Some patients with gastric cancer benefit from post-operative chemo-radiotherapy, but adequately irradiating the planning target volume (PTV) whilst avoiding organs at risk (OAR) can be difficult. We evaluate 3-dimensional conformal radiotherapy (CRT), conventional intensity-modulated radiotherapy (
Repeatability of functional MRI for conformal avoidance radiotherapy planning
✍ Scribed by Roberto Garcia-Alvarez; Gary P. Liney; Andrew W. Beavis
- Publisher
- John Wiley and Sons
- Year
- 2006
- Tongue
- English
- Weight
- 373 KB
- Volume
- 23
- Category
- Article
- ISSN
- 1053-1807
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Purpose
To establish the repeatability of functional magnetic resonance imaging (fMRI) examinations in order to develop an appropriate margin for functional organs at risk (fOAR) in the radiotherapy planning process.
Materials and Methods
This work investigates the variability of motor cortex activation in the left and right hemispheres of 15 normal subjects. The uncertainty of the absolute position and volume of the activation was determined for each volunteer by repeating the fMRI examination three times in a single scan session.
Results
Our study proposes the use of 2.9 mm and 2.2 mm margins for the left and right motor cortices, respectively.
Conclusion
From the sample of 15 volunteers we established an appropriate planning margin that is considered to represent the uncertainty in spatially measuring the fOAR for a single fMRI examination. The work will be of interest to anyone investigating the clinical robustness of fMRI. J. Magn. Reson. Imaging 2006. © 2006 Wiley‐Liss, Inc.
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