Abstract
We evaluated the tumor residual volumes considering six degrees-of-freedom (6DoF) patient setup errors in stereotactic radiotherapy (SRT) with multicomponent mathematical model using single-isocenter irradiation for brain metastases. Simulated spherical gross tumor volumes (GTVs) with 1.0 (GTV 1), 2.0 (GTV 2), and 3.0 (GTV 3)-cm diameters were used. The distance between the GTV center and isocenter (d) was set at 0–10 cm. The GTV was simultaneously translated within 0–1.0 mm (T) and rotated within 0°–1.0° (R) in the three axis directions using affine transformation. We optimized the tumor growth model parameters using measurements of non-small cell lung cancer cell lines’ (A549 and NCI-H460) growth. We calculated the GTV residual volume at the irradiation’s end using the physical dose to the GTV when the GTV size, d, and 6DoF setup error varied. The d-values that satisfy tolerance values (10%, 35%, and 50%) of the GTV residual volume rate based on the pre-irradiation GTV volume were determined. The larger the tolerance value set for both cell lines, the longer the distance to satisfy the tolerance value. In GTV residual volume evaluations based on the multicomponent mathematical model on SRT with single-isocenter irradiation, the smaller the GTV size and the larger the distance and 6DoF setup error, the shorter the distance that satisfies the tolerance value might need to be.
Data availability
The data that support the findings of this study are available from the corresponding author upon reasonable request.
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Acknowledgements
This research was supported by Grants from the Japan Society for the Promotion of Science (JSPS) KAKENHI, nos. 19K17227, 20K16819, and 21K07722.
Funding
This work was supported by by Grants from the Japan Society for the Promotion of Science (JSPS) KAKENHI, nos. 19K17227, 20K16819, and 21K07722.
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by HN, TS, ST, TN, TT, and SU. The first draft of the manuscript was written by HN, TS and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Nakano, H., Shiinoki, T., Tanabe, S. et al. Multicomponent mathematical model for tumor volume calculation with setup error using single-isocenter stereotactic radiotherapy for multiple brain metastases. Phys Eng Sci Med 46, 945–953 (2023). https://doi.org/10.1007/s13246-023-01241-8
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DOI: https://doi.org/10.1007/s13246-023-01241-8