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A simple algorithm for beam profile diagnostics using a thermographic camera

A new algorithm for digital image processing apparatuses is developed to evaluate profiles of high-intensity DC beams from temperature images of irradiated thin foils. Numerical analyses are performed to examine the reliability of the algorithm. To simulate the temperature images acquired by a thermographic camera, temperature distributions are numerically calculated for 20 MeV proton beams with different parameters. Noise in the temperature images which is added by the camera sensor is also simulated to account for its effect. Using the algorithm, beam profiles are evaluated from the simulated temperature images and compared with exact solutions. We find that niobium is an appropriate material for the thin foil used in the diagnostic system. We also confirm that the algorithm is adaptable over a wide beam current range of 0.11–214 μA, even when employing a general-purpose thermographic camera with rather high noise (ΔT{sub NETD} ≃ 0.3 K; NETD: noise equivalent temperature difference)

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Limbus Impact on Off-angle Iris Degradation

The accuracy of iris recognition depends on the quality of data capture and is negatively affected by several factors such as angle, occlusion, and dilation. Off-angle iris recognition is a new research focus in biometrics that tries to address several issues including corneal refraction, complex 3D iris texture, and blur. In this paper, we present an additional significant challenge that degrades the performance of the off-angle iris recognition systems, called the limbus effect . The limbus is the region at the border of the cornea where the cornea joins the sclera. The limbus is a semitransparent tissue that occludes a side portion of the iris plane. The amount of occluded iris texture on the side nearest the camera increases as the image acquisition angle increases. Without considering the role of the limbus effect, it is difficult to design an accurate off-angle iris recognition system. To the best of our knowledge, this is the first work that investigates the limbus effect in detail from a biometrics perspective. Based on results from real images and simulated experiments with real iris texture, the limbus effect increases the hamming distance score between frontal and off-angle iris images ranging from 0.05 to 0.2 depending upon the limbus height.

Karakaya, Mahmut↗

Technical Note: Impact on detective quantum efficiency of edge angle determination method by International Electrotechnical Commission methodology for cardiac x-ray image detectors

Purpose: Cardiac x-ray detectors are used to acquire moving images in real-time for angiography and interventional procedures. Detective quantum efficiency (DQE) is not generally measured on these dynamic detectors; the required “for processing” image data and control of x-ray settings have not been accessible. By 2016, USA hospital physicists will have the ability to measure DQE and will likely utilize the International Electrotechnical Commission (IEC) standard for measuring DQE of dynamic x-ray imaging devices. The current IEC standard requires an image of a tilted tungsten edge test object to obtain modulation transfer function (MTF) for DQE calculation. It specifies the range of edge angles to use; however, it does not specify a preferred method to determine this angle for image analysis. The study aimed to answer the question “will my choice in method impact my results?” Four different established edge angle determination methods were compared to investigate the impact on DQE. Methods: Following the IEC standard, edge and flat field images were acquired on a cardiac flat-panel detector to calculate MTF and noise power spectrum, respectively, to determine DQE. Accuracy of the methods in determining the correct angle was ascertained using a simulated edge image with known angulations. Precision of the methods was ascertained using variability of MTF and DQE, calculated via bootstrapping. Results: Three methods provided near equal angles and the same MTF while the fourth, with an angular difference of 6%, had a MTF lower by 3% at 1.5 mm{sup −1} spatial frequency and 8% at 2.5 mm{sup −1}; corresponding DQE differences were 6% at 1.5 mm{sup −1} and 17% at 2.5 mm{sup −1}; differences were greater than standard deviations in the measurements. Conclusions: DQE measurements may vary by a significant amount, depending on the method used to determine the edge angle when following the IEC standard methodology for a cardiac x-ray detector. The most accurate and precise methods are recommended for absolute assessments and reproducible measurements, respectively.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

