Back
 IJMPCERO  Vol.6 No.4 , November 2017
A Technical Note: Inter-Observer and Inter-Modality Variability of Cone-Beam Computed Tomography (CBCT) and Ultrasound (US) in Stereotactic Body Radiotherapy for Kidney Cancer
Abstract: Introduction: To investigate the inter-observer and inter-modality variabilities of two imaging guided equipments—cone-beam computed tomography (CBCT) and ultrasound (US) in kidney stereotactic body radiotherapy. Methods: A renal metastasis case implanted with three gold anchor fiducial markers was firstly scanned by US to acquire a 3-dimension US image and followed by 4-dimension CBCT in every fraction. Seven observers retrospectively registered the pre-treatment images with the corresponding reference images based on the gold markers. Registration uncertainty of the observers between two imaging modalities was evaluated. Results: The uncertainties over whole treatment course in CBCT were 0.88 mm, 1.94 mm and 0.86 mm in lateral, longitudinal and vertical directions respectively; while 0.8 mm, 0.97 mm and 1.36 mm were found in US. Conclusion: The greatest uncertainty was found in longitudinal direction in CBCT due to the fact that the respiration motion is the most rigorous in cranial-caudal direction. In US, since the probe was hold almost in upright position, the strong echo in vertical direction was attributed to the greatest uncertainty for such direction.
Cite this paper: Leung, R. , Wong, M. , Lee, V. , Cheung, S. , Wong, A. , Luk, H. , Ng, F. , Law, G. , Lee, F. , Mui, W. and Ngar, D. (2017) A Technical Note: Inter-Observer and Inter-Modality Variability of Cone-Beam Computed Tomography (CBCT) and Ultrasound (US) in Stereotactic Body Radiotherapy for Kidney Cancer. International Journal of Medical Physics, Clinical Engineering and Radiation Oncology, 6, 392-400. doi: 10.4236/ijmpcero.2017.64035.
References

[1]   Blanco, A.I., Teh, B.S. and Amato, R.J. (2011) Role of Radiation Therapy in the Management of Renal Cell Cancer. Cancers, 3, 4010-4023.
https://doi.org/10.3390/cancers3044010

[2]   Rule, W.G., Stanic, S., Boike, T.P. and Timmerman, R.D. (2011) Is Renal Cell Carcinoma Really Radioresistant? Experience with Stereotactic Body Radiotherapy in Patients for Primary and Metastatic Renal Cell Carcinoma. Kidney Cancer Journal, 9, 35-40.

[3]   Goyal, S. and Kataria, T. (2014) Image Guidance in Radiation Therapy: Techniques and Application. Radiology Research and Practice, 2014, Article ID: 705604.
https://doi.org/10.1155/2014/705604

[4]   Bartelink, H., Horiot, J.C. and Poortmans, P. (2001) Recurrence Rates after Treatment of Breast Cancer with Standard Radiotherapy with or without Additional Radiation. New England Journal of Medicine, 345, 1378-1387.
https://doi.org/10.1056/NEJMoa010874

[5]   Bartelink, H., Horiot, J.C. and Poortmans, P. (2007) Impact of a Higher Radiation Dose on Local Control and Survival in Breast-Conserving Therapy of Early Breast Cancer: 10-Year Results of the Randomized Boost versus on Boost EORTC 22881-10882 Trial. Journal of Clinical Oncology, 25, 3259-3265.
https://doi.org/10.1200/JCO.2007.11.4991

[6]   Wong, D., Muanza, T., Reynard, E., Barker, J., Robert, K. and Sultanem, K. (2009) Use of 3D-Ultrasound in the Detection of Breast Tumor Bed Displacement during Radiotherapy. International Journal of Radiation Oncology Biology Physics, 75, S196-S197.

[7]   Heimann, R., Hard, D. and Archambault, J. (2009) Three Dimensional Ultrasound (3DUS) Image Guidance, Clips or CT: How to Optimally Localize the Beast Lumpectomy Cavity Volume? International Journal of Radiation Oncology Biology Physics, 75, S196.

