Relocatable fixation systems in intracranial stereotactic radiotherapy: Accuracy of serial CT scans and patient acceptance in a randomized design
Open accessAbstract
Purpose The goal was to provide a quantitative evaluation of the accuracy of three different fixation systems for stereotactic radiotherapy and to evaluate patients' acceptance for all fixations.Methods A total of 16 consecutive patients with brain tumours undergoing fractionated stereotactic radiotherapy (SCRT) were enrolled after informed consent (Clinical trials.gov: NCT00181350). Fixation systems evaluated were the BrainLAB® mask, with and without custom made bite-block (fixations S and A) and a homemade neck support with bite-block (fixation B) based on the BrainLAB® frame. The sequence of measurements was evaluated in a randomized manner with a cross-over design and patients' acceptance by a questionnaire.Results The mean three-dimensional (3D) displacement and standard deviations were 1.16 ± 0.68 mm for fixation S, 1.92 ± 1.28 and 1.70 ± 0.83 mm for fixations A and B, respectively. There was a significant improvement of the overall alignment (3D vector) when using the standard fixation instead of fixation A or B in the craniocaudal direction (p = 0.037). Rotational deviations were significantly less for the standard fixation S in relation to fixations A (p = 0.005) and B (p = 0.03). EPI imaging with off-line correction further improved reproducibility. Five out of 8 patients preferred the neck support with the bite-block.Conclusion The mask fixation system in conjunction with a bite-block is the most accurate fixation for SCRT reducing craniocaudal and rotational movements. Patients favoured the more comfortable but less accurate neck support. To optimize the accuracy of SCRT, additional regular portal imaging is warranted.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The text we found for this paper looks like another document, so the self-check wasn’t run.
Cites
van Herk, M., Remeijer, P., Rasch, C. R. N., et al. (2000) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/s0360-3016(00)00518-6 · Cited by 1,534 · see citing works
A verification procedure to improve patient set-up accuracy using portal images
Bel, A., van Herk, M., Bartelink, H. G. M. M., et al. (1993) · Radiotherapy and Oncology · doi:10.1016/0167-8140(93)90255-7 · Cited by 263 · see citing works
Adaptation and verification of the relocatable gill-thomas-cosman frame in stereotactic radiotherapy
Kooy, H. M., Dunbar, S. F., Tarbell, N. J., et al. (1994) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/0360-3016(92)90956-i · Cited by 199 · see citing works
Hypofractionated Stereotactic Reirradiation of Recurrent Glioblastomas
Fokas, E., Wacker, U., Gross, M. W., et al. (2009) · Strahlentherapie und Onkologie · doi:10.1007/s00066-009-1753-x · Cited by 141 · see citing works
Minniti, G. C., Valeriani, M., Clarke, E., D’Arienzo, M., Ciotti, M., Montagnoli, R., Saporetti, F., & Enrici, R. M. (2010) · Radiation Oncology · doi:10.1186/1748-717x-5-1 · Cited by 130 · see citing works
Karger, C. P., Jäkel, O., Debus, J., Kuhn, S., & Hartmann, G. H. (2001) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/s0360-3016(00)01562-5 · Cited by 106 · see citing works
Masi, L., Casamassima, F., Polli, C., et al. (2008) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2008.03.006 · Cited by 85 · see citing works
Willner, J., Flentje, M. P., & Bratengeier, K. (1997) · Radiotherapy and Oncology · doi:10.1016/s0167-8140(97)00135-7 · Cited by 79 · see citing works
Alheit, H., Dornfeld, S., Dawel, M., et al. (2001) · Strahlentherapie und Onkologie · doi:10.1007/pl00002407 · Cited by 69 · see citing works
Geometric uncertainties in radiotherapy
Wilkinson, J. (2004) · British Journal of Radiology · doi:10.1259/bjr/25924254 · Cited by 67 · see citing works
Salter, B. J., Fuß, M., Vollmer, D. G., et al. (2001) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/s0360-3016(01)01670-4 · Cited by 67 · see citing works
A precision cranial immobilization system for conformal stereotactic fractionated radiation therapy
Rosenthal, S. J., Gall, K. P., Jackson, M. J., et al. (1995) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/0360-3016(95)02009-8 · Cited by 63 · see citing works
Kortmann, R. D., Becker, G., Perelmouter, J., et al. (1999) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/s0360-3016(98)00456-8 · Cited by 57 · see citing works
Treatment accuracy of fractionated stereotactic radiotherapy
Kumar, S., Burke, K., Nalder, C., et al. (2004) · Radiotherapy and Oncology · doi:10.1016/j.radonc.2004.06.008 · Cited by 55 · see citing works
Henzel, M., Hamm, K. D., Sitter, H., et al. (2009) · Strahlentherapie und Onkologie · doi:10.1007/s00066-009-1959-y · Cited by 53 · see citing works