STRUCTURAL PARAMETERS OF GALAXIES IN CANDELS

We present global structural parameter measurements of 109,533 unique, H{sub F160W}-selected objects from the CANDELS multi-cycle treasury program. Sersic model fits for these objects are produced with GALFIT in all available near-infrared filters (H{sub F160W}, J{sub F125W} and, for a subset, Y{sub F105W}). The parameters of the best-fitting Sersic models (total magnitude, half-light radius, Sersic index, axis ratio, and position angle) are made public, along with newly constructed point-spread functions for each field and filter. Random uncertainties in the measured parameters are estimated for each individual object based on a comparison between multiple, independent measurements of the same set of objects. To quantify systematic uncertainties, we create a mosaic with simulated galaxy images with a realistic distribution of input parameters and then process and analyze the mosaic in an identical manner as the real data. We find that accurate and precise measurements-to 10% or better-of all structural parameters can typically be obtained for galaxies with H{sub F160W} < 23, with comparable fidelity for basic size and shape measurements for galaxies to H{sub F160W} {approx} 24.5.

79 ASTRONOMY AND ASTROPHYSICS↗

Method and System for Physiologically Modulating Videogames and Simulations which Use Gesture and Body Image Sensing Control Input Devices

Method for physiologically modulating videogames and simulations includes utilizing input from a motion-sensing video game system and input from a physiological signal acquisition device. The inputs from the physiological signal sensors are utilized to change the response of a user's avatar to inputs from the motion-sensing sensors. The motion-sensing system comprises a 3D sensor system having full-body 3D motion capture of a user's body. This arrangement encourages health-enhancing physiological self-regulation skills or therapeutic amplification of healthful physiological characteristics. The system provides increased motivation for users to utilize biofeedback as may be desired for treatment of various conditions.

Pope, Alan T.↗

A method for volumetric imaging in radiotherapy using single x-ray projection

Purpose: It is an intriguing problem to generate an instantaneous volumetric image based on the corresponding x-ray projection. The purpose of this study is to develop a new method to achieve this goal via a sparse learning approach. Methods: To extract motion information hidden in projection images, the authors partitioned a projection image into small rectangular patches. The authors utilized a sparse learning method to automatically select patches that have a high correlation with principal component analysis (PCA) coefficients of a lung motion model. A model that maps the patch intensity to the PCA coefficients was built along with the patch selection process. Based on this model, a measured projection can be used to predict the PCA coefficients, which are then further used to generate a motion vector field and hence a volumetric image. The authors have also proposed an intensity baseline correction method based on the partitioned projection, in which the first and the second moments of pixel intensities at a patch in a simulated projection image are matched with those in a measured one via a linear transformation. The proposed method has been validated in both simulated data and real phantom data. Results: The algorithm is able to identify patches that contain relevant motion information such as the diaphragm region. It is found that an intensity baseline correction step is important to remove the systematic error in the motion prediction. For the simulation case, the sparse learning model reduced the prediction error for the first PCA coefficient to 5%, compared to the 10% error when sparse learning was not used, and the 95th percentile error for the predicted motion vector was reduced from 2.40 to 0.92 mm. In the phantom case with a regular tumor motion, the predicted tumor trajectory was successfully reconstructed with a 0.82 mm error for tumor center localization compared to a 1.66 mm error without using the sparse learning method. When the tumor motion was driven by a real patient breathing signal with irregular periods and amplitudes, the average tumor center error was 0.6 mm. The algorithm robustness with respect to sparsity level, patch size, and presence or absence of diaphragm, as well as computation time, has also been studied. Conclusions: The authors have developed a new method that automatically identifies motion information from an x-ray projection, based on which a volumetric image is generated.