[8]   Kamrava, M. (2014) Potential Role of Ultrasound Imaging in Interstitial Image Based Cervical Cancer Brachytherapy. Journal of Contemporary Brachytherapy, 6, 223-230.
https://doi.org/10.5114/jcb.2014.43778

[9]   Narayan, K., van Dyk, S., Bernshaw, D., Khaw, P., Mileshkin, L. and Kondalsamy-Chennakesavan, S. (2014) Ultrasound Guided Conformal Brachytherapy of Cervix Cancer: Survival, Patterns of Failure, and Late Complications. Journal of Gynecologic Oncology, 25, 206-213.
https://doi.org/10.3802/jgo.2014.25.3.206

[10]   Bake, M. and Behrens, C.F. (2016) Determining Intrafractional Prostate Motion using Four Dimensional Ultrasound System. BMC Cancer, 16, 484.
https://doi.org/10.1186/s12885-016-2533-5

[11]   Robinson, D., Liu, D., Steciw, S., Field, C., Daly, H., Saibishkumar, E.P., Fallone, G., Parliament, M. and Amanie, J. (2012) An Evaluation of the Clarity 3D Ultrasound System for Prostate Localization. Journal of Applied Clinical Medical Physics, 13, 100-112.
https://doi.org/10.1120/jacmp.v13i4.3753

[12]   Li, M., Ballhausen, H., Hegemann, N.S., et al. (2015) A Comparative Assessment of Prostate Positioning Guided by Three-Dimensional Ultrasound and Cone Beam CT. Radiation Oncology (London, England), 10, 82.
https://doi.org/10.1186/s13014-015-0380-1

[13]   Abramowitz, M.C., Bossart, E., Flook, R., Wu, X., Brooks, R., Lachaine, M., et al. (2012) Noninvasive Real-Time Prostate Tracking using a Transperineal Ultrasound Approach. International Journal of Radiation Oncology Biology Physics, 84, S133.

[14]   TutkunSen, H., Lediju Bell, M.A., Iordachita, I., Wong, J. and Kazanzides, P. (2013) A Cooperatively Controlled Robot for Ultrasound Monitoring of Radiation Therapy. Proceedings of the IEEE/RSJ International Conference on Intelligent Robots and Systems, 3071-3076.

[15]   Western, C., Hristov, D. and Schlosser, J. (2015) Ultrasound Imaging in Radiation Therapy: From Interfractional to Intrafractional Guidance. Cureus, 7, e280.
https://doi.org/10.7759/cureus.280

[16]   Marie, F.-V., et al. (2015) Ultrasound versus Cone-Beam CT Image-Guided Radiotherapy for Prostate and Post-Prostatectomy Pretreatment Localization, Physica Medica.

[17]   Lediju Bell, M.A., Sen, H.T., Iordachita, I., Kazanzides, P. and Wong, J. (2014) In Vivo Reproducibility of Robotic Probe Placement for a Novel Ultrasound-Guided Radiation Therapy System. Journal of Medical Imaging, 1, Article ID: 025001.

[18]   Bloemen-van Gurp, E., Van Der Meer, S., Hendry, J., et al. (2013) Active Breathing Control in Combination with Ultrasound Imaging: A Feasibility Study of Image Guidance in Stereotactic Body Radiation Therapy of Liver Lesions. International Journal of Radiation Oncology, Biology, Physics, 85, 1096-1102.

[19]   Kroll, T., May, A., Wittekindt, C., et al. (2015) Cone Beam Computed Tomography (CBCT) Sialography—An Adjunct to Salivary Gland Ultrasonography in the Evaluation of Recurrent Salivary Gland Swelling. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, 120, 771-775.

[20]   Scarbrough, T.J., Golden, N.M., Ting, J.Y., et al. (2006) Comparison of Ultrasound and Implanted Seed Marker Prostate Localization Methods: Implication for Image-Guided Radiotherapy. International Journal of Radiation Oncology, Biology, Physics, 65, 378-387.

 
 
Top