Volumetric modulated arc therapy based total body irradiation: Workflow and clinical experience with an indexed rotational immobilization system

Luo Ouyang; Michael Folkerts; You Zhang; Brian Hrycushko; Richard Lamphier; Pam Lee; Eric Chambers; Ezequiel Ramirez; Robert Reynolds; Yulong Yan; Steve B. Jiang; Robert Timmerman; Neil Desai; Ramzi Abdulrahman; Xuejun Gu

doi:10.1016/j.phro.2017.11.002

Volumetric modulated arc therapy based total body irradiation: Workflow and clinical experience with an indexed rotational immobilization system

Luo Ouyang, Michael Folkerts, You Zhang, Brian Hrycushko, Richard Lamphier, Pam Lee, Eric Chambers, Ezequiel Ramirez, Robert Reynolds, Yulong Yan, Steve B. Jiang, Robert Timmerman, Neil Desai, Ramzi Abdulrahman, Xuejun Gu

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

Abstract

An indexed rotational immobilization system was developed for supine total body irradiation (TBI). Treatment plans had multi-isocentric volumetric modulated arc therapy (VMAT) beams to the upper body and parallelopposed fields to the lower body, with a 12 Gy prescription dose to > 90% of the body and mean lung dose ~8 Gy. In the end-to-end test, point dose measurements had < 10% error. Compared to conventional TBI, the VMAT-based TBI technique increased the mean dose to the body by ~1.0-1.5 Gy and decreased the mean dose to the lung by ~1.0-1.5 Gy. Overall treatment time was ~1.5 h, similar to conventional TBI.

Original language	English (US)
Pages (from-to)	22-25
Number of pages	4
Journal	Physics and Imaging in Radiation Oncology
Volume	4
DOIs	https://doi.org/10.1016/j.phro.2017.11.002
State	Published - Oct 2017

Keywords

Immobilization system
Total body irradiation
Volumetric modulated arc therapy

ASJC Scopus subject areas

Radiation
Oncology
Radiology Nuclear Medicine and imaging

Access to Document

10.1016/j.phro.2017.11.002

Cite this

Ouyang, L., Folkerts, M., Zhang, Y., Hrycushko, B., Lamphier, R., Lee, P., Chambers, E., Ramirez, E., Reynolds, R., Yan, Y., Jiang, S. B., Timmerman, R., Desai, N., Abdulrahman, R., & Gu, X. (2017). Volumetric modulated arc therapy based total body irradiation: Workflow and clinical experience with an indexed rotational immobilization system. Physics and Imaging in Radiation Oncology, 4, 22-25. https://doi.org/10.1016/j.phro.2017.11.002

Ouyang, L, Folkerts, M, Zhang, Y , Hrycushko, B, Lamphier, R, Lee, P, Chambers, E, Ramirez, E, Reynolds, R, Yan, Y , Jiang, SB , Timmerman, R , Desai, N , Abdulrahman, R & Gu, X 2017, 'Volumetric modulated arc therapy based total body irradiation: Workflow and clinical experience with an indexed rotational immobilization system', Physics and Imaging in Radiation Oncology, vol. 4, pp. 22-25. https://doi.org/10.1016/j.phro.2017.11.002

@article{7cec214f6acb41fab5438a285670e5eb,

title = "Volumetric modulated arc therapy based total body irradiation: Workflow and clinical experience with an indexed rotational immobilization system",

abstract = "An indexed rotational immobilization system was developed for supine total body irradiation (TBI). Treatment plans had multi-isocentric volumetric modulated arc therapy (VMAT) beams to the upper body and parallelopposed fields to the lower body, with a 12 Gy prescription dose to > 90% of the body and mean lung dose ~8 Gy. In the end-to-end test, point dose measurements had < 10% error. Compared to conventional TBI, the VMAT-based TBI technique increased the mean dose to the body by ~1.0-1.5 Gy and decreased the mean dose to the lung by ~1.0-1.5 Gy. Overall treatment time was ~1.5 h, similar to conventional TBI.",

keywords = "Immobilization system, Total body irradiation, Volumetric modulated arc therapy",

author = "Luo Ouyang and Michael Folkerts and You Zhang and Brian Hrycushko and Richard Lamphier and Pam Lee and Eric Chambers and Ezequiel Ramirez and Robert Reynolds and Yulong Yan and Jiang, {Steve B.} and Robert Timmerman and Neil Desai and Ramzi Abdulrahman and Xuejun Gu",

year = "2017",

month = oct,

doi = "10.1016/j.phro.2017.11.002",

language = "English (US)",

volume = "4",

pages = "22--25",

journal = "Physics and Imaging in Radiation Oncology",

issn = "2405-6316",

publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Volumetric modulated arc therapy based total body irradiation

T2 - Workflow and clinical experience with an indexed rotational immobilization system

AU - Ouyang, Luo

AU - Folkerts, Michael

AU - Zhang, You

AU - Hrycushko, Brian

AU - Lamphier, Richard

AU - Lee, Pam

AU - Chambers, Eric

AU - Ramirez, Ezequiel

AU - Reynolds, Robert

AU - Yan, Yulong

AU - Jiang, Steve B.

AU - Timmerman, Robert

AU - Desai, Neil

AU - Abdulrahman, Ramzi

AU - Gu, Xuejun

PY - 2017/10

Y1 - 2017/10

N2 - An indexed rotational immobilization system was developed for supine total body irradiation (TBI). Treatment plans had multi-isocentric volumetric modulated arc therapy (VMAT) beams to the upper body and parallelopposed fields to the lower body, with a 12 Gy prescription dose to > 90% of the body and mean lung dose ~8 Gy. In the end-to-end test, point dose measurements had < 10% error. Compared to conventional TBI, the VMAT-based TBI technique increased the mean dose to the body by ~1.0-1.5 Gy and decreased the mean dose to the lung by ~1.0-1.5 Gy. Overall treatment time was ~1.5 h, similar to conventional TBI.

AB - An indexed rotational immobilization system was developed for supine total body irradiation (TBI). Treatment plans had multi-isocentric volumetric modulated arc therapy (VMAT) beams to the upper body and parallelopposed fields to the lower body, with a 12 Gy prescription dose to > 90% of the body and mean lung dose ~8 Gy. In the end-to-end test, point dose measurements had < 10% error. Compared to conventional TBI, the VMAT-based TBI technique increased the mean dose to the body by ~1.0-1.5 Gy and decreased the mean dose to the lung by ~1.0-1.5 Gy. Overall treatment time was ~1.5 h, similar to conventional TBI.

KW - Immobilization system

KW - Total body irradiation

KW - Volumetric modulated arc therapy

UR - http://www.scopus.com/inward/record.url?scp=85070485059&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070485059&partnerID=8YFLogxK

U2 - 10.1016/j.phro.2017.11.002

DO - 10.1016/j.phro.2017.11.002

M3 - Article

AN - SCOPUS:85070485059

SN - 2405-6316

VL - 4

SP - 22

EP - 25

JO - Physics and Imaging in Radiation Oncology

JF - Physics and Imaging in Radiation Oncology

ER -

Volumetric modulated arc therapy based total body irradiation: Workflow and clinical experience with an indexed rotational immobilization system

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this