60 APPLIED LIFE SCIENCES↗

HOLISMOKES IX. Neural network inference of strong-lens parameters and uncertainties from ground-based images

Modeling of strong gravitational lenses is a necessity for further applications in astrophysics and cosmology. With the large number of detections in current and upcoming surveys, such as the Rubin Legacy Survey of Space and Time (LSST), it is pertinent to investigate automated and fast analysis techniques beyond the traditional and time-consuming Markov chain Monte Carlo sampling methods. Building upon our (simple) convolutional neural network (CNN), we present here another CNN, specifically a residual neural network (ResNet), that predicts the five mass parameters of a singular isothermal ellipsoid (SIE) profile (lens center x and y, ellipticity e x and e y , Einstein radius θ E ) and the external shear (γ ext, 1 , γ ext, 2 ) from ground-based imaging data. In contrast to our previous CNN, this ResNet further predicts the 1σ uncertainty for each parameter. To train our network, we use our improved pipeline to simulate lens images using real images of galaxies from the Hyper Suprime-Cam Survey (HSC) and from the Hubble Ultra Deep Field as lens galaxies and background sources, respectively. We find very good recoveries overall for the SIE parameters, especially for the lens center in comparison to our previous CNN, while significant differences remain in predicting the external shear. From our multiple tests, it appears that most likely the low ground-based image resolution is the limiting factor in predicting the external shear. Given the run time of milli-seconds per system, our network is perfectly suited to quickly predict the next appearing image and time delays of lensed transients. Therefore, we use the network-predicted mass model to estimate these quantities and compare to those values obtained from our simulations. Unfortunately, the achieved precision allows only a first-order estimate of time delays on real lens systems and requires further refinement through follow-up modeling. Nonetheless, our ResNet is able to predict the SIE and shear parameter values in fractions of a second on a single CPU, meaning that we are able to efficiently process the huge amount of galaxy-scale lenses expected in the near future.

79 ASTRONOMY AND ASTROPHYSICS↗

EUV Imaging of SWCX-Produced He(+) 30.4-nm Emission/Scattering at the Magnetosheath

Theoretically, charge exchange between solar wind alpha-particles and geocoronal hydrogen at the magnetosheath results in the production of helium ions in an excited state, i.e, He(2+) + H (right arrow) He(+*) + H(+) resulting in the emission of 30.4-nm radiation upon relaxation of the helium ions. It has been estimated that the magnetosphere was compressed to inside the orbit of IMAGE during the Halloween storm of 2003. This configuration should have placed the subsolar point of the magnetosheath well beyond the limb of the solar disk and allow EUV the potential of imaging this solar wind charge exchange interaction Analysis of EUV full-frame data acquired during 31 October 2003 (Day 304) indicates the detection of 30.4-nm photons in the likely vicinity of the magnetosheath either as a direct consequence of the emission proposed above or, provided the magnetosheath He(+) density was sufficient to exceed the EUV sensitivity threshold, via resonant scattering of solar UV. We present initial analysis of EUV imaging during the Halloween 2003 storm from the context of solar wind parameters, including composition, and from the perspective of the generation of simulated EUV imaging of the event both as an emitting and as a scattering process.

Adrian, M. L.↗

TH-EF-207A-05: Feasibility of Applying SMEIR Method On Small Animal 4D Cone Beam CT Imaging

Purpose: Small animal cone beam CT imaging has been widely used in preclinical research. Due to the higher respiratory rate and heat beats of small animals, motion blurring is inevitable and needs to be corrected in the reconstruction. Simultaneous motion estimation and image reconstruction (SMEIR) method, which uses projection images of all phases, proved to be effective in motion model estimation and able to reconstruct motion-compensated images. We demonstrate the application of SMEIR for small animal 4D cone beam CT imaging by computer simulations on a digital rat model. Methods: The small animal CBCT imaging system was simulated with the source-to-detector distance of 300 mm and the source-to-object distance of 200 mm. A sequence of rat phantom were generated with 0.4 mm{sup 3} voxel size. The respiratory cycle was taken as 1.0 second and the motions were simulated with a diaphragm motion of 2.4mm and an anterior-posterior expansion of 1.6 mm. The projection images were calculated using a ray-tracing method, and 4D-CBCT were reconstructed using SMEIR and FDK methods. The SMEIR method iterates over two alternating steps: 1) motion-compensated iterative image reconstruction by using projections from all respiration phases and 2) motion model estimation from projections directly through a 2D-3D deformable registration of the image obtained in the first step to projection images of other phases. Results: The images reconstructed using SMEIR method reproduced the features in the original phantom. Projections from the same phase were also reconstructed using FDK method. Compared with the FDK results, the images from SMEIR method substantially improve the image quality with minimum artifacts. Conclusion: We demonstrate that it is viable to apply SMEIR method to reconstruct small animal 4D-CBCT images.

