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Palleri F, Maurizi F, Ciarmatori A, Mazza M, Cesarini F, Giancaterino S, Blasi C, Argazzi E, Capezzali G, Mariselli M, La Macchia M, Belligotti E, Moroni G, Bunkheila F, Bono M. Deep inspiration breath hold and free breathing techniques for left sided whole breast radiotherapy: a dosimetric evaluation. Phys Med 2021. [DOI: 10.1016/s1120-1797(22)00419-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Cesarini F, Ciarmatori A, Giancaterino S, Palleri F, Argazzi E, Belligotti E, Mariselli M, Blasi C, Mazza M, Bunkheila F, Bono M. Assessment of delivered dose in prostate cancer radiation therapy through transit dosimetry and volumetric imaging. Phys Med 2021. [DOI: 10.1016/s1120-1797(22)00318-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Esposito M, Piermattei A, Bresciani S, Orlandini LC, Falco MD, Giancaterino S, Cilla S, Ianiro A, Nigro R, Botez L, Riccardi S, Fidanzio A, Greco F, Villaggi E, Russo S, Stasi M. Improving dose delivery accuracy with EPID in vivo dosimetry: results from a multicenter study. Strahlenther Onkol 2021; 197:633-643. [PMID: 33594471 DOI: 10.1007/s00066-021-01749-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 01/22/2021] [Indexed: 12/26/2022]
Abstract
PURPOSE To investigate critical aspects and effectiveness of in vivo dosimetry (IVD) tests obtained by an electronic portal imaging device (EPID) in a multicenter and multisystem context. MATERIALS AND METHODS Eight centers with three commercial systems-SoftDiso (SD, Best Medical Italy, Chianciano, Italy), Dosimetry Check (DC, Math Resolution, LCC), and PerFRACTION (PF, Sun Nuclear Corporation, SNC, Melbourne, FL)-collected IVD results for a total of 2002 patients and 32,276 tests. Data are summarized for IVD software, radiotherapy technique, and anatomical site. Every center reported the number of patients and tests analyzed, and the percentage of tests outside of the tolerance level (OTL%). OTL% was categorized as being due to incorrect patient setup, incorrect use of immobilization devices, incorrect dose computation, anatomical variations, and unknown causes. RESULTS The three systems use different approaches and customized alert indices, based on local protocols. For Volumetric Modulated Arc Therapy (VMAT) treatments OTL% mean values were up to 8.9% for SD, 18.0% for DC, and 16.0% for PF. Errors due to "anatomical variations" for head and neck were up to 9.0% for SD and DC and 8.0% for PF systems, while for abdomen and pelvis/prostate treatments were up to 9%, 17.0%, and 9.0% for SD, DC, and PF, respectively. The comparison among techniques gave 3% for Stereotactic Body Radiation Therapy, 7.0% (range 4.7-8.9%) for VMAT, 10.4% (range 7.0-12.2%) for Intensity Modulated Radiation Therapy, and 13.2% (range 8.8-21.0%) for 3D Conformal Radiation Therapy. CONCLUSION The results obtained with different IVD software and among centers were consistent and showed an acceptable homogeneity. EPID IVD was effective in intercepting important errors.
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Affiliation(s)
- M Esposito
- S. C. Fisica Sanitaria Firenze-Empoli, Medical Physics Unit of Radiation Oncology Dept., Azienda Sanitaria USL Toscana Centro Florence, Via dell'Antella 58, 50012, Bagno a Ripoli, Firenze, Italy.
