THREE-DIMENSIONAL VERIFICATION OF INTRACRANIAL TARGET POINT DEVIATION USING MRI-BASED POLYMER-GEL DOSIMETRY FOR CONVENTIONAL AND FRACTIONATED STEREOTACTIC RADIOSURGERY

  • Lee, Kyung-Nam (Department of Biomedical Engineering, College of Medicine, The Catholic University of Korea) ;
  • Lee, Dong-Joon (Department of Neurosurgery, Ilsanpaik Hospital, College of Medicine, Inje University) ;
  • Suh, Tae-Suk (Department of Biomedical Engineering, College of Medicine, The Catholic University of Korea)
  • Received : 2011.02.15
  • Accepted : 2011.07.13
  • Published : 2011.09.30

Abstract

Conventional (SRS) and fractionated (FSRS) stereotactic radiosurgery necessarily require stringent overall target point accuracy and precision. We determine three-dimensional intracranial target point deviations (TPDs) in a whole treatment procedure using magnetic resonance image (MRI)-based polymer-gel dosimetry, and suggest a technique for overall system tests. TPDs were measured using a custom-made head phantom and gel dosimetry. We calculated TPDs using a treatment planning system. Then, we compared TPDs using mid bi-plane and three-dimensional volume methods with spherical and elliptical targets to determine their inherent analysis errors; finally, we analyzed regional TPDs using the latter method. Average and maximum additive errors for ellipses were 0.62 and 0.69 mm, respectively. Total displacements were 0.92 ${\pm}$ 0.25 and 0.77 ${\pm}$ 0.15 mm for virtual SRS and FSRS, respectively. Average TPDtotal at peripheral regions was greater than that at central regions for both. Overall system accuracy was similar to that reported previously. Our technique could be used as an overall system accuracy test that considers the real radiation field shape.

