Treating patients with Dynamic Wave Arc: First clinical experience

Nicoleta Manuela Burghelea; Dirk Verellen; Jennifer Dhont; Cecilia Hung; Thierry Gevaert; Robbe Van den Begin; Christine Collen; Kenneth Poels; Koen Tournel; Marlies Boussaer; Cyril Jaudet; Truus Reynders; Viorica Simon; Mark de Ridder

doi:10.1016/j.radonc.2017.01.006

Treating patients with Dynamic Wave Arc: First clinical experience

Nicoleta Manuela Burghelea, Dirk Verellen, Jennifer Dhont, Cecilia Hung, Thierry Gevaert, Robbe Van den Begin, Christine Collen, Kenneth Poels, Koen Tournel, Marlies Boussaer, Cyril Jaudet, Truus Reynders, Viorica Simon, Mark de Ridder

Research output: Contribution to journal › Article › peer-review

16 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: Dynamic Wave Arc (DWA) is a system-specific noncoplanar arc technique that combines synchronized gantry-ring rotation with D-MLC optimization. This paper presents the clinical workflow, quality assurance program, and reports the geometric and dosimetric results of the first patient cohort treated with DWA.

METHODS AND MATERIALS: The RayStation TPS was clinically integrated on the Vero SBRT platform for DWA treatments. The first 15 patients treated with DWA represent a broad range of treatment sites: breast boost, prostate, lung SBRT and bone metastases, which allowed us to explore the potentials and assess the limitations of the current DWA site-specific template solution. For the DWA verification a variety of QA equipment was used, from 3D diode array to an anthropomorphic end-to-end phantom. The geometric accuracy of each arc was verified with an independent orthogonal fluoroscopy method.

RESULTS: The average beam-on delivery time was 3min, ranging from 1.22min to 8.82min. All patient QAs passed our institutional clinical criteria of gamma index. For both EBT3 film and Delta4 measurements, DWA planned versus delivered dose distributions presented an average agreement above 97%. An overall mean gantry-ring geometric deviation of -0.03°±0.46° and 0.18°±0.26° was obtained, respectively.

CONCLUSION: For the first time, DWA has been translated into the clinic and used to treat various treatment sides. DWA has been successfully added to the noncoplanar rotational IMRT techniques arsenal, allowing additional flexibility in dose shaping while preserving dosimetrically robust delivery.

Original language	English
Pages (from-to)	347-351
Number of pages <span style="color:red"p> <font size="1.5"> ✽ </span> </font>	5
Journal	Radiotherapy and Oncology
Volume	122
Issue number	3
DOIs	https://doi.org/10.1016/j.radonc.2017.01.006 https://doi.org/10.1016/J.RADONC.2017.01.006
Publication status	Published - 2017

Keywords

Algorithms
Bone Neoplasms/radiotherapy
Breast Neoplasms/radiotherapy
Cohort Studies
Female
Fluoroscopy
Humans
Lung Neoplasms/radiotherapy
Male
Patient Positioning/methods
Prostatic Neoplasms/radiotherapy
Quality Assurance, Health Care/methods
Radiometry/methods
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted/methods
Radiotherapy, Intensity-Modulated/methods

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Burghelea, N. M., Verellen, D., Dhont, J., Hung, C., Gevaert, T., Van den Begin, R., Collen, C., Poels, K., Tournel, K., Boussaer, M., Jaudet, C., Reynders, T., Simon, V., & de Ridder, M. (2017). Treating patients with Dynamic Wave Arc: First clinical experience. Radiotherapy and Oncology, 122(3), 347-351. https://doi.org/10.1016/j.radonc.2017.01.006, https://doi.org/10.1016/J.RADONC.2017.01.006

Burghelea, Nicoleta Manuela ; Verellen, Dirk ; Dhont, Jennifer ; Hung, Cecilia ; Gevaert, Thierry ; Van den Begin, Robbe ; Collen, Christine ; Poels, Kenneth ; Tournel, Koen ; Boussaer, Marlies ; Jaudet, Cyril ; Reynders, Truus ; Simon, Viorica ; de Ridder, Mark. / Treating patients with Dynamic Wave Arc : First clinical experience. In: Radiotherapy and Oncology. 2017 ; Vol. 122, No. 3. pp. 347-351.

