SD | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Vertical (mm) | Longitudinal (mm) | Lateral (mm) | RMS (mm) | Yaw (°) | Pitch (°) | Roll (°) | ||||||||||
SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | |||
Walter et al. (2016) [19] | 4 Pts—21 frx (Patients were positioned using tattoos and verified with IGRT. Residual errors for SGRT were calculated theoretically) | Catalyst (1 unit) | 2.1 ± 5.5 | 2.1 ± 2.7 | 2.6 ± 1.8 | −0.4 ± 1.2 | 0.3 ± 2.2 | 2.2 ± 1.3 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Stanley et al. (2017) [22] | 600–900 frx (setup from both techniques) | Catalyst HD | N/A | N/A | N/A | N/A | N/A | N/A | 5 ± 3 | 10 ± 5 | N/A | N/A | N/A | N/A | N/A | N/A |
Carl et al. (2018) [20] | 630 frx (Patients were positioned using tattoos and verified with IGRT. Residual errors for SGRT were calculated theoretically) | Catalyst HD | 0.59 ± 5.58 | 0.68 ± 3.93 | 1.99 ± 5.25 | 1.56 ± 4.18 | −0.46 ± 4.85 | −0.06 ± 4.03 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Authors | Sample | SGRT Device | Mean Residual Errors ± SD or Median Residual Errors (Range) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Vertical (mm) | Longitudinal (mm) | Lateral (mm) | RMS (mm) | Yaw (°) | Pitch (°) | Roll (°) | ||||||||||
SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | SGRT | Tattoos | |||
Walter et al. (2016) [19] | 13 Pts—108 frx (Patients were positioned using tattoos and verified with IGRT. Residual errors for SGRT were calculated theoretically) | Catalyst (1 unit) | 1.6 ± 2.2 | 1 ± 1.1 | −1.7 ± 2.8 | 0.4 ± 1.4 | −0.9 ± 1.5 | −0.9 ± 1.4 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Mannerberg et al. (2021) [34] | 20 Pts SGRT vs. 20 Pts tattoos | Catalyst (1 unit) | 2.2 (0–9.3) | 2.6 (0–12.6) | 1.8 (0–9.6) | 1.6 (0–15.2) | 1.1 (0–5.6) | 1.9 (0–15.2) | 4.7 (0–10.4) | 5.2 (0.41–17.3) | N/A | N/A | N/A | N/A | N/A | N/A |
Qubala et al. (2023) [33] | 11 Pts—100 frx (Both setup techniques were used for each patient) | AlignRT | 2.4 ± 3.2 | 1.9 ± 3.4 | −0.7 ± 2.4 | 0.1 ± 4 | 0.2 ± 3.1 | 1.4 ± 2.6 | 6.6 ± 2.3 | 7.1 ± 2.3 | 0 ± 0.5 | 0.2 ± 0.5 | 0.1 ± 1.2 | −0.6 ± 1.2 | −0.3 ± 0.7 | −0.3 ± 0.4 |
4. Discussion
4.1. Breast
4.2. Head and Neck/Brain
4.3. Thorax
4.4. Abdomen
4.5. Pelvis
4.6. SGRT and Intrafractional Monitoring
4.7. SGRT and Imaging Dose Reduction
4.8. Future Perspectives
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Wurstbauer, K.; Sedlmayer, F.; Kogelnik, H.D. Skin markings in external radiotherapy by temporary tattooing with henna: Improvement of accuracy and increased patient comfort. Int. J. Radiat. Oncol. Biol. Phys. 2001, 50, 179–181. [Google Scholar] [CrossRef] [PubMed]
- Rathod, S.; Munshi, A.; Agarwal, J. Skin markings methods and guidelines: A reality in image guidance radiotherapy era. South Asian J. Cancer 2012, 1, 27–29. [Google Scholar] [CrossRef] [PubMed]
- Naidoo, W.; Leech, M. Feasibility of surface guided radiotherapy for patient positioning in breast radiotherapy versus conventional tattoo-based setups—A systematic review. Tech. Innov. Patient Support Radiat. Oncol. 2022, 22, 39–49. [Google Scholar] [CrossRef] [PubMed]
