Correction strategies to manage deformations in head-and-neck radiotherapy.Citation formats

  • External authors:
  • Simon van Kranen
  • Suzanne van Beek
  • Angelo Mencarelli
  • Coen Rasch
  • Marcel van Herk
  • Jan-Jakob Sonke

Standard

Correction strategies to manage deformations in head-and-neck radiotherapy. / Van Herk, Marcel; van Kranen, Simon; van Beek, Suzanne; Mencarelli, Angelo; Rasch, Coen; van Herk, Marcel; Sonke, Jan-Jakob.

In: Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, Vol. 94, No. 2, 02.2010.

Research output: Contribution to journalArticle

Harvard

Van Herk, M, van Kranen, S, van Beek, S, Mencarelli, A, Rasch, C, van Herk, M & Sonke, J-J 2010, 'Correction strategies to manage deformations in head-and-neck radiotherapy.', Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, vol. 94, no. 2. https://doi.org/10.1016/j.radonc.2009.12.016

APA

Van Herk, M., van Kranen, S., van Beek, S., Mencarelli, A., Rasch, C., van Herk, M., & Sonke, J-J. (2010). Correction strategies to manage deformations in head-and-neck radiotherapy. Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 94(2). https://doi.org/10.1016/j.radonc.2009.12.016

Vancouver

Van Herk M, van Kranen S, van Beek S, Mencarelli A, Rasch C, van Herk M et al. Correction strategies to manage deformations in head-and-neck radiotherapy. Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology. 2010 Feb;94(2). https://doi.org/10.1016/j.radonc.2009.12.016

Author

Van Herk, Marcel ; van Kranen, Simon ; van Beek, Suzanne ; Mencarelli, Angelo ; Rasch, Coen ; van Herk, Marcel ; Sonke, Jan-Jakob. / Correction strategies to manage deformations in head-and-neck radiotherapy. In: Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology. 2010 ; Vol. 94, No. 2.

Bibtex

@article{d000480cc9fb4fa8b315c2aac8d60331,
title = "Correction strategies to manage deformations in head-and-neck radiotherapy.",
abstract = "BACKGROUND AND PURPOSE: To optimize couch shifts based on multiple region-of-interest (ROI) registrations and derive criteria for adaptive replanning for management of deformations in head-and-neck (H&N) cancer patients. MATERIALS AND METHODS: Eight ROIs containing bony structures were defined on the planning-CT and individually registered to daily cone-beam CTs for 19 H&N cancer patients. Online couch shifts were retrospectively optimized to correct the mean setup error over all ROIs (mean correction) or to minimize the maximum error (MiniMax correction). Residual error distributions were analyzed for both methods. The number of measurements before adaptive-intervention and corresponding action-level were optimized. RESULTS: Overall residual setup errors were smallest for the mean corrections, while MiniMax corrections reduced the largest errors. The percentage of fractions with residual errors >5 mm was 38{\%} versus 19{\%}. Reduction of deformations by single plan adaptation was most effective after eight fractions: systematic deformations reduced from 1.7 to 0.9 mm. Fifty percent of this reduction can already be achieved by replanning 1/3 of the patients. CONCLUSION: Two correction methods based on multiple ROI registration were introduced to manage setup errors from deformations that either minimize overall geometrical uncertainties or maximum errors. Moreover, the registrations could be used to select patient with large deformations for replanning.",
author = "{Van Herk}, Marcel and {van Kranen}, Simon and {van Beek}, Suzanne and Angelo Mencarelli and Coen Rasch and {van Herk}, Marcel and Jan-Jakob Sonke",
year = "2010",
month = "2",
doi = "10.1016/j.radonc.2009.12.016",
language = "English",
volume = "94",
journal = "Radiotherapy & Oncology",
issn = "0167-8140",
publisher = "Elsevier BV",
number = "2",

}

RIS

TY - JOUR

T1 - Correction strategies to manage deformations in head-and-neck radiotherapy.

AU - Van Herk, Marcel

AU - van Kranen, Simon

AU - van Beek, Suzanne

AU - Mencarelli, Angelo

AU - Rasch, Coen

AU - van Herk, Marcel

AU - Sonke, Jan-Jakob

PY - 2010/2

Y1 - 2010/2

N2 - BACKGROUND AND PURPOSE: To optimize couch shifts based on multiple region-of-interest (ROI) registrations and derive criteria for adaptive replanning for management of deformations in head-and-neck (H&N) cancer patients. MATERIALS AND METHODS: Eight ROIs containing bony structures were defined on the planning-CT and individually registered to daily cone-beam CTs for 19 H&N cancer patients. Online couch shifts were retrospectively optimized to correct the mean setup error over all ROIs (mean correction) or to minimize the maximum error (MiniMax correction). Residual error distributions were analyzed for both methods. The number of measurements before adaptive-intervention and corresponding action-level were optimized. RESULTS: Overall residual setup errors were smallest for the mean corrections, while MiniMax corrections reduced the largest errors. The percentage of fractions with residual errors >5 mm was 38% versus 19%. Reduction of deformations by single plan adaptation was most effective after eight fractions: systematic deformations reduced from 1.7 to 0.9 mm. Fifty percent of this reduction can already be achieved by replanning 1/3 of the patients. CONCLUSION: Two correction methods based on multiple ROI registration were introduced to manage setup errors from deformations that either minimize overall geometrical uncertainties or maximum errors. Moreover, the registrations could be used to select patient with large deformations for replanning.

AB - BACKGROUND AND PURPOSE: To optimize couch shifts based on multiple region-of-interest (ROI) registrations and derive criteria for adaptive replanning for management of deformations in head-and-neck (H&N) cancer patients. MATERIALS AND METHODS: Eight ROIs containing bony structures were defined on the planning-CT and individually registered to daily cone-beam CTs for 19 H&N cancer patients. Online couch shifts were retrospectively optimized to correct the mean setup error over all ROIs (mean correction) or to minimize the maximum error (MiniMax correction). Residual error distributions were analyzed for both methods. The number of measurements before adaptive-intervention and corresponding action-level were optimized. RESULTS: Overall residual setup errors were smallest for the mean corrections, while MiniMax corrections reduced the largest errors. The percentage of fractions with residual errors >5 mm was 38% versus 19%. Reduction of deformations by single plan adaptation was most effective after eight fractions: systematic deformations reduced from 1.7 to 0.9 mm. Fifty percent of this reduction can already be achieved by replanning 1/3 of the patients. CONCLUSION: Two correction methods based on multiple ROI registration were introduced to manage setup errors from deformations that either minimize overall geometrical uncertainties or maximum errors. Moreover, the registrations could be used to select patient with large deformations for replanning.

U2 - 10.1016/j.radonc.2009.12.016

DO - 10.1016/j.radonc.2009.12.016

M3 - Article

C2 - 20083316

VL - 94

JO - Radiotherapy & Oncology

JF - Radiotherapy & Oncology

SN - 0167-8140

IS - 2

ER -