Have a personal or library account? Click to login
Assessment of set-up errors in the radiotherapy of patients with head and neck cancer: standard vs. individual head support Cover

Assessment of set-up errors in the radiotherapy of patients with head and neck cancer: standard vs. individual head support

Open Access
|Jun 2020

Figures & Tables

Figure 1

The example of shrinkage (right) of the head support.
The example of shrinkage (right) of the head support.

Figure 2

Inter-fraction displacements by axis and period.
Inter-fraction displacements by axis and period.

Inter-fraction displacements recorded on units A and B at different periods

2014 Standard head support2015 Individual support2017 Individual support
VRTLNGLATVRTLNGLATVRTLNGLAT
UNIT A
Average displacement – M [mm]- 0.860.050.05- 0.47*- 0.24*- 0.05- 0.16*0.880.18
Systematic error – Σ [mm]0.661.040.880.910.790.950.820.590.83
Random error – σ [mm]1.491.211.371.561.281.381.281.141.2
UNIT B
Average displacement – M [mm]- 0.600.46- 0.43- 0.02*0.510.25- 0.18*0.46- 0.02
Systematic error – Σ [mm]1.090.800.820.920.740.940.930.690.88
Random error – σ [mm]1.771.831.471.771.221.411.711.561.44

Clinical target volume - planning target volume (CTV-PTV) safety margins for units A and B at different periods (calculated according to van Herk8)

CTV-PTV safety margin [mm]
VRTLNGLAT
UNIT A
2014 – standard head support2.73.43.2
2015 – individual head support3.42.93.3
2017 – individual head support2.92.32.9
UNIT B
2014 – standard head support4.03.33.1
2015 – individual head support3.52.73.3
2017 – individual head support3.52.83.2

Number of IC displacements and of gross errors at treatment units in relation to time for both units_ In the brackets, the most prevalent direction of applied movements is indicated

Isocenter movements
VRTLNGLATGross errors
Regression errors
Unit A / unit B (direction)Unit A / unit B (direction)Unit A / unit B (direction)
2014 – standard head support11 / 15 (P)5 / 15 (I)4 / 5 (L)2 / 5
2015 – individual head support12 / 13 (P)3 / 6 (I)9 / 8 (R)0 / 1
2017 – individual head support5 / 14 (P)7 / 10 (I)6 / 7 (L)0 / 1
DOI: https://doi.org/10.2478/raon-2020-0036 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 364 - 370
Submitted on: Feb 17, 2020
Accepted on: May 3, 2020
Published on: Jun 6, 2020
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2020 Sabina Androjna, Valerija Zager Marcius, Primoz Peterlin, Primoz Strojan, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.