Bringing online adaptive radiotherapy to a standard C-arm linac

Maureen L. Groot Koerkamp; Gijsbert H. Bol; Petra S. Kroon; Lean L. Krikke; Tessa Harderwijk; Annelies J. Zoetelief; Annick Scheeren; Stefan van der Vegt; Annika Plat; Jochem Hes; Ineke B.A. van Gasteren; Esmee R.T. Renders; Reijer H.A. Rutgers; Saskia W. Kok; Joost van Kaam; Geja J. Schimmel-de Kogel; Gonda G. Sikkes; Dennis Winkel; Michael J. van Rijssel; André J.M. Wopereis; Kübra Ishakoglu; Juus L. Noteboom; Jochem R.N. van der Voort van Zyp; Naomi Beck; Timo F.W. Soeterik; Sandrine M.G. van de Pol; Wietse S.C. Eppinga; Corine A. van Es; Bas W. Raaymakers

doi:10.1016/j.phro.2024.100597

Bringing online adaptive radiotherapy to a standard C-arm linac

Maureen L. Groot Koerkamp^*, Gijsbert H. Bol, Petra S. Kroon, Lean L. Krikke, Tessa Harderwijk, Annelies J. Zoetelief, Annick Scheeren, Stefan van der Vegt, Annika Plat, Jochem Hes, Ineke B.A. van Gasteren, Esmee R.T. Renders, Reijer H.A. Rutgers, Saskia W. Kok, Joost van Kaam, Geja J. Schimmel-de Kogel, Gonda G. Sikkes, Dennis Winkel, Michael J. van Rijssel, André J.M. WopereisKübra Ishakoglu, Juus L. Noteboom, Jochem R.N. van der Voort van Zyp, Naomi Beck, Timo F.W. Soeterik, Sandrine M.G. van de Pol, Wietse S.C. Eppinga, Corine A. van Es, Bas W. Raaymakers

^*Corresponding author for this work

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Abstract

Current online adaptive radiotherapy (oART) workflows require dedicated equipment. Our aim was to develop and implement an oART workflow for a C-arm linac which can be performed using standard clinically available tools. A workflow was successfully developed and implemented. Three patients receiving palliative radiotherapy for bladder cancer were treated, with 33 of 35 total fractions being delivered with the cone-beam computed tomography (CBCT)-guided oART workflow. Average oART fraction duration was 24 min from start of CBCT acquisition to end of beam on. This work shows how oART could be performed without dedicated equipment, broadening oART availability for application at existing treatment machines.

Original language	English
Article number	100597
Journal	Physics and Imaging in Radiation Oncology
Volume	31
DOIs	https://doi.org/10.1016/j.phro.2024.100597 https://doi.org/10.1016/j.phro.2024.100597
Publication status	Published - Jul 2024
Externally published	Yes

Keywords

Bladder cancer
Cone-beam computed tomography
Image-guided radiotherapy
Linear accelerator
Online adaptive radiotherapy (oART)

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Groot Koerkamp, M. L., Bol, G. H., Kroon, P. S., Krikke, L. L., Harderwijk, T., Zoetelief, A. J., Scheeren, A., van der Vegt, S., Plat, A., Hes, J., van Gasteren, I. B. A., Renders, E. R. T., Rutgers, R. H. A., Kok, S. W., van Kaam, J., Schimmel-de Kogel, G. J., Sikkes, G. G., Winkel, D., van Rijssel, M. J., ... Raaymakers, B. W. (2024). Bringing online adaptive radiotherapy to a standard C-arm linac. Physics and Imaging in Radiation Oncology, 31, Article 100597. https://doi.org/10.1016/j.phro.2024.100597, https://doi.org/10.1016/j.phro.2024.100597

@article{a944f23cd9a14715bd7638e5f0fc5adf,

title = "Bringing online adaptive radiotherapy to a standard C-arm linac",

abstract = "Current online adaptive radiotherapy (oART) workflows require dedicated equipment. Our aim was to develop and implement an oART workflow for a C-arm linac which can be performed using standard clinically available tools. A workflow was successfully developed and implemented. Three patients receiving palliative radiotherapy for bladder cancer were treated, with 33 of 35 total fractions being delivered with the cone-beam computed tomography (CBCT)-guided oART workflow. Average oART fraction duration was 24 min from start of CBCT acquisition to end of beam on. This work shows how oART could be performed without dedicated equipment, broadening oART availability for application at existing treatment machines.",

keywords = "Bladder cancer, Cone-beam computed tomography, Image-guided radiotherapy, Linear accelerator, Online adaptive radiotherapy (oART)",

