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Harrington K, Hall E, Hawkins M, Henry A, MacKay R, Maughan T, McDonald A, Nutting C, Oelfke U, Sebag-Montefiore D, Sharma RA, van Herk M, Faivre-Finn C. Introducing the Cancer Research UK Advanced Radiotherapy Technologies Network (ART-NET). Clin Oncol (R Coll Radiol) 2017; 29:707-710. [PMID: 28807360 PMCID: PMC6155492 DOI: 10.1016/j.clon.2017.07.016] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Revised: 06/30/2017] [Accepted: 07/08/2017] [Indexed: 12/25/2022]
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52
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Choudhury A, Budgell G, MacKay R, Falk S, Faivre-Finn C, Dubec M, van Herk M, McWilliam A. The Future of Image-guided Radiotherapy. Clin Oncol (R Coll Radiol) 2017; 29:662-666. [DOI: 10.1016/j.clon.2017.04.036] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Revised: 04/11/2017] [Accepted: 04/28/2017] [Indexed: 11/16/2022]
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53
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Beasley W, Thor M, McWilliam A, Green A, Mackay R, Slevin N, Olsson C, Pettersson N, Finizia C, Deasy J, van Herk M. Image-Based Data Mining for Identifying Regions Exhibiting a Dose-Response Relationship with Radiation-Induced Trismus. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.380] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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54
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van Herk M. TU-D-202-01: Is ITV the Correct Motion Encompassing Strategy? Med Phys 2016. [DOI: 10.1118/1.4957490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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55
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McPartlin AJ, Li XA, Kershaw LE, Heide U, Kerkmeijer L, Lawton C, Mahmood U, Pos F, van As N, van Herk M, Vesprini D, van der Voort van Zyp J, Tree A, Choudhury A. MRI-guided prostate adaptive radiotherapy - A systematic review. Radiother Oncol 2016; 119:371-80. [PMID: 27162159 DOI: 10.1016/j.radonc.2016.04.014] [Citation(s) in RCA: 114] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Revised: 04/08/2016] [Accepted: 04/09/2016] [Indexed: 11/29/2022]
Abstract
Dose escalated radiotherapy improves outcomes for men with prostate cancer. A plateau for benefit from dose escalation using EBRT may not have been reached for some patients with higher risk disease. The use of increasingly conformal techniques, such as step and shoot IMRT or more recently VMAT, has allowed treatment intensification to be achieved whilst minimising associated increases in toxicity to surrounding normal structures. To support further safe dose escalation, the uncertainties in the treatment target position will need be minimised using optimal planning and image-guided radiotherapy (IGRT). In particular the increasing usage of profoundly hypo-fractionated stereotactic therapy is predicated on the ability to confidently direct treatment precisely to the intended target for the duration of each treatment. This article reviews published studies on the influences of varies types of motion on daily prostate position and how these may be mitigated to improve IGRT in future. In particular the role that MRI has played in the generation of data is discussed and the potential role of the MR-Linac in next-generation IGRT is discussed.
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Spreeuw H, Rozendaal R, Olaciregui-Ruiz I, Mans A, Mijnheer B, van Herk M, Gonzalez P. WE-D-BRA-04: Online 3D EPID-Based Dose Verification for Optimum Patient Safety. Med Phys 2015. [DOI: 10.1118/1.4925931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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57
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Mijnheer B, Olaciregui-Ruiz I, Rozendaal R, Spreeuw H, Herk MV, Mans A. Current status of 3D EPID-based in vivo dosimetry in The Netherlands Cancer Institute. ACTA ACUST UNITED AC 2015. [DOI: 10.1088/1742-6596/573/1/012014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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58
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Stroom J, Vieira S, Olaciregui-Ruiz I, Rozendaal R, van Herk M, Moser E, Greco C. SU-F-BRE-13: Replacing Pre-Treatment Phantom QA with 3D In-Vivo Portal Dosimetry for IMRT Breast Cancer. Med Phys 2014. [DOI: 10.1118/1.4889051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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59
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Mijnheer B, Mans A, Olaciregui-Ruiz I, Rozendaal R, Spreeuw H, van Herk M. TU-C-BRE-11: 3D EPID-Based in Vivo Dosimetry: A Major Step Forward Towards Optimal Quality and Safety in Radiation Oncology Practice. Med Phys 2014. [DOI: 10.1118/1.4889274] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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60
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Mencarelli A, van Beek S, Zijp LJ, Rasch C, van Herk M, Sonke JJ. Automatic detection system for multiple region of interest registration to account for posture changes in head and neck radiotherapy. Phys Med Biol 2014; 59:2005-21. [PMID: 24694677 DOI: 10.1088/0031-9155/59/8/2005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Despite immobilization of head and neck (H and N) cancer patients, considerable posture changes occur over the course of radiotherapy (RT). To account for the posture changes, we previously implemented a multiple regions of interest (mROIs) registration system tailored to the H and N region for image-guided RT correction strategies. This paper is focused on the automatic segmentation of the ROIs in the H and N region. We developed a fast and robust automatic detection system suitable for an online image-guided application and quantified its performance. The system was developed to segment nine high contrast structures from the planning CT including cervical vertebrae, mandible, hyoid, manubrium of sternum, larynx and occipital bone. It generates nine 3D rectangular-shaped ROIs and informs the user in case of ambiguities. Two observers evaluated the robustness of the segmentation on 188 H and N cancer patients. Bland-Altman analysis was applied to a sub-group of 50 patients to compare the registration results using only the automatically generated ROIs and those manually set by two independent experts. Finally the time performance and workload were evaluated. Automatic detection of individual anatomical ROIs had a success rate of 97%/53% with/without user notifications respectively. Following the notifications, for 38% of the patients one or more structures were manually adjusted. The processing time was on average 5 s. The limits of agreement between the local registrations of manually and automatically set ROIs was comprised between ±1.4 mm, except for the manubrium of sternum (-1.71 mm and 1.67 mm), and were similar to the limits agreement between the two experts. The workload to place the nine ROIs was reduced from 141 s (±20 s) by the manual procedure to 59 s (±17 s) using the automatic method. An efficient detection system to segment multiple ROIs was developed for Cone-Beam CT image-guided applications in the H and N region and is clinically implemented in our department.
