Prog Med Phys.  2013 Dec;24(4):265-270. 10.14316/pmp.2013.24.4.265.

Differences in Target Volume Delineation Using Typical Radiosurgery Planning System

Affiliations
  • 1Radiological Cancer Medicine, University of Science and Technology, Daejeon, Korea.
  • 2Research Center for Radiotherapy, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.
  • 3Department of Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea. djlee@paik.ac.kr

Abstract

Correct target volume delineation is an important part of radiosurgery treatment planning process. We designed head phantom and performed target delineation to evaluate the volume differences due to radiosurgery treatment planning systems and image acquisition system, CT/MR. Delineated mean target volume from CT scan images was 2.23+/-0.08 cm3 on BrainSCAN (NOVALS), 2.13+/-0.07 cm3 on Leksell gamma plan (Gamma Knife) and 2.24+/-0.10 cm3 on Multi plan (Cyber Knife). For MR images, 2.08+/-0.06 cm3 on BrainSCAN, 1.94+/-0.05 cm3 on Leksell gamma plan and 2.15+/-0.06 cm3 on Multi plan. As a result, Differences of delineated mean target volume due to radiotherapy planning system was 3% to 6%. And overall mean target volume from CT scan images was 6.36% larger than those of MR scan images.

Keyword

Target volume delineation; Radiosurgery planning system

MeSH Terms

Head
Radiosurgery*
Radiotherapy
Tomography, X-Ray Computed

Figure

  • Fig. 1. Small target volume location in custom designed head phantom. (a) Axial view. (b) Oblique view.

  • Fig. 2. The axial phantom image from acquired MRI (a) and CT (b).

  • Fig. 3. Comparison of small target volume acquired from (a) CT image (b) MRI Image depends on radiotherapy planning system.

  • Fig. 4. Comparison of small target volume in radiotherapy planning system depends on image acquisition system (CT1, MRI1: BrainSCAN, CT2, MRI2: Leksell gamma plan, CT3, MRI3: Multi plan).


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