- Landeg, S.J.; Kirby, A.M.; Lee, S.F.; Bartlett, F.; Titmarsh, K.; Donovan, E.; Griffin, C.L.; Gothard, L.; Locke, I.; McNair, H.A. A randomized control trial evaluating fluorescent ink versus dark ink tattoos for breast radiotherapy. Br. J. Radiol. 2016, 89, 20160288. [Google Scholar] [CrossRef]
- Padilla, L.; Kang, H.; Washington, M.; Hasan, Y.; Chmura, S.J.; Al-Hallaq, H. Assessment of interfractional variation of the breast surface following conventional patient positioning for whole-breast radiotherapy. J. Appl. Clin. Med. Phys. 2014, 15, 4921. [Google Scholar] [CrossRef]
- Beer, K.T. Introduction of SGRT in clinical practice. Tech. Innov. Patient Support Radiat. Oncol. 2022, 21, 27–30. [Google Scholar] [CrossRef]
- Batista, V.; Meyer, J.; Kugele, M.; Al-Hallaq, H. Clinical paradigms and challenges in surface guided radiation therapy: Where do we go from here? Radiother. Oncol. 2020, 153, 34–42. [Google Scholar] [CrossRef]
- Clow, B.; Allen, J. Psychosocial impacts of radiation tattooing for breast cancer patients: A critical review. Can. Woman Stud. 2010, 28, 46–52. [Google Scholar]
- Moser, T.; Creed, M.; Walker, R.; Meier, G. Radiotherapy tattoos: Women’s skin as a carrier of personal memory-What do we cause by tattooing our patients? Breast J. 2020, 26, 316–318. [Google Scholar] [CrossRef]
- Sarudis, S.; Karlsson, A.; Back, A. Surface guided frameless positioning for lung stereotactic body radiation therapy. J. Appl. Clin. Med. Phys. 2021, 22, 215–226. [Google Scholar] [CrossRef]
- Laaksomaa, M.; Ahlroth, J.; Pynnonen, K.; Murtola, A.; Rossi, M.E. AlignRT((R)), Catalyst and RPM in locoregional radiotherapy of breast cancer with DIBH. Is IGRT still needed? Rep. Pract. Oncol. Radiother. 2022, 27, 797–808. [Google Scholar] [CrossRef] [PubMed]
- Dekker, J.; Essers, M.; Verheij, M.; Kusters, M.; de Kruijf, W. Dose coverage and breath-hold analysis of breast cancer patients treated with surface-guided radiotherapy. Radiat. Oncol. 2023, 18, 72. [Google Scholar] [CrossRef] [PubMed]
- Sorgato, V.; Ghazouani, K.; Queffelec, Y.; Julia, F.; Clement, S.; Fric, D.; Farah, J. Benchmarking the AlignRT surface deformation module for the early detection and quantification of oedema in breast cancer radiotherapy. Tech. Innov. Patient Support Radiat. Oncol. 2022, 21, 16–22. [Google Scholar] [CrossRef] [PubMed]
- Hoisak, J.D.P.; Paxton, A.B.; Waghorn, B.; Pawlicki, T. Surface Guided Radiation Therapy; CRC Press: Boca Raton, FL, USA, 2020. [Google Scholar] [CrossRef]
- Nguyen, D.; Farah, J.; Barbet, N.; Khodri, M. Commissioning and performance testing of the first prototype of AlignRT InBore a Halcyon and Ethos-dedicated surface guided radiation therapy platform. Phys. Med. 2020, 80, 159–166. [Google Scholar] [CrossRef]
- Li, G. Advances and potential of optical surface imaging in radiotherapy. Phys. Med. Biol. 2022, 67. [Google Scholar] [CrossRef]
- Brainlab. Potential and Challenges of Surface Guidance in Radiation Therapy. Available online: https://www.brainlab.com/wp-content/uploads/2019/11/potential-and-challenges-of-sgrt_brainlab.pdf (accessed on 2 October 2019).
