Incorporation of tumor motion directionality in margin recipe: The directional MidP strategy.
Margin recipe
Mid Position
PTV
Tumor motion
Journal
Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB)
ISSN: 1724-191X
Titre abrégé: Phys Med
Pays: Italy
ID NLM: 9302888
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
28
05
2021
revised:
03
08
2021
accepted:
09
10
2021
pubmed:
29
10
2021
medline:
1
12
2021
entrez:
28
10
2021
Statut:
ppublish
Résumé
Planning target volume (PTV) definition based on Mid-Position (Mid-P) strategy typically integrates breathing motion from tumor positions variances along the conventional axes of the DICOM coordinate system. Tumor motion directionality is thus neglected even though it is one of its stable characteristics in time. We therefore propose the directional MidP approach (MidP dir), which allows motion directionality to be incorporated into PTV margins. A second objective consists in assessing the ability of the proposed method to better take care of respiratory motion uncertainty. 11 lung tumors from 10 patients with supra-centimetric motion were included. PTV were generated according to the MidP and MidP dir strategies starting from planning 4D CT. PTV Directional MidP method allows tumor motion to be taken into account more tightly as a geometrical uncertainty without increasing the irradiation volume.
Identifiants
pubmed: 34710790
pii: S1120-1797(21)00325-2
doi: 10.1016/j.ejmp.2021.10.010
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
43-53Informations de copyright
Copyright © 2021 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.