Article ; Online: Technical feasibility of novel immunostimulatory low-dose radiation for polymetastatic disease with CBCT-based online adaptive and conventional approaches.
Journal of applied clinical medical physics
2024 , Page(s) e14303
Abstract: Purpose: A workflow/planning strategy delivering low-dose radiation therapy (LDRT) (1 Gy) to all polymetastatic diseases using conventional planning/delivery (Raystation/Halcyon = "conventional") and the AI-based Ethos online adaptive RT (oART) platform ...
Abstract | Purpose: A workflow/planning strategy delivering low-dose radiation therapy (LDRT) (1 Gy) to all polymetastatic diseases using conventional planning/delivery (Raystation/Halcyon = "conventional") and the AI-based Ethos online adaptive RT (oART) platform is developed/evaluated. Methods: Using retrospective data for ten polymetastatic non-small cell lung cancer patients (5-52 lesions each) with PET/CTs, gross tumor volumes (GTVs) were delineated using PET standardized-uptake-value (SUV) thresholding. A 1 cm uniform expansion of GTVs to account for setup/contour uncertainty and organ motion-generated planning target volumes (PTVs). Dose optimization/calculation used the diagnostic CT from PET/CT. Dosimetric objectives were: D Results: All initial plans generated, both for Raystation and Ethos, achieved clinical goals within acceptable variation. For all patients, D Conclusions: This study demonstrates feasibility of conventional planning/treatment with Raystation/Halcyon and highlights efficiency gains when utilizing semi-automated planning/online-adaptive treatment with Ethos for immunostimulatory LDRT conformally delivered to all sites of polymetastatic disease. |
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Language | English |
Publishing date | 2024-02-20 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2010347-5 |
ISSN | 1526-9914 ; 1526-9914 |
ISSN (online) | 1526-9914 |
ISSN | 1526-9914 |
DOI | 10.1002/acm2.14303 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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