Quantifying the accuracy and precision of a novel real-time 6 degree-of-freedom kilovoltage intrafraction monitoring (KIM) target tracking system

Phys Med Biol. 2017 Jun 23;62(14):5744-5759. doi: 10.1088/1361-6560/aa6ed7.

Abstract

Target rotation can considerably impact the delivered radiotherapy dose depending on the tumour shape. More accurate tumour pose during radiotherapy treatment can be acquired through tracking in 6 degrees-of-freedom (6 DoF) rather than in translation only. A novel real-time 6 DoF kilovoltage intrafraction monitoring (KIM) target tracking system has recently been developed. In this study, we experimentally evaluated the accuracy and precision of the 6 DoF KIM implementation. Real-time 6 DoF KIM motion measurements were compared against the ground truth motion retrospectively derived from kV/MV triangulation for a range of lung and prostate tumour motion trajectories as well as for various static poses using a phantom. The accuracy and precision of 6 DoF KIM were calculated as the mean and standard deviation of the differences between KIM and kV/MV triangulation for each DoF, respectively. We found that KIM is able to provide 6 DoF motion with sub-degree and sub-millimetre accuracy and precision for a range of realistic tumour motion.

MeSH terms

  • Dose Fractionation, Radiation*
  • Humans
  • Lung Neoplasms / physiopathology
  • Lung Neoplasms / radiotherapy
  • Male
  • Movement*
  • Phantoms, Imaging
  • Prostatic Neoplasms / physiopathology
  • Prostatic Neoplasms / radiotherapy
  • Radiotherapy / methods*
  • Rotation
  • Time Factors