How long does it take? An analysis of volumetric image assessment time.

This work measured time taken to integrate image-guidance with CBCTs in routine clinical practice for patients treated between 2007 and 2010 across eight linear accelerators. 117,301 CBCTs from 4592 patients across thirteen disease sites were included. The mean image assessment decision time was 79s. Decision time was correlated with setup displacement magnitude.

[1]  P. Holland,et al.  Robust regression using iteratively reweighted least-squares , 1977 .

[2]  G. Kane Step‐by‐step: A model for practice‐based learning , 2007, The Journal of continuing education in the health professions.

[3]  Jan-Jakob Sonke,et al.  Automatic prostate localization on cone-beam CT scans for high precision image-guided radiotherapy. , 2005, International journal of radiation oncology, biology, physics.

[4]  A. Bezjak,et al.  Effect of image-guidance frequency on geometric accuracy and setup margins in radiotherapy for locally advanced lung cancer. , 2011, International journal of radiation oncology, biology, physics.

[5]  D. Jaffray Image-guided radiotherapy: from current concept to future perspectives , 2012, Nature Reviews Clinical Oncology.

[6]  Diana Handrahan,et al.  Image-guided radiotherapy (IGRT) for prostate cancer comparing kV imaging of fiducial markers with cone beam computed tomography (CBCT). , 2009, International journal of radiation oncology, biology, physics.

[7]  Jane Higgins,et al.  Comparison of spine, carina, and tumor as registration landmarks for volumetric image-guided lung radiotherapy. , 2009, International journal of radiation oncology, biology, physics.

[8]  S. Nill,et al.  IGRT versus non-IGRT for postoperative head-and-neck IMRT patients: dosimetric consequences arising from a PTV margin reduction , 2012, Radiation oncology.

[9]  Investigating User Perspective on Training and Clinical Implementation of Volumetric Imaging. , 2010, Journal of medical imaging and radiation sciences.

[10]  D. Song,et al.  Inter- and intrafraction patient positioning uncertainties for intracranial radiotherapy: a study of four frameless, thermoplastic mask-based immobilization strategies using daily cone-beam CT. , 2011, International journal of radiation oncology, biology, physics.

[11]  David A Jaffray,et al.  Cone-beam computed tomography for on-line image guidance of lung stereotactic radiotherapy: localization, verification, and intrafraction tumor position. , 2007, International journal of radiation oncology, biology, physics.

[12]  Mark Middleton,et al.  Assessing the Efficiency and Consistency of Daily Image-guided Radiation Therapy in a Modern Radiotherapy Centre. , 2014, Journal of medical imaging and radiation sciences.

[13]  Brian O'Sullivan,et al.  Measuring interfractional and intrafractional motion with cone beam computed tomography and an optical localization system for lower extremity soft tissue sarcoma patients treated with preoperative intensity-modulated radiation therapy. , 2008, International journal of radiation oncology, biology, physics.

[14]  A. Bezjak,et al.  Setup reproducibility for thoracic and upper gastrointestinal radiation therapy: Influence of immobilization method and on-line cone-beam CT guidance. , 2010, Medical dosimetry : official journal of the American Association of Medical Dosimetrists.

[15]  G. Kane,et al.  Radiation medicine practice in the image-guided radiation therapy era: new roles and new opportunities. , 2007, Seminars in radiation oncology.

[16]  S Senan,et al.  An analysis of anatomic landmark mobility and setup deviations in radiotherapy for lung cancer. , 1999, International journal of radiation oncology, biology, physics.

[17]  S. Senan,et al.  2158 An analysis of anatomic landmark mobility and setup errors in radiotherapy for lung cancer , 1997 .

[18]  T. Rosewall,et al.  Comparison of localization performance with implanted fiducial markers and cone-beam computed tomography for on-line image-guided radiotherapy of the prostate. , 2007, International journal of radiation oncology, biology, physics.

[19]  David A. Jaffray,et al.  Safety considerations for IGRT: Executive summary , 2013, Practical radiation oncology.

[20]  Yolande Lievens,et al.  Activity-based costing: a practical model for cost calculation in radiotherapy. , 2003, International journal of radiation oncology, biology, physics.