- Perrett, B.; Ukath, J.; Horgan, E.; Noble, C.; Ramachandran, P. A Framework for ExacTrac Dynamic Commissioning for Stereotactic Radiosurgery and Stereotactic Ablative Radiotherapy. J. Med. Phys. 2022, 47, 398–408. [Google Scholar] [CrossRef]
- Walter, F.; Freislederer, P.; Belka, C.; Heinz, C.; Sohn, M.; Roeder, F. Evaluation of daily patient positioning for radiotherapy with a commercial 3D surface-imaging system (Catalyst). Radiat. Oncol. 2016, 11, 154. [Google Scholar] [CrossRef]
- Carl, G.; Reitz, D.; Schonecker, S.; Pazos, M.; Freislederer, P.; Reiner, M.; Alongi, F.; Niyazi, M.; Ganswindt, U.; Belka, C.; et al. Optical Surface Scanning for Patient Positioning in Radiation Therapy: A Prospective Analysis of 1902 Fractions. Technol. Cancer Res. Treat. 2018, 17, 1533033818806002. [Google Scholar] [CrossRef]
- Zhao, H.; Paxton, A.; Sarkar, V.; Price, R.G.; Huang, J.; Su, F.F.; Li, X.; Rassiah, P.; Szegedi, M.; Salter, B. Surface-Guided Patient Setup Versus Traditional Tattoo Markers for Radiation Therapy: Is Tattoo-Less Setup Feasible for Thorax, Abdomen and Pelvis Treatment? Cureus 2022, 14, e28644. [Google Scholar] [CrossRef]
- Stanley, D.N.; McConnell, K.A.; Kirby, N.; Gutierrez, A.N.; Papanikolaou, N.; Rasmussen, K. Comparison of initial patient setup accuracy between surface imaging and three point localization: A retrospective analysis. J. Appl. Clin. Med. Phys. 2017, 18, 58–61. [Google Scholar] [CrossRef]
- Cravo Sa, A.; Fermento, A.; Neves, D.; Ferreira, S.; Silva, T.; Marques Coelho, C.; Vaandering, A.; Roma, A.; Quaresma, S.; Bonnarens, E. Radiotherapy setup displacements in breast cancer patients: 3D surface imaging experience. Rep. Pract. Oncol. Radiother. 2018, 23, 61–67. [Google Scholar] [CrossRef] [PubMed]
- Kang, S.; Jin, H.; Chang, J.H.; Jang, B.S.; Shin, K.H.; Choi, C.H.; Kim, J.I. Evaluation of initial patient setup methods for breast cancer between surface-guided radiation therapy and laser alignment based on skin marking in the Halcyon system. Radiat. Oncol. 2023, 18, 60. [Google Scholar] [CrossRef]
- Kugele, M.; Mannerberg, A.; Norring Bekke, S.; Alkner, S.; Berg, L.; Mahmood, F.; Thornberg, C.; Edvardsson, A.; Back, S.A.J.; Behrens, C.F.; et al. Surface guided radiotherapy (SGRT) improves breast cancer patient setup accuracy. J. Appl. Clin. Med. Phys. 2019, 20, 61–68. [Google Scholar] [CrossRef] [PubMed]
- Nguyen, D.; Farah, J.; Josserand-Pietri, F.; Barbet, N.; Khodri, M. Benefits and challenges of standard ceiling-mounted surface guided radiotherapy systems for breast treatments on Halcyon™. Radioprotection 2021, 56, 295–301. [Google Scholar] [CrossRef]
- Hattel, S.H.; Andersen, P.A.; Wahlstedt, I.H.; Damkjaer, S.; Saini, A.; Thomsen, J.B. Evaluation of setup and intrafraction motion for surface guided whole-breast cancer radiotherapy. J. Appl. Clin. Med. Phys. 2019, 20, 39–44. [Google Scholar] [CrossRef]
- Rigley, J.; Robertson, P.; Scattergood, L. Radiotherapy without tattoos: Could this work? Radiography 2020, 26, 288–293. [Google Scholar] [CrossRef] [PubMed]
- Flores-Martinez, E.; Cervino, L.I.; Pawlicki, T.; Kim, G.Y. Assessment of the use of different imaging and delivery techniques for cranial treatments on the Halcyon linac. J. Appl. Clin. Med. Phys. 2020, 21, 53–61. [Google Scholar] [CrossRef]