| | - A Piermattei
- UOC di Fisica Sanitaria, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy
| | - S Bresciani
- Medical Physics, Candiolo Cancer Institute-FPO IRCCS, Turin, Italy
| | - L C Orlandini
- Department of Radiation Oncology, Sichuan Cancer Hospital, Chengdu, China
| | - M D Falco
- Dipartimento di Radioterapia, Università di Chieti, Chieti, Italy
| | - S Giancaterino
- Dipartimento di Radioterapia, Università di Chieti, Chieti, Italy
| | - S Cilla
- Medical Physics Unit, Fondazione di ricerca e cura "Giovanni Paolo II", Campobasso, Italy
| | - A Ianiro
- Medical Physics Unit, Fondazione di ricerca e cura "Giovanni Paolo II", Campobasso, Italy
| | - R Nigro
- OGP S. Camillo de Lellis, Rieti, Italy
| | - L Botez
- Medical Physics, Candiolo Cancer Institute-FPO IRCCS, Turin, Italy
| | | | - A Fidanzio
- UOC di Fisica Sanitaria, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy
| | - F Greco
- UOC di Fisica Sanitaria, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy
| | | | - S Russo
- S. C. Fisica Sanitaria Firenze-Empoli, Azienda Sanitaria USL Toscana Centro Florence, Florence, Italy
| | - M Stasi
- S.C. Fisica Sanitaria, A.O. Ordine Mauriziano di Torino, Torino, Italy
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Esposito M, Piermattei A, Bresciani S, Orlandini L, Falco M, Giancaterino S, Savino C, Ianiro A, Nigro R, Botez L, Riccardi S, Fidanzio A, Greco F, Villaggi E, Russo S, Stasi M. PD-0549: Improving radiotherapy accuracy with EPID invivo dosimetry: results from a multicentric study. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00571-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Maurizi F, Capezzali G, Mazza M, Blasi C, Moroni G, La Macchia M, Ciarmatori A, Palleri F, Argazzi E, Giancaterino S, Bono M, Bunkheila F. EP-1599 Electronic brachytherapy for non-melanoma skin cancers: preliminary results of a pilot trial. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)32019-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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De Lorenzo RG, Navarra R, Marinelli D, Adorante N, Giancaterino S, Genovesi D, Giammarco GD, Falco M. 218. Jarvik2000 and radiotherapy. Irradiation with high-energy photon beams and first results. Phys Med 2018. [DOI: 10.1016/j.ejmp.2018.04.229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Grimaldi L, Morandini V, Giancaterino S, Bonizzi D, Panese A, Saiani F, Berlinghieri S, Castrezzati E, Spiazzi L, Frata P. 298. Dosimetric cardiac constraints for long-term cardiac mortality excess control during the tangential beams irradiation of the left breast. Phys Med 2018. [DOI: 10.1016/j.ejmp.2018.04.307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Giancaterino S, Grimaldi L, Berlinghieri S, Castrezzati E, Di Santo S, Morandini V, Spiazzi L, Frata P. 119 In Vivo EPID Dosimetry: Time workload analysis. Phys Med 2018. [DOI: 10.1016/j.ejmp.2018.04.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Marino C, Carbonini C, Veronese I, Agostinelli S, Aimonetto S, Bagalà P, Barbiero S, Benecchi G, Borzi G, Bresciani S, Broggi S, Cagni E, Casale M, Cilla S, Clemente S, Consorti R, Corletto D, Delana A, Esposito M, Falco M, Fedele D, Fusella M, Garibaldi C, Gasperi C, Giglioli F, Giancaterino S, Iervolino C, Infusino E, Mameli A, Manco L, Masi L, Menghi E, Moretti E, Nardiello B, Paladini L, Panizza D, Pastore G, Radice A, Redaelli I, Rosica F, Russo S, Saiani F, Savini A, Siragusa C, Strigari L, Talamonti C, Vaccara E, Villaggi E, Zucchetti C, Stasi M, Mancosu P. 40. Design of a national survey to assess the technology applied to SBRT. Phys Med 2018. [DOI: 10.1016/j.ejmp.2018.04.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Falco M, Giancaterino S, De Nicola A, Adorante N, Gimenez De Lorenzo R, Di Tommaso M, Vinciguerra A, Trignani M, Allajbej A, Greco F, Grusio M, Piermattei A, Genovesi D. EP-1755: In-Vivo Dosimetry: A Feasibility Study in Routine Clinical Practice. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32064-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Falco M, Giancaterino S, D'Andrea M, Gimenez De Lorenzo R, Trignani M, Caravatta L, Di Carlo C, Di Biase S, Allajbej A, Genovesi D. EP-1900: Hippocampal sparing in Fractionated Stereotactic Brain VMAT RadioTherapy. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32209-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Di Carlo C, Trignani M, Caravatta L, Vinciguerra A, Augurio A, Perrotti F, Di Tommaso M, Nuzzo M, Giancaterino S, Falco MD, Genovesi D. Hippocampal sparing in stereotactic radiotherapy for brain metastases: To contour or not contour the hippocampus? Cancer Radiother 2018; 22:120-125. [PMID: 29576492 DOI: 10.1016/j.canrad.2017.08.113] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Revised: 05/23/2017] [Accepted: 08/10/2017] [Indexed: 11/27/2022]