60 APPLIED LIFE SCIENCES↗

Cosmic Ray Muon Tomography

This presentation discusses muons and their application in detectors, imaging and simulation.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

Investigation of Stress Field and Fracture Development During Shale Maturation Using Analog Rock Systems

The emergence of hydrocarbons within shale as a major recoverable resource has sparked interest in fluid transport through these tight mudstones. Recent studies suggest the importance to recovery of microfracture networks that connect localized zones with large organic content to the inorganic matrix. This paper presents a joint modeling and experimental study to examine the onset, formation, and evolution of microfracture networks as shale matures. Both the stress field and fractures are simulated and imaged. A novel laboratory-scale, phase-field fracture propagation model was developed to characterize the material failure mechanisms that play a significant role during the shale maturation process. The numerical model developed consists of coupled solid deformation, pore pressure, and fracture propagation mechanisms. Benchmark tests were conducted to validate model accuracy. Laboratory-grade gelatins with varying Young’s modulus were used as scaled-rock analogs in two dimensional Hele-Shaw cell apparatus. Yeast within the gelatin generates gas in a fashion analogous to hydrocarbon formation as shale matures. These setups allow study and visualization of host rock elastic-brittle fracture and fracture network propagation mechanisms. The experimental setup was fitted to utilize photoelasticity principles coupled with birefringence properties of gelatin to explore visually the stress field of the gelatin as the fracture network developed. Stress optics image analysis and Linear Elastic Fracture Mechanics (LEFM) principles for crack propagation were used to monitor fracture growth for each gelatin type. Observed and simulated responses suggest gas diffusion within and deformation of the gelatin matrix as predominant mechanisms for energy dissipation depending on gelatin strength. LEFM, an experimental estimation of principal stress development with fracture growth, at different stages was determined for each gelatin rheology. Here, the interplay of gas diffusion and material deformation determines the resulting frequency and pattern of fractures. Results correlate with Young’s modulus. Experimental and computed stress fields reveal that fractures resulting from internal gas generation are similar to, but not identical to, type 1 opening mode.

58 GEOSCIENCES↗

Theoretical study of the properties of X-ray diffraction moiré fringes. I

A detailed and comprehensive theoretical description of X-ray diffraction moiré fringes for a bicrystal specimen is given on the basis of a calculation by plane-wave dynamical diffraction theory, where the effect of the Pendellösung intensity oscillation on the moiré pattern is explained in detail. A detailed and comprehensive theoretical description of X-ray diffraction moiré fringes for a bicrystal specimen is given on the basis of a calculation by plane-wave dynamical diffraction theory. Firstly, prior to discussing the main subject of the paper, a previous article [Yoshimura (1997 ▸). Acta Cryst. A53, 810–812] on the two-dimensionality of diffraction moiré patterns is restated on a thorough calculation of the moiré interference phase. Then, the properties of moiré fringes derived from the above theory are explained for the case of a plane-wave diffraction image, where the significant effect of Pendellösung intensity oscillation on the moiré pattern when the crystal is strained is described in detail with theoretically simulated moiré images. Although such plane-wave moiré images are not widely observed in a nearly pure form, knowledge of their properties is essential for the understanding of diffraction moiré fringes in general.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Characterization of a constrained paired-view technique in iterative reconstruction for breast tomosynthesis