- Wei, W.; Ioannides, P.J.; Sehgal, V.; Daroui, P. Quantifying the impact of optical surface guidance in the treatment of cancers of the head and neck. J. Appl. Clin. Med. Phys. 2020, 21, 73–82. [Google Scholar] [CrossRef]
- Chen, X.; Liu, L.; Wang, Y.; Huang, X.; Cai, W.; Rong, X.; Lin, L.; Liu, J.; Jiang, X. Surface guided radiation therapy with an innovative open-face mask and mouth bite: Patient motion management in brain stereotactic radiotherapy. Clin. Transl. Oncol. 2023. [Google Scholar] [CrossRef]
- Blake, N.; Pereira, L.; Eaton, D.J.; Dobson, D. Surface-guided radiotherapy for lung cancer can reduce the number of close patient contacts without compromising initial setup accuracy. Tech. Innov. Patient Support Radiat. Oncol. 2021, 20, 61–63. [Google Scholar] [CrossRef]
- Qubala, A.; Schwahofer, A.; Jersemann, S.; Eskandarian, S.; Harrabi, S.; Naumann, P.; Winter, M.; Ellerbrock, M.; Shafee, J.; Abtehi, S.; et al. Optimizing the Patient Positioning Workflow of Patients with Pelvis, Limb, and Chest/Spine Tumors at an Ion-Beam Gantry based on Optical Surface Guidance. Adv. Radiat. Oncol. 2023, 8, 101105. [Google Scholar] [CrossRef]
- Mannerberg, A.; Kugele, M.; Hamid, S.; Edvardsson, A.; Petersson, K.; Gunnlaugsson, A.; Back, S.A.J.; Engelholm, S.; Ceberg, S. Faster and more accurate patient positioning with surface guided radiotherapy for ultra-hypofractionated prostate cancer patients. Tech. Innov. Patient Support Radiat. Oncol. 2021, 19, 41–45. [Google Scholar] [CrossRef] [PubMed]
- Svestad, J.G.; Heydari, M.; Mikalsen, S.G.; Flote, V.G.; Nordby, F.; Hellebust, T.P. Surface-guided positioning eliminates the need for skin markers in radiotherapy of right sided breast cancer: A single center randomized crossover trial. Radiother. Oncol. 2022, 177, 46–52. [Google Scholar] [CrossRef] [PubMed]
- Kost, S.; Guo, B.; Xia, P.; Shah, C. Assessment of Setup Accuracy Using Anatomical Landmarks for Breast and Chest Wall Irradiation with Surface Guided Radiation Therapy. Pract. Radiat. Oncol. 2019, 9, 239–247. [Google Scholar] [CrossRef] [PubMed]
- Li, G.; Lu, W.; O’Grady, K.; Yan, I.; Yorke, E.; Arriba, L.I.C.; Powell, S.; Hong, L. A uniform and versatile surface-guided radiotherapy procedure and workflow for high-quality breast deep-inspiration breath-hold treatment in a multi-center institution. J. Appl. Clin. Med. Phys. 2022, 23, e13511. [Google Scholar] [CrossRef]
- Kapanen, M.; Laaksomaa, M.; Skytta, T.; Haltamo, M.; Pehkonen, J.; Lehtonen, T.; Kellokumpu-Lehtinen, P.L.; Hyodynmaa, S. Residual position errors of lymph node surrogates in breast cancer adjuvant radiotherapy: Comparison of two arm fixation devices and the effect of arm position correction. Med. Dosim. 2016, 41, 47–52. [Google Scholar] [CrossRef]
- Laaksomaa, M.; Moser, T.; Kritz, J.; Pynnonen, K.; Rossi, M. Comparison of three differently shaped ROIs in free breathing breast radiotherapy setup using surface guidance with AlignRT((R)). Rep. Pract. Oncol. Radiother. 2021, 26, 545–552. [Google Scholar] [CrossRef]
- Sauer, T.O.; Ott, O.J.; Lahmer, G.; Fietkau, R.; Bert, C. Region of interest optimization for radiation therapy of breast cancer. J. Appl. Clin. Med. Phys. 2021, 22, 152–160. [Google Scholar] [CrossRef]
