Commissioning of a motion management system for a 1.5T Elekta Unity MR-Linac: A single institution experience.

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Tác giả: Daniel E Hyer, Blake R Smith, Joel St-Aubin

Ngôn ngữ: eng

Ký hiệu phân loại: 005.57 Personal information management programs

Thông tin xuất bản: United States : Journal of applied clinical medical physics , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 148884

PURPOSE: This work describes a single institution experience of commissioning a real-time target tracking and beam control system, known as comprehensive motion management, for a 1.5 T Elekta MR-Linac. METHODS: Anatomical tracking and radiation beam control were tested using the MRI RESULTS: It was determined that APM correctly predicted the 3D position of a dynamically moving tracking target to within 1.5 mm for 95% of the imaging frames with no deviation exceeding 2 mm. Among the breathing traces investigated, the mean latency ranged between -21.7 and 7.9 ms with 95% of all observed latencies within 188.3 ms. No discernable differences were observed in the relative profiles or cumulative output for a gated beam relative to an ungated beam with minimal dosimetric impact observed due to system latency. Measured dose profiles for all gated scenarios retained a gamma pass rate of 97% or higher for a 3%/2 mm criteria relative to a theoretical gated dose profile without latency or tracking inaccuracies. CONCLUSION: MRI-guided target tracking and automated beam delivery control were successfully commissioned for the Elekta Unity MR-Linac. These gating features were shown to be highly accurate with an effectively small beam latency for a range of regular and irregular respiratory breathing traces.
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