author = "{Groot Koerkamp}, {Maureen L.} and Bol, {Gijsbert H.} and Kroon, {Petra S.} and Krikke, {Lean L.} and Tessa Harderwijk and Zoetelief, {Annelies J.} and Annick Scheeren and {van der Vegt}, Stefan and Annika Plat and Jochem Hes and {van Gasteren}, {Ineke B.A.} and Renders, {Esmee R.T.} and Rutgers, {Reijer H.A.} and Kok, {Saskia W.} and {van Kaam}, Joost and {Schimmel-de Kogel}, {Geja J.} and Sikkes, {Gonda G.} and Dennis Winkel and {van Rijssel}, {Michael J.} and Wopereis, {Andr{\'e} J.M.} and K{\"u}bra Ishakoglu and Noteboom, {Juus L.} and {van der Voort van Zyp}, {Jochem R.N.} and Naomi Beck and Soeterik, {Timo F.W.} and {van de Pol}, {Sandrine M.G.} and Eppinga, {Wietse S.C.} and {van Es}, {Corine A.} and Raaymakers, {Bas W.}",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s)",

year = "2024",

month = jul,

doi = "10.1016/j.phro.2024.100597",

language = "English",

volume = "31",

journal = "Physics and Imaging in Radiation Oncology",

issn = "2405-6316",

publisher = "Elsevier",

}

Groot Koerkamp, ML, Bol, GH, Kroon, PS, Krikke, LL, Harderwijk, T, Zoetelief, AJ, Scheeren, A, van der Vegt, S, Plat, A, Hes, J, van Gasteren, IBA, Renders, ERT, Rutgers, RHA, Kok, SW, van Kaam, J, Schimmel-de Kogel, GJ, Sikkes, GG, Winkel, D, van Rijssel, MJ, Wopereis, AJM, Ishakoglu, K, Noteboom, JL, van der Voort van Zyp, JRN, Beck, N, Soeterik, TFW, van de Pol, SMG, Eppinga, WSC, van Es, CA & Raaymakers, BW 2024, 'Bringing online adaptive radiotherapy to a standard C-arm linac', Physics and Imaging in Radiation Oncology, vol. 31, 100597. https://doi.org/10.1016/j.phro.2024.100597, https://doi.org/10.1016/j.phro.2024.100597

TY - JOUR

T1 - Bringing online adaptive radiotherapy to a standard C-arm linac

AU - Groot Koerkamp, Maureen L.

AU - Bol, Gijsbert H.

AU - Kroon, Petra S.

AU - Krikke, Lean L.

AU - Harderwijk, Tessa

AU - Zoetelief, Annelies J.

AU - Scheeren, Annick

AU - van der Vegt, Stefan

AU - Plat, Annika

AU - Hes, Jochem

AU - van Gasteren, Ineke B.A.

AU - Renders, Esmee R.T.

AU - Rutgers, Reijer H.A.

AU - Kok, Saskia W.

AU - van Kaam, Joost

AU - Schimmel-de Kogel, Geja J.

AU - Sikkes, Gonda G.

AU - Winkel, Dennis

AU - van Rijssel, Michael J.

AU - Wopereis, André J.M.

AU - Ishakoglu, Kübra

AU - Noteboom, Juus L.

AU - van der Voort van Zyp, Jochem R.N.

AU - Beck, Naomi

AU - Soeterik, Timo F.W.

AU - van de Pol, Sandrine M.G.

AU - Eppinga, Wietse S.C.

AU - van Es, Corine A.

AU - Raaymakers, Bas W.

PY - 2024/7

Y1 - 2024/7

N2 - Current online adaptive radiotherapy (oART) workflows require dedicated equipment. Our aim was to develop and implement an oART workflow for a C-arm linac which can be performed using standard clinically available tools. A workflow was successfully developed and implemented. Three patients receiving palliative radiotherapy for bladder cancer were treated, with 33 of 35 total fractions being delivered with the cone-beam computed tomography (CBCT)-guided oART workflow. Average oART fraction duration was 24 min from start of CBCT acquisition to end of beam on. This work shows how oART could be performed without dedicated equipment, broadening oART availability for application at existing treatment machines.

AB - Current online adaptive radiotherapy (oART) workflows require dedicated equipment. Our aim was to develop and implement an oART workflow for a C-arm linac which can be performed using standard clinically available tools. A workflow was successfully developed and implemented. Three patients receiving palliative radiotherapy for bladder cancer were treated, with 33 of 35 total fractions being delivered with the cone-beam computed tomography (CBCT)-guided oART workflow. Average oART fraction duration was 24 min from start of CBCT acquisition to end of beam on. This work shows how oART could be performed without dedicated equipment, broadening oART availability for application at existing treatment machines.

KW - Bladder cancer

KW - Cone-beam computed tomography

KW - Image-guided radiotherapy

KW - Linear accelerator

KW - Online adaptive radiotherapy (oART)

UR - http://www.scopus.com/inward/record.url?scp=85196157086&partnerID=8YFLogxK

U2 - 10.1016/j.phro.2024.100597

DO - 10.1016/j.phro.2024.100597

M3 - Article

SN - 2405-6316

VL - 31

JO - Physics and Imaging in Radiation Oncology

JF - Physics and Imaging in Radiation Oncology

M1 - 100597

ER -

Bringing online adaptive radiotherapy to a standard C-arm linac

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Keywords

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