- Penninkhof, J.; Fremeijer, K.; Offereins-van Harten, K.; van Wanrooij, C.; Quint, S.; Kunnen, B.; Hoffmans-Holtzer, N.; Swaak, A.; Baaijens, M.; Dirkx, M. Evaluation of image-guided and surface-guided radiotherapy for breast cancer patients treated in deep inspiration breath-hold: A single institution experience. Tech. Innov. Patient Support Radiat. Oncol. 2022, 21, 51–57. [Google Scholar] [CrossRef]
- Batin, E.; Depauw, N.; MacDonald, S.; Lu, H.M. Can surface imaging improve the patient setup for proton postmastectomy chest wall irradiation? Pract. Radiat. Oncol. 2016, 6, e235–e241. [Google Scholar] [CrossRef]
- Wiant, D.; Squire, S.; Liu, H.; Maurer, J.; Lane Hayes, T.; Sintay, B. A prospective evaluation of open face masks for head and neck radiation therapy. Pract. Radiat. Oncol. 2016, 6, e259–e267. [Google Scholar] [CrossRef] [PubMed]
- Zhao, B.; Maquilan, G.; Jiang, S.; Schwartz, D.L. Minimal mask immobilization with optical surface guidance for head and neck radiotherapy. J. Appl. Clin. Med. Phys. 2018, 19, 17–24. [Google Scholar] [CrossRef] [PubMed]
- Gurney-Champion, O.J.; McQuaid, D.; Dunlop, A.; Wong, K.H.; Welsh, L.C.; Riddell, A.M.; Koh, D.M.; Oelfke, U.; Leach, M.O.; Nutting, C.M.; et al. MRI-based Assessment of 3D Intrafractional Motion of Head and Neck Cancer for Radiation Therapy. Int. J. Radiat. Oncol. Biol. Phys. 2018, 100, 306–316. [Google Scholar] [CrossRef]
- Lee, S.K.; Huang, S.; Zhang, L.; Ballangrud, A.M.; Aristophanous, M.; Cervino Arriba, L.I.; Li, G. Accuracy of surface-guided patient setup for conventional radiotherapy of brain and nasopharynx cancer. J. Appl. Clin. Med. Phys. 2021, 22, 48–57. [Google Scholar] [CrossRef]
- Bry, V.; Licon, A.L.; McCulloch, J.; Kirby, N.; Myers, P.; Saenz, D.; Stathakis, S.; Papanikolaou, N.; Rasmussen, K. Quantifying false positional corrections due to facial motion using SGRT with open-face Masks. J. Appl. Clin. Med. Phys. 2021, 22, 172–183. [Google Scholar] [CrossRef] [PubMed]
- Naumann, P.; Batista, V.; Farnia, B.; Fischer, J.; Liermann, J.; Tonndorf-Martini, E.; Rhein, B.; Debus, J. Feasibility of Optical Surface-Guidance for Position Verification and Monitoring of Stereotactic Body Radiotherapy in Deep-Inspiration Breath-Hold. Front. Oncol. 2020, 10, 573279. [Google Scholar] [CrossRef] [PubMed]
- Song, Y.; Zhai, X.; Liang, Y.; Zeng, C.; Mueller, B.; Li, G. Evidence-based region of interest (ROI) definition for surface-guided radiotherapy (SGRT) of abdominal cancers using deep-inspiration breath-hold (DIBH). J. Appl. Clin. Med. Phys. 2022, 23, e13748. [Google Scholar] [CrossRef]
- Zhao, H.; Wang, B.; Sarkar, V.; Rassiah-Szegedi, P.; Huang, Y.J.; Szegedi, M.; Huang, L.; Gonzalez, V.; Salter, B. Comparison of surface matching and target matching for image-guided pelvic radiation therapy for both supine and prone patient positions. J. Appl. Clin. Med. Phys. 2016, 17, 14–24. [Google Scholar] [CrossRef]
- Covington, E.L.; Stanley, D.N.; Fiveash, J.B.; Thomas, E.M.; Marcrom, S.R.; Bredel, M.; Willey, C.D.; Riley, K.O.; Popple, R.A. Surface guided imaging during stereotactic radiosurgery with automated delivery. J. Appl. Clin. Med. Phys. 2020, 21, 90–95. [Google Scholar] [CrossRef]
- Gregucci, F.; Bonaparte, I.; Surgo, A.; Caliandro, M.; Carbonara, R.; Ciliberti, M.P.; Aga, A.; Berloco, F.; De Masi, M.; De Pascali, C.; et al. Brain Linac-Based Radiation Therapy: “Test Drive” of New Immobilization Solution and Surface Guided Radiation Therapy. J. Pers. Med. 2021, 11, 1351. [Google Scholar] [CrossRef]
