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A method for repositioning of stereotactic brain patients with the aid of real-time CT image guidance

K Paskalev1, S Feigenberg1, L Wang1, B Movsas1, D Laske2 and C Ma1

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NOTE

This note presents a method that recalculates the coordinates of the isocentre for patients undergoing stereotactic radiotherapy to the brain with a relocatable head frame based on a pre-treatment CT scan. The method was evaluated by comparing initial stereotactic coordinates of the isocentre with the recalculated coordinates for eight single-fraction patients. These patients had the Brown–Roberts–Wells (BRW) frame fixed to the outer table of the skull, and therefore the coordinates of any anatomical point should be identical between the initial scan and the pre-treatment scan. The differences between the two sets of coordinates were attributed to errors in the method. The results showed that the systematic errors in the recalculated coordinates were less than 0.05 mm, and they were not statistically significant. The random errors (one standard deviation) were from 0.35 mm (lateral) to 0.58 mm (vertical). The average value of the combined 3D difference was 0.75 mm.


PACS

87.53.Ly Stereotactic radiosurgery

87.59.bd Computed radiography

87.19.L- Neuroscience

87.55.-x Treatment strategy

06.20.Dk Measurement and error theory

Subjects

Instrumentation and measurement

Biological physics

Medical physics

Dates

Issue 16 (21 August 2005)

Received 10 May 2005, in final form 21 June 2005

Published 3 August 2005



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