Baumert, B. G., Egli, P., Studer, S., et al. (2004) · Radiotherapy and Oncology · doi:10.1016/j.radonc.2004.08.002 · Cited by 51 · see citing works
Self-citationRepositioning accuracy of a noninvasive head fixation system for stereotactic radiotherapy
Hamilton, R. J., Kuchnir, F. T., Pelizzari, C. A., et al. (1996) · Medical Physics · doi:10.1118/1.597754 · Cited by 45 · see citing works
Stereotactic Body Radiation Therapy (SBRT) for adrenal metastases
Scorsetti, M., Mancosu, P., Navarria, P., Tozzi, A., Castiglioni, S., Clerici, E., Reggiori, G., Lobefalo, F., Fogliata, A., & Cozzi, L. (2011) · Strahlentherapie und Onkologie · doi:10.1007/s00066-011-2207-9 · Cited by 42 · see citing works
Astner, S. T., Theodorou, M., Dobrei-Ciuchendea, M., et al. (2010) · Strahlentherapie und Onkologie · doi:10.1007/s00066-010-2138-x · Cited by 41 · see citing works
van Santvoort, J., Wiggenraad, R. G. J., & Bos, P. (2008) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2008.05.006 · Cited by 41 · see citing works
Balducci, M., Apicella, G., Manfrida, S., et al. (2010) · Strahlentherapie und Onkologie · doi:10.1007/s00066-010-2101-x · Cited by 35 · see citing works
D’Agostino, G. R., Autorino, R., Pompucci, A., et al. (2011) · Strahlentherapie und Onkologie · doi:10.1007/s00066-011-2228-4 · Cited by 30 · see citing works
Ali, I., Tubbs, J., Hibbitts, K., et al. (2010) · Journal of Applied Clinical Medical Physics · doi:10.1120/jacmp.v11i3.3192 · Cited by 28 · see citing works
Kalapurakal, J. A., Ilahi, Z., Kepka, A. G., et al. (2001) · Radiology · doi:10.1148/radiology.218.1.r01ja23157 · Cited by 23 · see citing works
Bednarz, G., Machtay, M. X., Werner‐Wasik, M., Downes, B., Bogner, J., Hyslop, T., Galvin, J. M., Evans, J. J., Curran, W. J., & Andrews, D. W. (2008) · Medical Physics · doi:10.1118/1.3030950 · Cited by 23 · see citing works
Peng, L., Kahler, D. L., Samant, S. S., et al. (2010) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2010.02.011 · Cited by 21 · see citing works
Miranpuri, A. S., Tomé, W. A., Paliwal, B. R., et al. (2001) · International Journal of Cancer · doi:10.1002/ijc.1029 · Cited by 18 · see citing works
Detection of treatment setup errors between two CT scans for patients with head and neck cancer
Ezzell, L. C., Hansen, E. K., Quivey, J. M., et al. (2007) · Medical Physics · doi:10.1118/1.2751074 · Cited by 14 · see citing works
CT Verification of Isocentre Relocatability Using Stereotactic Mask Fixation System
Wong, V. Y. W., Tung, S. Y., Leung, T., et al. (2003) · Clinical Oncology · doi:10.1016/s0936-6555(03)00091-8 · Cited by 13 · see citing works
Lopatta, E., Liesenfeld, S.-M., Bank, P., et al. (2003) · Strahlentherapie und Onkologie · doi:10.1007/s00066-003-0941-3 · Cited by 12 · see citing works
On the Accuracy of Isocenter Verification with kV Imaging in Stereotactic Radiosurgery
Wiehle, R., Koth, H.-J., Nanko, N., et al. (2009) · Strahlentherapie und Onkologie · doi:10.1007/s00066-009-1871-5 · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Olausson, K., Holst Hansson, A., Zackrisson, B., Edvardsson, D., Östlund, U., & Nyholm, T. (2017) · Technical Innovations & Patient Support in Radiation Oncology · doi:10.1016/j.tipsro.2017.06.003 · Cited by 19 · see citing works
- Authors
- Theelen, A., Martens, J., Bosmans, G., Houben, R., Jager, J. J., Rutten, I., Lambin, P., Minken, A. W., & Baumert, B. G.
- Affiliations
- Maastricht University Medical Centre (NL)
- Corresponding author
- Baumert, B.G.
- Venue
- Strahlentherapie und Onkologie
- Published
- 2011-12-24
- Volume
- 188
- Issue
- 1
- Pages
- 84-90
- ISSN
- 0179-7158 (ISSN-L)
- 1439-099X
- OpenAlex
- W1219131453
- Cited by
- 18
- References
- 31
- Citations by year
- 2025: 1 · 2022: 1 · 2020: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 4
- FWCI
- 3.13
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Strahlentherapie und Onkologie (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, other-oa)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Topics
- Physical Sciences › Physics and Astronomy › Radiation › Advanced Radiotherapy Techniques
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Brain Metastases and Treatment
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
- Keywords
- stereotactic radiotherapy, patient immobilization, bite block, neck support, brain tumors, patient acceptance, patient positioning accuracy, portal imaging
- MeSH terms
- Adenoma, Astrocytoma, Brain Neoplasms, Humans, Image Processing, Computer-Assisted, Meningeal Neoplasms, Meningioma, Netherlands, Neuroma, Acoustic, Patient Acceptance of Health Care, Pituitary Neoplasms, Prospective Studies, Surveys and Questionnaires, Radiotherapy Planning, Computer-Assisted, Tomography, X-Ray Computed, Artifacts, Radiosurgery, Imaging, Three-Dimensional, Patient Positioning
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
