Surface Guided Radiation Therapy

Surface Guided Radiation Therapy provides a comprehensive overview of optical surface image guidance systems for radiation therapy. It serves as an introductory teaching resource for students and trainees, and a valuable reference for medical physicists, physicians, radiation therapists, and administrators who wish to incorporate surface guided radiation therapy (SGRT) into their clinical practice. This is the first book dedicated to the principles and practice of SGRT, featuring:

• Chapters authored by an internationally represented list of physicists, radiation oncologists and therapists, edited by pioneers and experts in SGRT
• Covering the evolution of localization systems and their role in quality and safety, current SGRT systems, practical guides to commissioning and quality assurance, clinical applications by anatomic site, and emerging topics including skin mark-less setups.
• Several dedicated chapters on SGRT for intracranial radiosurgery and breast, covering technical aspects, risk assessment and outcomes.

Jeremy Hoisak, PhD, DABR is an Assistant Professor in the Department of Radiation Medicine and Applied Sciences at the University of California, San Diego. Dr. Hoisak?s clinical expertise includes radiosurgery and respiratory motion management.

Adam Paxton, PhD, DABR is an Assistant Professor in the Department of Radiation Oncology at the University of Utah. Dr. Paxton?s clinical expertise includes patient safety, motion management, radiosurgery, and proton therapy.

Benjamin Waghorn, PhD, DABR is the Director of Clinical Physics at Vision RT. Dr. Waghorn?s research interests include intensity modulated radiation therapy, motion management, and surface image guidance systems.

Todd Pawlicki, PhD, DABR, FAAPM, FASTRO, is Professor and Vice-Chair for Medical Physics in the Department of Radiation Medicine and Applied Sciences at the University of California, San Diego. Dr. Pawlicki has published extensively on quality and safety in radiation therapy. He has served on the Board of Directors for the American Society for Radiology Oncology (ASTRO) and the American Association of Physicists in Medicine (AAPM).

Contents

Preface, xi

Acknowledgments, xiii

Contributors, xv

Chapter 1 ◾ A History of Surface Guidance Methods in

Radiation Therapy 1

Jeremy D. P. Hoisak and Todd Pawlicki

Chapter 2 ◾ Safety and Quality Improvements with SGRT 25

Hania A. Al-Hallaq and Bill J. Salter

Chapter 3 ◾ Technical Overview and Features of the

C-RAD Catalyst™ and Sentinel™ Systems 51

Karl Rasmussen, Victoria Bry, and Nikos Papanikolaou

Chapter 4 ◾ Technical Overview and Features

of the Varian IDENTIFY ™ System 73

Raymond Schulz, Chris Huyghe, Lisa Hampton,

Delena Hanson, Michael stead, and Thomas Speck

Chapter 5 ◾ Technical Overview and Features

of the Vision RT AlignRT® System 95

Benjamin Waghorn

Chapter 6 ◾ Commissioning and Routine Quality

Assurance of the C-RAD Catalyst™

and Sentinel™ 4D-CT Systems 117

Alonso N. Gutierrez and Dennis N. Stanley

Chapter 7 ◾ Commissioning and Routine Quality

Assurance of the Varian IDENTIFY ™ System 137

Hui Zhao and Adam B. Paxton

Chapter 8 ◾ Commissioning and Routine Quality

Assurance of the Vision RT AlignRT® System 157

Guang Li

Chapter 9 ◾ Surface Guidance for Whole Breast

and Partial Breast: Technical Aspects 187

Laura Padilla

Chapter 10 ◾ Surface Guidance for Breast:

Deep Inspiration Breath Hold 209

Xiaoli Tang

Chapter 11 ◾ Breast Cancer Outcomes and Toxicity

Reduction with SGRT 227

Orit Kaidar-Person, Icro Meattini, Marianne C. Aznar, and

Philip Poortmans

Chapter 12 ◾ Surface Guidance for Stereotactic

Radiosurgery and Radiotherapy:

Technical Aspects 239

Laura Cerviño and Grace Gwe-Ya Kim

Chapter 13 ◾ Clinical Outcomes of Intracranial

Surface-Guided Stereotactic Radiosurgery 255

Douglas a. rahn iii

Chapter 14 ◾ Risk Analysis for SGRT-Based SRS/SRT 269

Ryan Manger

Chapter 15 ◾ SBRT and Respiratory Motion Management

Strategies with Surface Guidance 279

Michael J. Tallhamer

Chapter 16 ◾ The Use of SGRT for SBRT without

Respiratory Gating 303

Ryan Foster and John Heinzerling

Chapter 17 ◾ Head and Neck 319

Bo Zhao

Chapter 18 ◾ Surface Image Guidance for Treatment

of Extremities 339

David p. Gierga

Chapter 19 ◾ Application of SGRT in Pediatric Patients:

The CHLA Experience 351

Arthur J. Olch, Alisha Chlebik, and Kenneth Wong

Chapter 20 ◾ Skin Mark-Less Patient Setup: A Physicist’s

Perspective 367

Vanessa Panettieri, Sandra Paul, and Catherine Russell

Chapter 21 ◾ Tattoo/Skin Mark-Less Setups Using SGRT:

A Radiation Therapist’s Perspective 391

Jacqueline Dorney

Chapter 22 ◾ Introducing SGRT into the Clinic:

A Radiation Therapist’s Perspective 399

Ellen Herron and Daniel Bailey

Chapter 23 ◾ SGRT for Proton Therapy 421

Adam B. Paxton

Chapter 24 ◾ Integration of Surface Imaging with

Tomographic and Bore-Type Gantry

Treatment Systems 437

Lutz Lüdemann

Chapter 25 ◾ Consumer-Grade Cameras and Other

Approaches to Surface Imaging 449

Rex Cardan

Chapter 26 ◾ Future Directions for SGRT 459

David Wiant

INDEX, 481

Jeremy Hoisak, PhD, DABR is an Assistant Professor in the Department of Radiation Medicine and Applied Sciences at the University of California, San Diego. Dr. Hoisak’s clinical expertise includes radiosurgery, stereotactic body radiation therapy and respiratory motion management.

Adam Paxton, PhD, DABR is an Assistant Professor in the Department of Radiation Oncology at the University of Utah. Dr. Paxton’s clinical expertise includes patient safety, motion management, radiosurgery, and proton therapy.

Benjamin Waghorn, PhD, DABR is the Senior Director of Clinical Physics at Vision RT, Ltd. Dr. Waghorn’s research interests include intensity modulated radiation therapy, motion management, and surface image guidance systems.

Todd Pawlicki, PhD, DABR, FAAPM, FASTRO, is Professor and Vice-Chair for Medical Physics in the Department of Radiation Medicine and Applied Sciences at the University of California, San Diego. Dr. Pawlicki has published extensively on quality and safety in radiation therapy. He has served on the Board of Directors for the American Society for Radiology Oncology (ASTRO) and the American Association of Physicists in Medicine (AAPM).