Purpose: The order in which the projection views are employed in the reconstruction of tomosynthesis by iterative algorithms, such as simultaneous algebraic reconstruction technique and maximum likelihood, has a strong effect on the rate of convergence, accuracy, and the edge-blurring artifacts in the reconstructed image. The purpose of this investigation was to characterize and evaluate the effects of ordering schemes on image quality for breast tomosynthesis reconstruction and to explore a new constrained paired-view technique that could provide reduction of reconstruction artifacts. In this work, the authors compared several different ordering schemes and characterized the image quality and the formation of out-of-plane artifacts. Furthermore, a new normalization method is presented. It produces more accurate reconstructions with reduced artifacts comparing to the standard method of sequential ordering.Methods: In addition to visual assessment of image quality, several indices such as the signal-difference-to-noise ratio, the artifact-spread function, and the lesion detectability (d{sup ′}) were computed to quantitatively evaluate the effect of ordering scheme. The sets of breast tomosynthesis projection images were simulated for reconstruction; one set had uniform background (white noise only) and the other two contained both anatomic background and quantum noise. Clinical breast images were also studied for comparison.Results: The authors have quantified the image quality in reconstructed slices for a range of tumor sizes. The authors’ proposed method provides better performance for all of the metrics tested (contrast, d{sup ′}, and the level of artifacts) both for the uniform phantom case and in the presence of anatomical structure.Conclusions: The paired projection normalization provides better performance in the image quality of the reconstructed slices, and results in a lower level of artifacts in the Z direction. This implies that even a relatively simple method like the “side-to-side” sequence, which pairs two symmetrical projections with equal angular distance from the central projection, would achieve better reconstructed image quality than the conventional “step-by-step” method, which uses sequential projections one after another.

62 RADIOLOGY AND NUCLEAR MEDICINE↗

SU-E-J-261: The Importance of Appropriate Image Preprocessing to Augment the Information of Radiomics Image Features

Purpose: To investigate how different image preprocessing techniques, their parameters, and the different boundary handling techniques can augment the information of features and improve feature’s differentiating capability. Methods: Twenty-seven NSCLC patients with a solid tumor volume and no visually obvious necrotic regions in the simulation CT images were identified. Fourteen of these patients had a necrotic region visible in their pre-treatment PET images (necrosis group), and thirteen had no visible necrotic region in the pre-treatment PET images (non-necrosis group). We investigated how image preprocessing can impact the ability of radiomics image features extracted from the CT to differentiate between two groups. It is expected the histogram in the necrosis group is more negatively skewed, and the uniformity from the necrosis group is less. Therefore, we analyzed two first order features, skewness and uniformity, on the image inside the GTV in the intensity range [−20HU, 180HU] under the combination of several image preprocessing techniques: (1) applying the isotropic Gaussian or anisotropic diffusion smoothing filter with a range of parameter(Gaussian smoothing: size=11, sigma=0:0.1:2.3; anisotropic smoothing: iteration=4, kappa=0:10:110); (2) applying the boundaryadapted Laplacian filter; and (3) applying the adaptive upper threshold for the intensity range. A 2-tailed T-test was used to evaluate the differentiating capability of CT features on pre-treatment PT necrosis. Result: Without any preprocessing, no differences in either skewness or uniformity were observed between two groups. After applying appropriate Gaussian filters (sigma>=1.3) or anisotropic filters(kappa >=60) with the adaptive upper threshold, skewness was significantly more negative in the necrosis group(p<0.05). By applying the boundary-adapted Laplacian filtering after the appropriate Gaussian filters (0.5 <=sigma<=1.1) or anisotropic filters(20<=kappa <=50), the uniformity was significantly lower in the necrosis group (p<0.05). Conclusion: Appropriate selection of image preprocessing techniques allows radiomics features to extract more useful information and thereby improve prediction models based on these features.

