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A look-up-table development to facilitate CT simulation of MR-Linac treatment.


ABSTRACT: While current MR-Linac (MRL) treatment workflows utilize a large table overlay during CT simulation to convert indexing between the two machines, we developed a look-up-table (LUT) as an alternative approach. After populating the LUT, index conversion factors were verified at three separate table locations. The resultant root-mean-square isocenter shifts on the MRL were 0.04/0.08 cm, 0.08/0.07 cm, and 0.09/0.08 cm with/without using the table overlay during simulation in the lateral, longitudinal, and vertical directions, respectively, which is within registration tolerance. Clinical implementation of the LUT has resulted in a more efficient MRL treatment workflow while maintaining accurate patient setup.

SUBMITTER: Hughes N 

PROVIDER: S-EPMC10772372 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature

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A look-up-table development to facilitate CT simulation of MR-Linac treatment.

Hughes Neil N   Salzillo Travis C TC   Vedam Sastry S   Lim Tze Yee TY   Wang Xin X   Wang He H   Mohammedsaid Mustefa M   Fuller Clifton D CD   Wang Jihong J   Yang Jinzhong J  

Physics and imaging in radiation oncology 20231215


While current MR-Linac (MRL) treatment workflows utilize a large table overlay during CT simulation to convert indexing between the two machines, we developed a look-up-table (LUT) as an alternative approach. After populating the LUT, index conversion factors were verified at three separate table locations. The resultant root-mean-square isocenter shifts on the MRL were 0.04/0.08 cm, 0.08/0.07 cm, and 0.09/0.08 cm with/without using the table overlay during simulation in the lateral, longitudina  ...[more]

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