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title = "Treating patients with Dynamic Wave Arc: First clinical experience",

abstract = "BACKGROUND AND PURPOSE: Dynamic Wave Arc (DWA) is a system-specific noncoplanar arc technique that combines synchronized gantry-ring rotation with D-MLC optimization. This paper presents the clinical workflow, quality assurance program, and reports the geometric and dosimetric results of the first patient cohort treated with DWA.METHODS AND MATERIALS: The RayStation TPS was clinically integrated on the Vero SBRT platform for DWA treatments. The first 15 patients treated with DWA represent a broad range of treatment sites: breast boost, prostate, lung SBRT and bone metastases, which allowed us to explore the potentials and assess the limitations of the current DWA site-specific template solution. For the DWA verification a variety of QA equipment was used, from 3D diode array to an anthropomorphic end-to-end phantom. The geometric accuracy of each arc was verified with an independent orthogonal fluoroscopy method.RESULTS: The average beam-on delivery time was 3min, ranging from 1.22min to 8.82min. All patient QAs passed our institutional clinical criteria of gamma index. For both EBT3 film and Delta4 measurements, DWA planned versus delivered dose distributions presented an average agreement above 97%. An overall mean gantry-ring geometric deviation of -0.03°±0.46° and 0.18°±0.26° was obtained, respectively.CONCLUSION: For the first time, DWA has been translated into the clinic and used to treat various treatment sides. DWA has been successfully added to the noncoplanar rotational IMRT techniques arsenal, allowing additional flexibility in dose shaping while preserving dosimetrically robust delivery.",

keywords = "Algorithms, Bone Neoplasms/radiotherapy, Breast Neoplasms/radiotherapy, Cohort Studies, Female, Fluoroscopy, Humans, Lung Neoplasms/radiotherapy, Male, Patient Positioning/methods, Prostatic Neoplasms/radiotherapy, Quality Assurance, Health Care/methods, Radiometry/methods, Radiotherapy Dosage, Radiotherapy Planning, Computer-Assisted/methods, Radiotherapy, Intensity-Modulated/methods",

author = "Burghelea, {Nicoleta Manuela} and Dirk Verellen and Jennifer Dhont and Cecilia Hung and Thierry Gevaert and {Van den Begin}, Robbe and Christine Collen and Kenneth Poels and Koen Tournel and Marlies Boussaer and Cyril Jaudet and Truus Reynders and Viorica Simon and {de Ridder}, Mark",

year = "2017",

doi = "10.1016/j.radonc.2017.01.006",

language = "English",

volume = "122",

pages = "347--351",

journal = "Radiotherapy and Oncology",

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Burghelea, NM, Verellen, D, Dhont, J, Hung, C, Gevaert, T, Van den Begin, R, Collen, C, Poels, K, Tournel, K, Boussaer, M, Jaudet, C, Reynders, T, Simon, V & de Ridder, M 2017, 'Treating patients with Dynamic Wave Arc: First clinical experience', Radiotherapy and Oncology, vol. 122, no. 3, pp. 347-351. https://doi.org/10.1016/j.radonc.2017.01.006, https://doi.org/10.1016/J.RADONC.2017.01.006

Treating patients with Dynamic Wave Arc : First clinical experience. / Burghelea, Nicoleta Manuela; Verellen, Dirk; Dhont, Jennifer; Hung, Cecilia; Gevaert, Thierry; Van den Begin, Robbe; Collen, Christine; Poels, Kenneth; Tournel, Koen; Boussaer, Marlies; Jaudet, Cyril; Reynders, Truus; Simon, Viorica; de Ridder, Mark.

