作者
John David Lincoln, Robert Lee MacDonald, Brian Little, Alasdair Syme, Christopher Grant Thomas
发表日期
2022/11
期刊
Journal of Applied Clinical Medical Physics
卷号
23
期号
11
页码范围
e13765
简介
Class solution template trajectories are used clinically for efficiency, safety, and reproducibility. The aim was to develop class solutions for single cranial metastases radiotherapy/radiosurgery based on intracranial target positioning and compare to patient‐specific trajectories in the context of 4π optimization. Template trajectories were constructed based on the open‐source Montreal Neurological Institute (MNI) average brain. The MNI brain was populated with evenly spaced spherical target volumes (2 cm diameter, N = 243) and organs‐at‐risk (OARs) were identified. Template trajectories were generated for six anatomical regions (frontal, medial, and posterior, each with laterality dependence) based on previously published 4π optimization methods. Volumetric modulated arc therapy (VMAT) treatment plans generated using anatomically informed template 4π trajectories and patientspecific 4π trajectories were …
引用总数