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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Evaluation of the clinical implementation of a tattoo-free positioning technique in breast cancer radiotherapy using ExacTrac

http://hdl.handle.net/2237/0002003986
http://hdl.handle.net/2237/0002003986
559fb2d5-cd9c-4273-916c-8df726dd73ca
名前 / ファイル ライセンス アクション
Manuscript_R3.pdf Manuscript_R3.pdf (701 KB)
 Download is available from 2023/5/31.
Item type itemtype_ver1(1)
公開日 2022-11-14
タイトル
タイトル Evaluation of the clinical implementation of a tattoo-free positioning technique in breast cancer radiotherapy using ExacTrac
言語 en
著者 Shimizu-Niwa, Maiko

× Shimizu-Niwa, Maiko

en Shimizu-Niwa, Maiko

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Suzuki, Junzi

× Suzuki, Junzi

en Suzuki, Junzi

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Matsunaga, Takuma

× Matsunaga, Takuma

en Matsunaga, Takuma

Search repository
Komori, Masataka

× Komori, Masataka

en Komori, Masataka

Search repository
アクセス権
アクセス権 embargoed access
アクセス権URI http://purl.org/coar/access_right/c_f1cf
権利
言語 en
権利情報 © 2022. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
キーワード
主題Scheme Other
主題 Motion management
キーワード
主題Scheme Other
主題 Patient positioning
キーワード
主題Scheme Other
主題 Breast cancer
キーワード
主題Scheme Other
主題 ExacTrac
内容記述
内容記述 Purpose: Conventionally, tattoos and temporary skin marks are used in patient positioning procedures for breast cancer radiotherapy. However, many patients dislike these marks because their daily lives are affected by them. Therefore, we developed a new positioning technique using ExacTrac (BrainLAB AG, Munich, Germany). This study aimed to evaluate the clinical implementation of a tattoo-free positioning technique for breast cancer radiotherapy using ExacTrac. Methods: We included 35 patients with breast cancer, 14 with tattoo-based positioning and 21 with tattoo-free positioning using ExacTrac. In this ExacTrac-based positioning technique, the patients were aligned around the mamilla of the ipsilateral breast, and 6D registration was performed later at the virtual isocenter, which was placed at the spinal cord. The target displacement relative to the treatment isocenter was identified and then compensated for using robotic couch translations and rotations. The gamma index method analyzes the integrated dose images of the transmitted radiation dose through patients to investigate the irradiation accuracy of the two positioning techniques. The clinical implementation of the ExacTrac-based positioning technique was evaluated by comparing the gamma passing rate of the tattoo-based and ExacTrac-based positioning techniques. Results: The mean gamma passing rates of the tattoo-based and ExacTrac-based positioning techniques were 86.0 ± 10.2% and 90.9 ± 6.9%, respectively. Conclusion: The ExacTrac-based positioning technique provided positioning comparable to that of the tattoo-based positioning technique. Consequently, the clinical implementation of the tattoo-free positioning technique in breast cancer radiotherapy using ExacTrac was demonstrated.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Elsevier
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
関連情報
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.ejmp.2022.04.014
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 11201797
書誌情報 en : Physica Medica

巻 98, p. 81-87, 発行日 2022-06
ファイル公開日
日付 2023-06-01
日付タイプ Available
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