Development of a Phantom and Analysis Program for Assessment of Positional Accuracy of Image-guided Radiation Therapy

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  • Hayashi Kosuke
    Hiroshima High-Precision Radiotherapy Cancer Center
  • Miura Hideharu
    Hiroshima High-Precision Radiotherapy Cancer Center Department of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University
  • Ozawa Shuichi
    Hiroshima High-Precision Radiotherapy Cancer Center Department of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University
  • Habara Kosaku
    Central Radiology Department, Department of Radiology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • Kawakubo Atsushi
    Department of Radiological Technology, Hiroshima City Hiroshima Citizens Hospital
  • Nakao Minoru
    Hiroshima High-Precision Radiotherapy Cancer Center Department of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University
  • Okumura Takuro
    Division of Radiation Therapy, Department of Clinical Practice and Support, Hiroshima University Hospital
  • Kunimoto Haruhide
    Department of Radiation Oncology, Hiroshima Prefectural Hospital
  • Yamada Kiyoshi
    Hiroshima High-Precision Radiotherapy Cancer Center
  • Nozaki Hiroshige
    Central Radiology Department, Department of Radiology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital
  • Nagata Yasushi
    Hiroshima High-Precision Radiotherapy Cancer Center Department of Radiation Oncology, Graduate School of Biomedical & Health Sciences, Hiroshima University

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Other Title
  • 画像誘導放射線治療の位置精度評価のためのファントムと解析プログラムの開発
  • ガゾウ ユウドウ ホウシャセン チリョウ ノ イチ セイド ヒョウカ ノ タメ ノ ファントム ト カイセキ プログラム ノ カイハツ

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Abstract

<p>Purpose: We created a phantom and analysis program for the assessment of IGRT positional accuracy. We verified the accuracy of analysis and the practicality of this evaluation method at several facilities. Method: End-to-end test was performed using an in-house phantom, and EPID images were acquired after displacement by an arbitrary amount using a micrometer, with after image registration as the reference. The difference between the center of the target and the irradiated field was calculated using our in-house analysis program and commercial software. The end-to-end test was conducted at three facilities, and the IGRT positional accuracy evaluation was verified. Result: The maximum difference between the displacement of the target determined from the EPID image and the arbitrary amount of micrometer displacement was 0.24 mm for the in-house analysis program and 0.30 mm for the commercial software. The maximum difference between the center of the target and the irradiation field on EPID images acquired at the three facilities was 0.97 mm. Conclusion: The proposed evaluation method using our in-house phantom and analysis program can be used for the assessment of IGRT positional accuracy.</p>

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