60 APPLIED LIFE SCIENCES↗

Structural Complexities in Sodium Ion Conductive Antiperovskite Revealed by Cryogenic Transmission Electron Microscopy

Here we use low-dose cryogenic transmission electron microscopy (cryo-TEM) to investigate the atomic-scale structure of antiperovskite Na 2 NH 2 BH 4 crystals by preserving the room-temperature cubic phase and carefully monitoring the electron dose. Via quantitative analysis of electron beam damage using selected area electron diffraction, we find cryogenic imaging provides 6-fold improvement in beam stability for this solid electrolyte. Cryo-TEM images obtained from flat crystals revealed the presence of a new, long-range-ordered supercell with a cubic phase. The supercell exhibits doubled unit cell dimensions of 9.4 Å × 9.4 Å as compared to the cubic lattice structure revealed by X-ray crystallography of 4.7 Å × 4.7 Å. The comparison between the experimental image and simulated potential map indicates the origin of the supercell is a vacancy ordering of sodium atoms. This work demonstrates the potential of using cryo-TEM imaging to study the atomic-scale structure of air- and electron-beam-sensitive antiperovskite-type solid electrolytes.

36 MATERIALS SCIENCE↗

Imaging a moving lung tumor with megavoltage cone beam computed tomography

Purpose: Respiratory motion may affect the accuracy of image guidance of radiation treatment of lung cancer. A cone beam computed tomography (CBCT) image spans several breathing cycles, resulting in a blurred object with a theoretical size equal to the sum of tumor size and breathing motion. However, several factors may affect this theoretical relationship. The objective of this study was to analyze the effect of tumor motion on megavoltage (MV)-CBCT images, by comparing target sizes on simulation and pretreatment images of a large cohort of lung cancer patients. Methods: Ninety-three MV-CBCT images from 17 patients were analyzed. Internal target volumes were contoured on each MV-CBCT dataset [internal target volume (ITV{sub CB})]. Their extent in each dimension was compared to that of two volumes contoured on simulation 4-dimensional computed tomography (4D-CT) images: the combination of the tumor contours of each phase of the 4D-CT (ITV{sub 4D}) and the volume contoured on the average CT calculated from the 4D-CT phases (ITV{sub ave}). Tumor size and breathing amplitude were assessed by contouring the tumor on each CBCT raw projection where it could be unambiguously identified. The effect of breathing amplitude on the quality of the MV-CBCT image reconstruction was analyzed. Results: The mean differences between the sizes of ITV{sub CB} and ITV{sub 4D} were −1.6 ± 3.3 mm (p < 0.001), −2.4 ± 3.1 mm (p < 0.001), and −7.2 ± 5.3 mm (p < 0.001) in the anterior/posterior (AP), left/right (LR), and superior/inferior (SI) directions, respectively, showing that MV-CBCT underestimates the full target size. The corresponding mean differences between ITV{sub CB} and ITV{sub ave} were 0.3 ± 2.6 mm (p = 0.307), 0.0 ± 2.4 mm (p = 0.86), and −4.0 ± 4.3 mm (p < 0.001), indicating that the average CT image is more representative of what is visible on MV-CBCT in the AP and LR directions. In the SI directions, differences between ITV{sub CB} and ITV{sub ave} could be separated into two groups based on tumor motion: −3.2 ± 3.2 mm for tumor motion less than 15 mm and −10.9 ± 6.3 mm for tumor motion greater than 15 mm. Deviations of measured target extents from their theoretical values derived from tumor size and motion were correlated with motion amplitude similarly for both MV-CBCT and average CT images, suggesting that the two images were subject to similar motion artifacts for motion less than 15 mm. Conclusions: MV-CBCT images are affected by tumor motion and tend to under-represent the full target volume. For tumor motion up to 15 mm, the volume contoured on average CT is comparable to that contoured on the MV-CBCT. Therefore, the average CT should be used in image registration for localization purposes, and the standard 5 mm PTV margin seems adequate. For tumor motion greater than 15 mm, an additional setup margin may need to be used to account for the increased uncertainty in tumor localization.