References

  1. Likhterov I, Allbright RM, Selesnick SH. LINAC radiosurgery and radiotherapy treatment of acoustic neuromas. Neurosurg. Clin. North Am. 2008;19:345-365. https://doi.org/10.1016/j.nec.2008.02.001
  2. Müller‐Riemenschneider F, Bockelbrink A, Ernst I, Schwarzbach C, Vauth C, Schulenburg J, Willich S. Stereotactic radiosurgery for the treatment of brain metastases. Radiother. Oncol. 2009;91:67-74. https://doi.org/10.1016/j.radonc.2008.12.001
  3. Sun DQ, Carson KA, Raza SM, Batra S, Kleinberg LR, Lim M, Huang J, Riqamonti D. The radiosurgical treatment of arteriovenous malformations: Obliteration, morbidities, and performance status. Int. J. Radiat. Oncol. Biol. Phys. 2010:1-8 (Article in Press).
  4. Flickinger JC, Schell MC, Larson, DA. Estimation of complications for linear accelerator radiosurgery with the integrated logistic formula. Int. J. Radiat. Oncol. Biol. Phys. 1990;19:143-148.
  5. Heifetz MD, Whiting J, Bernstein H, Wexler M, Rosemark P, Thomson RW. Stereotactic radiosurgery for fractionated radiation: A proposal applicable to linear accelerator and proton beam programs. Steretact. Funct. Neurosurg. 1989;53:167-177. https://doi.org/10.1159/000099533
  6. Souhami L, Olivier A, Podgorsak EB, Villemure JG, Pla M, Sadikot A. Fractionated stereotactic radiation therapy for intracranial tumors. Cancer 1991;68: 2101-2108. https://doi.org/10.1002/1097-0142(19911115)68:10<2101::AID-CNCR2820681003>3.0.CO;2-C
  7. Ramaseshan R, Heydarian M. Comprehensive quality assurance for stereotactic radiosurgery treatments. Phys. Med. Biol. 2003;48:199‐205. https://doi.org/10.1088/0031-9155/48/14/402
  8. Klein EE, Hanley J, Bayouth J, Yin F, Simon W, Dresser S, Serago C, Aguirre F, Ma L, Arjomandy B, Liu C. Task Group 142 report: Quality assurance of medical accelerators. Med. Phys. 2009;36:4197- 4212. https://doi.org/10.1118/1.3190392
  9. Schell MC, Bova FJ, Larson DA, Leavitt DD, Lutz WR, Podgorsak EB, Wu A. Task Group 42 report: Stereotactic radiosurgery. American Association of Physicists in Medicine. American Institute of Physics 1995.
  10. Feygelman V, Walker L, Chinnaiyan P, Forster K. Simulation of intrafraction motion and overall geometric accuracy of a frameless intracranial radiosurgery process. J. Appl. Clin. Med. Phys. 2008; 9:68-86.
  11. Mack A, Mack G, Scheib S, Czempiel H, Kreiner HJ, Lomax NJ, Gianolini S, Rieker M, Weltz D, Wolff R, Muacevic A, Wowra B, Bottcher HD, Seifert V. Quality assurance in stereotactic radiosurgery/ radiotherapy according to DIN 6875‐1.Stereotact. Funct. Neurosurg. 2004;82:235-243 https://doi.org/10.1159/000083175
  12. Mack A, Czempiel H, Kreiner H‐J, Durr G, Wowra B. Quality assurance in stereotactic space. A system test for verifying the accuracy of aim in radiosurgery. Med. Phys. 2002;29:561-568. https://doi.org/10.1118/1.1463062
  13. Ertl A, Saringer W, Heimberger K, Kindl P. Quality assurance for the Leksell gamma unit: Considering magnetic resonance image‐distortion and delineation failure in the targeting of the internal auditory canal. Med. Phys. 1999;26:166-170. https://doi.org/10.1118/1.598499
  14. Semnicka J, Novonty J, Spevacek V, Garcic J, Steiner M, Judas L. Three‐dimensional gel dosimetry for dose volume histogram verification in stereotactic radiosurgery. Radiosurgery 2010;7:44-55.
  15. Sandilos P, Tatsis E, Vlachos L, Dardoufas C, Karaiskos P, Georgiou E, Baras P, Kipourous P, Torrens M, Angelopoulos A. Mechanical and dose delivery accuracy evaluation in radiosurgery using polymer gels. J. Appl. Clin. Med. Phys. 2006;7:13-21.
  16. Maryanski MJ, Schulz RJ, Ibbott GS, Gatenby JC, Xie J, Horton D, Gore JC. Magnetic resonance imaging of radiation dose distributions using a polymer‐ gel dosimeter. Phys. Med. Biol. 1994;39:1437-1455. https://doi.org/10.1088/0031-9155/39/9/010
  17. Baldock C, De Deene Y, Doran S, Ibbott G, Jirasek A, Lepage M, McAuley KB, Oldham M, Schreiner LJ. Polymer gel dosimetry. Phys. Med. Biol. 2010;55:R1-R63.
  18. Murakami Y, Nakashima T, Watanabe Y, Akimitsu T, Matsuura K, Kenjo M, Kaneyasu Y, Wadasaki K, Hirokawa Y, Ito K. Evaluation of the basic properties of the $BANGkit^{TM}$ gel dosimeter. Phys. Med. Biol. 2007;52:2301-2311 https://doi.org/10.1088/0031-9155/52/8/017
  19. Hashemi RH, Bradley Jr. WG, Lisanti CJ. MRI: The basics. 2nd ed. Lippincott Williams & Wilkins; 2004:49-57.
