Assessment of intra-fraction motion during frameless image guided Gamma Knife stereotactic radiosurgery. 2023

Winnie Li, and Gregory Bootsma, and David Shultz, and Normand Laperriere, and Barbara-Ann Millar, and Young Bin Cho, and David A Jaffray, and Caroline Chung, and Catherine Coolens
Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, ON, Canada.

As frameless stereotactic radiosurgery increase in use, the aim of this study was to evaluate intra-fraction motion through cone-beam CT (CBCT) and high-definition motion management (HDMM) systems. Intra-fraction motion measured between localization, repeat localization and post-treatment CBCTs were correlated to intra-faction motion indicated by the HDMM files using the Pearson coefficient (r). A total of 302 plans were reviewed from 263 patients (114 male, 149 female); 216 pairs of localization-repeat localization, and 260 localization-post-treatment CBCTs were analyzed against HDMM logs. We found the magnitude of intra-fraction motion detected by the HDMM system were larger than the corresponding CBCT results.

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