60 APPLIED LIFE SCIENCES↗

TH-CD-202-07: A Methodology for Generating Numerical Phantoms for Radiation Therapy Using Geometric Attribute Distribution Models

Purpose: A persistent challenge for the quality assessment of radiation therapy treatments (e.g. contouring accuracy) is the absence of the known, ground truth for patient data. Moreover, assessment results are often patient-dependent. Computer simulation studies utilizing numerical phantoms can be performed for quality assessment with a known ground truth. However, previously reported numerical phantoms do not include the statistical properties of inter-patient variations, as their models are based on only one patient. In addition, these models do not incorporate tumor data. In this study, a methodology was developed for generating numerical phantoms which encapsulate the statistical variations of patients within radiation therapy, including tumors. Methods: Based on previous work in contouring assessment, geometric attribute distribution (GAD) models were employed to model both the deterministic and stochastic properties of individual organs via principle component analysis. Using pre-existing radiation therapy contour data, the GAD models are trained to model the shape and centroid distributions of each organ. Then, organs with different shapes and positions can be generated by assigning statistically sound weights to the GAD model parameters. Organ contour data from 20 retrospective prostate patient cases were manually extracted and utilized to train the GAD models. As a demonstration, computer-simulated CT images of generated numerical phantoms were calculated and assessed subjectively and objectively for realism. Results: A cohort of numerical phantoms of the male human pelvis was generated. CT images were deemed realistic both subjectively and objectively in terms of image noise power spectrum. Conclusion: A methodology has been developed to generate realistic numerical anthropomorphic phantoms using pre-existing radiation therapy data. The GAD models guarantee that generated organs span the statistical distribution of observed radiation therapy patients, according to the training dataset. The methodology enables radiation therapy treatment assessment with multi-modality imaging and a known ground truth, and without patient-dependent bias.

60 APPLIED LIFE SCIENCES↗

Intrafraction Prostate Translations and Rotations During Hypofractionated Robotic Radiation Surgery: Dosimetric Impact of Correction Strategies and Margins

Purpose: To investigate the dosimetric impact of intrafraction prostate motion and the effect of robot correction strategies for hypofractionated CyberKnife treatments with a simultaneously integrated boost. Methods and Materials: A total of 548 real-time prostate motion tracks from 17 patients were available for dosimetric simulations of CyberKnife treatments, in which various correction strategies were included. Fixed time intervals between imaging/correction (15, 60, 180, and 360 seconds) were simulated, as well as adaptive timing (ie, the time interval reduced from 60 to 15 seconds in case prostate motion exceeded 3 mm or 2° in consecutive images). The simulated extent of robot corrections was also varied: no corrections, translational corrections only, and translational corrections combined with rotational corrections up to 5°, 10°, and perfect rotational correction. The correction strategies were evaluated for treatment plans with a 0-mm or 3-mm margin around the clinical target volume (CTV). We recorded CTV coverage (V{sub 100%}) and dose-volume parameters of the peripheral zone (boost), rectum, bladder, and urethra. Results: Planned dose parameters were increasingly preserved with larger extents of robot corrections. A time interval between corrections of 60 to 180 seconds provided optimal preservation of CTV coverage. To achieve 98% CTV coverage in 98% of the treatments, translational and rotational corrections up to 10° were required for the 0-mm margin plans, whereas translational and rotational corrections up to 5° were required for the 3-mm margin plans. Rectum and bladder were spared considerably better in the 0-mm margin plans. Adaptive timing did not improve delivered dose. Conclusions: Intrafraction prostate motion substantially affected the delivered dose but was compensated for effectively by robot corrections using a time interval of 60 to 180 seconds. A 0-mm margin required larger extents of additional rotational corrections than a 3-mm margin but resulted in lower doses to rectum and bladder.

62 RADIOLOGY AND NUCLEAR MEDICINE↗