  20. Barker GJ, Tofts PS. Semiautomated quality assurance for quantitative magnetic resonance imaging. Magn. Res. Imaging. 1992;10:585-595. https://doi.org/10.1016/0730-725X(92)90010-W
  21. Mutic S, Palta JR, Butker EK, Das I, Huq M, Loo L, Salter B, McCollough C, Dyk J. Quality assurance for computed‐tomography simulators and the computed‐tomography‐simulation process: Report of the AAPM Radiation Therapy Committee Task Group No. 66. Med. Phys. 2003;30:2762-2792. https://doi.org/10.1118/1.1609271
  22. Bissonnette J‐P. Quality assurance of image‐guidance technologies. Semin. Radiat. Oncol. 2007;17: 278-286. https://doi.org/10.1016/j.semradonc.2007.07.002
  23. Petrovic B, Grzadiel A, Slosarek K. Quality assurance of TPS: Comparison of dose calculation for stereotactic patients in Eclipse and iPlan RT Dose. Rep. Pract. Oncol. Radiother. 2009;14:5-10. https://doi.org/10.1016/S1507-1367(10)60017-X
  24. 24. Duggan DM, Coffey II CW. Small photon field dosimetry for stereotactic radiosurgery. Med. Dosim. 1998;23:153-159. https://doi.org/10.1016/S0958-3947(98)00013-2
  25. Lee KY, Karl KLF, Kwok CS. Application of highresolution radiochromic film dosimetry in verifying a small‐field stereotactic radiosurgery plan. Appl. Radiat. Isot. 2006;64:934-939. https://doi.org/10.1016/j.apradiso.2006.03.011
  26. Massillon‐JL G, Minniti R, Soares CG, Maryanski M, Robertson S. Characteristics of a new polymer gel for high‐dose gradient dosimetry using a micro optical CT scanner. Appl. Radiat. Isot. 2010;68:144-154. https://doi.org/10.1016/j.apradiso.2009.08.016
  27. Kabat D, Nahajowski D, Gora E, Bogusz B, Lesiak J, Polak B, Czopyk L, Olko P, Walligorski M. On the clinical application of large‐area 2‐D TL dosimetry for verifying small photon radiotherapy beams. Radiat. Meas. 2008;43:1004-1007. https://doi.org/10.1016/j.radmeas.2007.11.057
  28. Van Dam J, Johansson K‐A, Bridier A, Sernbo G, Hansson U. EORTC radiotherapy group quality assurance: Mechanical checks and beam alignments of megavoltage equipment. Radiother. Oncol. 1993;29: 91-96. https://doi.org/10.1016/0167-8140(93)90231-V
  29. Tsai J‐S, Curran BH, Sternick ES, Engler M. The measurements of linear accelerator isocenter motion using a three‐micrometer device and an adjustable pointer. Int. J. Radiat. Oncol. Biol. Phys. 1996;34: 189-195. https://doi.org/10.1016/0360-3016(95)02085-3
  30. Gibbs Jr. FA, Buechler D, Leavitt DD, Moeller J. Measurement of mechanical accuracy of isocenter in conventional linear accelerator‐based radiosurgery. Int. J. Radiat. Oncol. Biol. Phys. 1993;25: 117-122. https://doi.org/10.1016/0360-3016(93)90153-M
  31. Ramakrishna N, Rosca D, Friesen S, Tezcanli E, Zyqmanski P, Hacker F. A clinical comparison of patient setup and intra‐fraction motion using framebased radiosurgery versus a frameless image‐guided radiosurgery system for intracranial lesions. Radiother. Oncol. 2010;95:109-115. https://doi.org/10.1016/j.radonc.2009.12.030
  32. Friedman WA, Bova FJ. The University of Florida Radiosurgery System. Surg. Neurol. 1989;32:334-342. https://doi.org/10.1016/0090-3019(89)90135-3
  33. Karger CP, Jakel O, Debus J, Kuhn S, Hartmann G. Three‐dimensional accuracy and interfractional reproducibility of patient fixation and positioning using a stereotactic head mask system. Int. J. Radiat. Oncol. Biol. Phys. 2001;49:1493-1504. https://doi.org/10.1016/S0360-3016(00)01562-5
  34. Willner J, Flentje M, Bratengeier K. CT simulation in stereotactic brain radiotherapy - analysis of isocenter reproducibility with mask frame. Radiother. Oncol. 1997;45:83-88. https://doi.org/10.1016/S0167-8140(97)00135-7
  35. Rahimian J, Chen JC, Rao AA, Girviqian MR,Miller MJ, Greathouse HE. Geometrical accuracy of the Novalis stereotactic radiosurgery system for trigeminal neuralgia. J. Neurosurg. 2004;101:351-355.
  36. Karger CP, Hoss A, Bendl R, Canda V, Schad L. Accuracy of device‐specific 2D and 3D image distortion correction algorithms for magnetic resonance imaging of the head provided by a manufacturer. Phys. Med. Biol. 2006;51:N253-N261. https://doi.org/10.1088/0031-9155/51/2/005
  37. Rosenzweig DP, Schell MC, Numaguchi Y. Quality assurance in Linac‐based stereotactic radiosurgery and radiotherapy. Med. Dosim. 1998;23:147-151. https://doi.org/10.1016/S0958-3947(98)00020-X