Per-Irradiation Monitoring by kV-2D Acquisitions in Stereotactic Treatment of Spinal and Non-Spinal Bony Metastases Using an On-Board Imager of a Linear Accelerator
2024

Visual Tracking Method for Stereotactic Treatment of Bone Metastases

Sample size: 29 publication 10 minutes Evidence: moderate

Author Information

Author(s): Hadj Henni Ahmed, Martinage Geoffrey, Lebret Lucie, Arhoun Ilias

Primary Institution: Centre Frederic Joliot, Rouen, France

Hypothesis

The study aims to validate a visual tracking method for the stereotactic treatment of bone metastases using kV-2D imaging.

Conclusion

The study validated a visual tracking accuracy of 2.0 mm for spinal sites and 3.0 mm for non-vertebral bone locations.

Supporting Evidence

  • The visual tracking method was validated using an anthropomorphic phantom.
  • Participants achieved an average decision time of 3.0 seconds when analyzing images.
  • Detection rates for movements exceeding 2.0 mm were 97.8% for vertebral locations.

Takeaway

Doctors can use special images taken during treatment to see if the target area is moving, helping them treat bone cancer more accurately.

Methodology

The study involved using an anthropomorphic phantom and analyzing kV–cone beam computed tomography images from 29 patients treated at the institution.

Potential Biases

The performance of the proposed method is dependent on the experience of the operators.

Limitations

The study did not consider intra-fraction rotational deviations and relied on operator experience for detecting errors.

Participant Demographics

The study included 29 patients with various types of bone metastases, primarily prostate and breast cancer.

Digital Object Identifier (DOI)

10.3390/cancers16244267

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