- Heinzerling, J.H.; Hampton, C.J.; Robinson, M.; Bright, M.; Moeller, B.J.; Ruiz, J.; Prabhu, R.; Burri, S.H.; Foster, R.D. Use of surface-guided radiation therapy in combination with IGRT for setup and intrafraction motion monitoring during stereotactic body radiation therapy treatments of the lung and abdomen. J. Appl. Clin. Med. Phys. 2020, 21, 48–55. [Google Scholar] [CrossRef] [PubMed]
- Nguyen, D.; Reinoso, R.; Farah, J.; Yossi, S.; Lorchel, F.; Passerat, V.; Louet, E.; Pouchard, I.; Khodri, M.; Barbet, N. Reproducibility of surface-based deep inspiration breath-hold technique for lung stereotactic body radiotherapy on a closed-bore gantry linac. Phys. Imaging Radiat. Oncol. 2023, 26, 100448. [Google Scholar] [CrossRef] [PubMed]
- Zeng, C.; Lu, W.; Reyngold, M.; Cuaron, J.J.; Li, X.; Cervino, L.; Li, T. Intrafractional accuracy and efficiency of a surface imaging system for deep inspiration breath hold during ablative gastrointestinal cancer treatment. J. Appl. Clin. Med. Phys. 2022, 23, e13740. [Google Scholar] [CrossRef] [PubMed]
- Zeng, C.; Xiong, W.; Li, X.; Reyngold, M.; Gewanter, R.M.; Cuaron, J.J.; Yorke, E.D.; Li, T. Intrafraction tumor motion during deep inspiration breath hold pancreatic cancer treatment. J. Appl. Clin. Med. Phys. 2019, 20, 37–43. [Google Scholar] [CrossRef] [PubMed]
- Tonkin, K.; Goodall, S.K. Accuracy of the catalyst surface guidance system for patient monitoring during cranial SRS treatments. Phys. Eng. Sci. Med. 2023, 46, 633–643. [Google Scholar] [CrossRef]
- Al-Hallaq, H.A.; Cervino, L.; Gutierrez, A.N.; Havnen-Smith, A.; Higgins, S.A.; Kugele, M.; Padilla, L.; Pawlicki, T.; Remmes, N.; Smith, K.; et al. AAPM task group report 302: Surface-guided radiotherapy. Med. Phys. 2022, 49, e82–e112. [Google Scholar] [CrossRef]
- Leong, B.; Padilla, L. Impact of use of optical surface imaging on initial patient setup for stereotactic body radiotherapy treatments. J. Appl. Clin. Med. Phys. 2019, 20, 149–158. [Google Scholar] [CrossRef]
- Ding, G.X.; Alaei, P.; Curran, B.; Flynn, R.; Gossman, M.; Mackie, T.R.; Miften, M.; Morin, R.; Xu, X.G.; Zhu, T.C. Image guidance doses delivered during radiotherapy: Quantification, management, and reduction: Report of the AAPM Therapy Physics Committee Task Group 180. Med. Phys. 2018, 45, e84–e99. [Google Scholar] [CrossRef]
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Psarras, M.; Stasinou, D.; Stroubinis, T.; Protopapa, M.; Zygogianni, A.; Kouloulias, V.; Platoni, K. Surface-Guided Radiotherapy: Can We Move on from the Era of Three-Point Markers to the New Era of Thousands of Points? Bioengineering 2023, 10, 1202. https://doi.org/10.3390/bioengineering10101202
Psarras M, Stasinou D, Stroubinis T, Protopapa M, Zygogianni A, Kouloulias V, Platoni K. Surface-Guided Radiotherapy: Can We Move on from the Era of Three-Point Markers to the New Era of Thousands of Points? Bioengineering. 2023; 10(10):1202. https://doi.org/10.3390/bioengineering10101202
Chicago/Turabian StylePsarras, Michalis, Despoina Stasinou, Theodoros Stroubinis, Maria Protopapa, Anna Zygogianni, Vassilis Kouloulias, and Kalliopi Platoni. 2023. "Surface-Guided Radiotherapy: Can We Move on from the Era of Three-Point Markers to the New Era of Thousands of Points?" Bioengineering 10, no. 10: 1202. https://doi.org/10.3390/bioengineering10101202