Abstract
A combined system comprising the LINIAC TrueBeam (Varian Medical Systems, Palo Alt, CA) and a new real-time tumor-tracking radiotherapy system, SyncTraX FX4® (Shimadzu Co., Kyoto, Japan), was installed in our institution. It consists of four pairs of an X-ray tube and a flat panel detector. The system was assessed on beam-on time delay between TrueBeam and SyncTraX FX4 and fluoroscopic dose during a real-time tracking. Delay time was measured by using a tumor-tracking radiotherapy phantom (CALIB PHANTOM ASSY, Shimadzu Co., Kyoto, Japan), in the cases of flattening filtered (FF) 6 MV photon beam, flattening filter-free (FFF) 6 MV photon beam, FF-10 MV photon beam, and FFF-10 MV photon beam with the LINAC TrueBeam. Half-value layer (HVL) in mm Al, effective kVp, and air-kerma rate during fluoroscopy were measured using a solid-state detector for the tube voltage (70–110 kV) and the current (50–100 mA). The LINAC delayed from the real-time tumor tracking system on beam-on by 140.9 ± 8.5, 119.8 ± 3.8, 126.1 ± 3.2 and 116.8 ± 9.7 ms for FF-6 MV, FFF-6 MV, FF-10 MV and FFF-10 MV, respectively. The HVL, effective kVp and air-kerma rates from X-ray tube #1 (X-ray tube #1 and #2 were embedded in the patient’s head side floor) were 4.98 ± 0.00 mm, 111.2 ± 0.1 kV and 9.14 ± 0.04 mGy/min for 110 kV X-ray at 100 mA. The HVL, effective kVp and air-kerma rates from X-ray tube #3 (X-ray tube #3 and #4 were embedded in the patient’s feet side floor), were 5.20 ± 0.00 mm, 110.0 ± 0.1 kV and 11.87 ± 0.06 mGy/min for 110 kV X-ray at 100 mA. These tube voltage and current are the maximum conditions of this study. The time delay of the real-time system is longer than the old system that used image intensifiers. The air-kerma rate from X-ray tube #3 was higher than that from X-ray tube #1.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
T. Shiinoki, S. Kawamura, T. Uehara, et al: Evaluation of a combined respiratory-gating system comprising the TrueBeam linear accelerator and a new real-time tumor-tracking radiotherapy system: a preliminary study. Journal of Applied Clinical Medical Physics 17(4), 202–213 (2016).
M. Nakamura, K. Shibuya, T. Shiinoki, et al: Positional Reproducibility of Pancreatic Tumors under End-exhalation Breath-hold Conditions Using a Visual Feedback Technique. Int. J. Radiation Oncology Biol. Phys. 79(5), 1565–1571 (2011).
Berson A. M., Emery R., Rodriguez L., et al: Clinical experience using respiratory gated radiation therapy: comparison of free-breathing and breath-hold techniques. Int. J. Radiation Oncology Biol. Phys. 60(2), 419–426 (2004).
Poels K., Dhont J., Verellen D., et al: A comparison of two clinical correlation models used for real-time tumor tracking of semi-periodic motion: a focus on geometrical accuracy in lung and liver cancer patients. Radiother Oncol. 115(3), 419–424 (2015).
H. Shirato, S. Shimizu, T. Kunieda, et al: Physical aspects of a real-time tumor-tracking system for gated radiotherapy. Int. J. Radiation Oncology Biol. Phys. 48(4), 1187–1195 (2000).
Smith W. L., Becker N.: Time delays in gated radiotherapy. Journal of Applied Clinical Medical Physics 10(3), 140–154 (2009).
JIS 4702: General requirements for high-voltage generators of medical X-ray apparatus. (1999).
Brateman L.F., Heintz P.H.: Solid-state dosimeters: a new approach for mammography measurements. MedPhys 42(2), 542–557(2015).
IAEA: International Basic Safety Standards for Protection against Ionizing Radiation and for the Safety of Radiation Sources Safety Series No.115. (1996).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this paper
Cite this paper
Kitagawa, M., Hirosawa, A., Takemura, A. (2019). Evaluation of Time Delay and Fluoroscopic Dose in a New Real-Time Tumor-Tracking Radiotherapy System. In: Lhotska, L., Sukupova, L., Lacković, I., Ibbott, G. (eds) World Congress on Medical Physics and Biomedical Engineering 2018. IFMBE Proceedings, vol 68/3. Springer, Singapore. https://doi.org/10.1007/978-981-10-9023-3_88
Download citation
DOI: https://doi.org/10.1007/978-981-10-9023-3_88
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-9022-6
Online ISBN: 978-981-10-9023-3
eBook Packages: EngineeringEngineering (R0)