Abstract
PURPOSE The aim of our study was to evaluate hippocampal irradiation in patients treated with fractionated stereotactic brain radiotherapy. PATIENTS AND METHODS Retrospective hippocampal dosimetric analysis performed on 22 patients with one to four brain metastases treated with fractionated stereotactic radiotherapy using volumetric intensity-modulated arc therapy. Original plans did not include hippocampus as avoidance structure in optimization criteria; hippocampus was retrospectively delineated on magnetic resonance coregistered with planning CT and using as reference the RTOG 0933 atlas. Hippocampus was defined both as a single and as pair organ. Constraints analysed were: Dmax<16Gy, D40%<7.3Gy, D100%=Dmin<9Gy. Assuming a α/β ratio of 2Gy, biologically equivalent dose in 2Gy fractions was calculated. Hippocampal-sparing plans were developed in cases where hippocampal constraints were not respected in the original plan. RESULTS Among constraints analysed Dmax and D40% have been exceeded in ten out of 22 cases. The constraints were not respected in patients with more than one metastatic lesion and in three patients with only one lesion. Considering all exceeded constraints values in non-hippocampal sparing plans, the 50% of them was respected after replanning. No significant differences were found among conformity and homogeneity index between non-hippocampal sparing and hippocampal sparing plans. CONCLUSION Volumetric intensity-modulated arc therapy hippocampal sparing plans significantly decreases dose to hippocampus assuring an equal target coverage and organs at risk avoiding.
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Affiliation(s)
- C Di Carlo
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - M Trignani
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - L Caravatta
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - A Vinciguerra
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - A Augurio
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - F Perrotti
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - M Di Tommaso
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - M Nuzzo
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - S Giancaterino
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - M D Falco
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy
| | - D Genovesi
- Department of Radiation Oncology, "G. D'Annunzio" University of Chieti, SS. Annunziata Hospital, Via Dei Vestini, 66100 Chieti, Italy.
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Di Carlo C, Di Biase S, Caravatta L, Caponigro G, Rosa C, Di Biase M, Perrotti F, Trignani M, Vinciguerra A, Augurio A, Giancaterino S, De Nicola A, Falco M, Genovesi D. EP-1123: To contour or not contour hippocampus in stereotactic brain radiotherapy? A dosimetric study. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31559-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Falco M, Giancaterino S, De Nicola A, Perrotti F, Menna S, Fidanzio A, Piermattei A, Genovesi D. EP-1525: Clinical results of an EPID-based in-vivo dosimetry for prostate cancer treated by VMAT. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32775-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Di Biase M, Trignani M, Caponigro G, Di Pilla A, Perrotti F, Augurio A, Giancaterino S, Bagalà P, Falco M, Genovesi D. EP-1783: Translational and rotational set-up uncertainties in Head and Neck cancer treatments using CBCT. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)33034-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Giancaterino S, De Nicola A, Adorante N, Bagalà P, Perrotti F, Menna S, Fidanzio A, Piermattei A, Genovesi D, Falco M. EPID-based in-vivo dosimetry for prostate cancer treated by volumetric ARC therapy: Preliminary clinical results. Phys Med 2016. [DOI: 10.1016/j.ejmp.2016.01.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Adorante N, Perrotti F, Giancaterino S, De Nicola A, Vinciguerra A, Bagalà P, Genovesi D, Falco M. Dosimetric comparison of 3D-conformal radiotherapy, intensity-modulated radiotherapy and volumetric-modulated ARC therapy for upper abdominal tumors. Phys Med 2016. [DOI: 10.1016/j.ejmp.2016.01.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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