The impact of the offset distance between the planning target volume and isocenter on irradiation time in TomoTherapy: A phantom study

•Irradiation time can be increased for targets misaligned with the gantry isocenter in TomoTherapy.•Planning target volume location offsets of ≥5 cm increased the irradiation time.•Phantom offset did not affect the irradiation time. The influence of the offset distance from treatment target to gantr...

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Bibliographic Details
Published in:Physica medica 2019-07, Vol.63, p.19-24
Main Authors: Hirata, Makoto, Hanaoka, Kohei, Matsumoto, Kenji, Tamura, Mikoto, Okumura, Masahiko, Monzen, Hajime
Format: Article
Language:English
Subjects:
Irradiation time
Lok-bar
Offset
Phantoms, Imaging
Radiometry
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted - instrumentation
Radiotherapy, Intensity-Modulated
Time Factors
TomoTherapy
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Summary:•Irradiation time can be increased for targets misaligned with the gantry isocenter in TomoTherapy.•Planning target volume location offsets of ≥5 cm increased the irradiation time.•Phantom offset did not affect the irradiation time. The influence of the offset distance from treatment target to gantry isocenter (GIC) on the dosimetric parameter and irradiation time was investigated using TomoTherapy The reference position was defined as the centers of both the I’mRT phantom and planning target volume (PTV) with a spherical of 4 cm diameter aligned with the GIC. The dose calculations were performed in two offset methods with 2 and 12 Gy/fr, Method 1. The PTV was moved from 0.0 to 12.5 cm along the RL direction and −5.0 to 5.0 cm along the AP direction (PTV offset), Method 2. The phantom was moved from 0.0 to −7.5 cm along the RL direction and −5.0 to 5.0 cm along the AP direction (Phantom offset). The maximum, minimum and mean doses, homogeneity index, conformity index, irradiation time, and monitor unit were compared. The irradiation times increased with increasing PTV offset. The increases in the irradiation time were 54.4% and 40.8% at PTV offsets of 12.5 cm along the RL direction for 2 and 12 Gy/fr, while the increases were 20.1% and 15.0% at a PTV offset of 5.0 cm along the AP direction. An increased irradiation time was not observed for the phantom offset. The offset didn’t affect the other parameters. The PTV location offset of ≥5 cm from the GIC along the RL and AP axes increased the irradiation time; therefore, the PTV should be aligned with the GIC as much as possible to reduce the irradiation time on TomoTherapy.
ISSN:1120-1797
1724-191X
DOI:10.1016/j.ejmp.2019.05.009