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van Herk M. 205: New insights in IGRT for prostate cancer. Radiother Oncol 2014. [DOI: 10.1016/s0167-8140(15)34226-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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62
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Mijnheer B, Mans A, Olaciregui-Ruiz I, Rozendaal R, Spreeuw H, van Herk M. Clinical implementation of 3D EPID-based in vivo dose verification of IMRT/VMAT treatments. Phys Med 2014. [DOI: 10.1016/j.ejmp.2014.07.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Olaciregui-Ruiz I, Rozendaal R, Mijnheer B, van Herk M, Mans A. Automaticin vivoportal dosimetry of all treatments. Phys Med Biol 2013; 58:8253-64. [DOI: 10.1088/0031-9155/58/22/8253] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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64
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Mijnheer B, Olaciregui-Ruiz I, Rozendaal R, Sonke JJ, Spreeuw H, Tielenburg R, Herk MV, Vijlbrief R, Mans A. 3D EPID-based in vivo dosimetry for IMRT and VMAT. ACTA ACUST UNITED AC 2013. [DOI: 10.1088/1742-6596/444/1/012011] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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65
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Mijnheer B, Olaciregui-Ruiz I, Rozendaal R, Sonke JJ, Spreeuw H, Tielenburg R, van Herk M, Mans A. TU-E-108-08: EPID-Based in Vivo Dosimetry: The Next Step in Patient-Specific QA. Med Phys 2013. [DOI: 10.1118/1.4815423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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66
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Polders D, Steggerda M, van Herk M, Nichol K, Witteveen T, Moonen L, Nijkamp J, van der Heide U. OC-0366: Establishing margins for focal brachytherapy in prostate cancer. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)32672-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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67
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Kruis M, van de Kamer J, Jansen E, Sonke J, van Herk M. OC-0555: Deformable registration accuracy of respiratory motion compensation in 4D CT and contrast enhanced CT of the liver. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)32861-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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68
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van Herk M. SP-0207: The past, present and future of margins in radiotherapy. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)32513-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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69
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Szeto Y, Witte M, van Herk M. OC-0343: Effects of anatomical changes on the dose using proton treatment planning system. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)32649-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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70
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van der Werf H, van Herk M. PD-0047: Implementation of a low-cost reliable non-contact respiratory motion monitoring system. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)32353-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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71
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Mencarelli A, van Beek S, van Kranen S, Rasch C, van Herk M, Sonke JJ. Validation of deformable registration in head and neck cancer using analysis of variance. Med Phys 2013; 39:6879-84. [PMID: 23127080 DOI: 10.1118/1.4760990] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE Deformable image registration (DIR) is often validated based on a distance-to-agreement (DTA) criterion of automatically propagated anatomical landmarks that were manually identified. Due to human observer variability, however, the performance of the registration method is diluted. The purpose of this study was to evaluate an analysis of variance (ANOVA) based validation to account for such observer variation. METHODS Weekly cone beam CTs (CBCTs) of ten head and neck cancer patients undergoing five weeks of radiotherapy were used. An expert identified 23 anatomical features (landmarks) on the planning CT. The landmarks were automatically propagated to the CBCT using multiregion-of-interest (mROI) registration. Additionally, two human observers independently localized these landmarks on the CBCTs. Subsequently, ANOVA was used to compute the variance of each observer on the pairwise distance (PWD). RESULTS ANOVA based analysis demonstrated that a classical DTA approach underestimated the precision for the mROI due to human observer variation by about 25%. The systematic error (accuracy) of mROI ranged from 0.13 to 0.17 mm; the variability (1 SD) (precision) ranged from 1.3 to 1.5 mm demonstrating that its performance is dominated by the precision. CONCLUSIONS The PWD-ANOVA method accounts for human observer variation allowing a better estimation of the of DIR errors.
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Mijnheer B, Olaciregui-Ruiz I, Rozendaal R, Sonke J, Stroom J, Tielenburg R, van Herk M, Vijlbrief R, Mans A. SU-E-T-346: Clinical Results of 3D in Vivo Dose Verification of VMAT. Med Phys 2012. [DOI: 10.1118/1.4735433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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73
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Janssen T, Bohoslavsky R, van Kranen S, Damen E, van Herk M, van Vliet-Vroegindeweij C, Witte M. OC-0380 PLANNED DOSE, EXPECTED DOSE AND DELIVERED DOSE: THE BENEFIT OF PROBABILISTIC POPULATION BASED PLAN EVALUATION. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)70719-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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74
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van Herk M. SP-0547 1% IMPROVED DOSIMETRIC ACCURACY IS MORE VALUABLE THAN 1 MM LESS PTV MARGIN – AGAINST THE MOTION. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)70886-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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75
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Ploeger L, Sonke J, van Herk M. PO-0864 INVESTIGATION OF TOUCH-GUARD SCATTER ON IMAGE QUALITY IN CONE BEAM CT. Radiother Oncol 2012. [DOI: 10.1016/s0167-8140(12)71197-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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