In: Radiotherapy and Oncology, Vol. 122, No. 3, 2017, p. 347-351.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Treating patients with Dynamic Wave Arc

T2 - First clinical experience

AU - Burghelea, Nicoleta Manuela

AU - Verellen, Dirk

AU - Dhont, Jennifer

AU - Hung, Cecilia

AU - Gevaert, Thierry

AU - Van den Begin, Robbe

AU - Collen, Christine

AU - Poels, Kenneth

AU - Tournel, Koen

AU - Boussaer, Marlies

AU - Jaudet, Cyril

AU - Reynders, Truus

AU - Simon, Viorica

AU - de Ridder, Mark

PY - 2017

Y1 - 2017

N2 - BACKGROUND AND PURPOSE: Dynamic Wave Arc (DWA) is a system-specific noncoplanar arc technique that combines synchronized gantry-ring rotation with D-MLC optimization. This paper presents the clinical workflow, quality assurance program, and reports the geometric and dosimetric results of the first patient cohort treated with DWA.METHODS AND MATERIALS: The RayStation TPS was clinically integrated on the Vero SBRT platform for DWA treatments. The first 15 patients treated with DWA represent a broad range of treatment sites: breast boost, prostate, lung SBRT and bone metastases, which allowed us to explore the potentials and assess the limitations of the current DWA site-specific template solution. For the DWA verification a variety of QA equipment was used, from 3D diode array to an anthropomorphic end-to-end phantom. The geometric accuracy of each arc was verified with an independent orthogonal fluoroscopy method.RESULTS: The average beam-on delivery time was 3min, ranging from 1.22min to 8.82min. All patient QAs passed our institutional clinical criteria of gamma index. For both EBT3 film and Delta4 measurements, DWA planned versus delivered dose distributions presented an average agreement above 97%. An overall mean gantry-ring geometric deviation of -0.03°±0.46° and 0.18°±0.26° was obtained, respectively.CONCLUSION: For the first time, DWA has been translated into the clinic and used to treat various treatment sides. DWA has been successfully added to the noncoplanar rotational IMRT techniques arsenal, allowing additional flexibility in dose shaping while preserving dosimetrically robust delivery.

AB - BACKGROUND AND PURPOSE: Dynamic Wave Arc (DWA) is a system-specific noncoplanar arc technique that combines synchronized gantry-ring rotation with D-MLC optimization. This paper presents the clinical workflow, quality assurance program, and reports the geometric and dosimetric results of the first patient cohort treated with DWA.METHODS AND MATERIALS: The RayStation TPS was clinically integrated on the Vero SBRT platform for DWA treatments. The first 15 patients treated with DWA represent a broad range of treatment sites: breast boost, prostate, lung SBRT and bone metastases, which allowed us to explore the potentials and assess the limitations of the current DWA site-specific template solution. For the DWA verification a variety of QA equipment was used, from 3D diode array to an anthropomorphic end-to-end phantom. The geometric accuracy of each arc was verified with an independent orthogonal fluoroscopy method.RESULTS: The average beam-on delivery time was 3min, ranging from 1.22min to 8.82min. All patient QAs passed our institutional clinical criteria of gamma index. For both EBT3 film and Delta4 measurements, DWA planned versus delivered dose distributions presented an average agreement above 97%. An overall mean gantry-ring geometric deviation of -0.03°±0.46° and 0.18°±0.26° was obtained, respectively.CONCLUSION: For the first time, DWA has been translated into the clinic and used to treat various treatment sides. DWA has been successfully added to the noncoplanar rotational IMRT techniques arsenal, allowing additional flexibility in dose shaping while preserving dosimetrically robust delivery.

KW - Algorithms

KW - Bone Neoplasms/radiotherapy

KW - Breast Neoplasms/radiotherapy

KW - Cohort Studies

KW - Female

KW - Fluoroscopy

KW - Humans

KW - Lung Neoplasms/radiotherapy

KW - Male

KW - Patient Positioning/methods

KW - Prostatic Neoplasms/radiotherapy

KW - Quality Assurance, Health Care/methods

KW - Radiometry/methods

KW - Radiotherapy Dosage

KW - Radiotherapy Planning, Computer-Assisted/methods

KW - Radiotherapy, Intensity-Modulated/methods

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U2 - 10.1016/j.radonc.2017.01.006

DO - 10.1016/j.radonc.2017.01.006

M3 - Article

C2 - 28117078

VL - 122

SP - 347

EP - 351

JO - Radiotherapy and Oncology

JF - Radiotherapy and Oncology

SN - 0167-8140

IS - 3

ER -

Treating patients with Dynamic Wave Arc: First clinical experience

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