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

Winnie Li, Gregory Bootsma, David Shultz, Normand Laperriere, Barbara Ann Millar, Young Bin Cho, David A. Jaffray, Caroline Chung, Catherine Coolens

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article number100415
JournalPhysics and Imaging in Radiation Oncology
Volume25
DOIs
StatePublished - Jan 2023
Externally publishedYes

Keywords

  • Gamma Knife
  • Image guidance
  • Intrafraction motion
  • Stereotactic radiosurgery

ASJC Scopus subject areas

  • Radiation
  • Oncology
  • Radiology Nuclear Medicine and imaging

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