Accuracy of automatic couch corrections with on-line volumetric imaging.

Journal of Applied Clinical Medical Physics
Winnie LiDavid A Jaffray

Abstract

The purpose of this study was to characterize automatic remote couch adjustment and to assess the accuracy of automatic couch corrections following localization with cone-beam CT (CBCT). Automatic couch movement was evaluated through passive reflector markers placed on a phantom, tracked with an optical tracking system (OTS). Repeated couch movements in the lateral, cranial/caudal, and vertical directions were monitored through the OTS to assess velocity and response time. In conjunction with CBCT, remote table movement for patient displacements following initial setup was available on four linear accelerators (Elekta Synergy). After the initial CBCT scan assessment, patients with isocenter displacements that exceeded clinical protocol tolerances were corrected using remote automatic couch movement. A verification CBCT scan was acquired after any remote movements. These verification CBCT datasets were assessed for the following time periods: one month post clinical installation, and six months later to monitor remote couch correction stability. Residual error analysis was evaluated using the verification scans. The mean +/- standard deviations (mu +/- sigma) of couch movement based on phantom measurements with the OTS were 0.16...Continue Reading

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Methods Mentioned

BETA
X‐ray
imaging technique

Software Mentioned

ray Volumetric Imaging ( XVI )

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