Reduction of applicator displacement in MR/CT-guided cervical cancer HDR brachytherapy by the use of patient hover transport system

Megan Andrew; Yusung Kim; Timothy Ginader; Brian J. Smith; Wenqing Sun; Dongxu Wang

doi:10.5114/jcb.2018.73755

eISSN: 2081-2841
ISSN: 1689-832X

Journal of Contemporary Brachytherapy

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1/2018
vol. 10

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abstract:

Original paper

Reduction of applicator displacement in MR/CT-guided cervical cancer HDR brachytherapy by the use of patient hover transport system

Megan Andrew

,

Yusung Kim

,

Timothy Ginader

,

Brian J. Smith

,

Wenqing Sun

,

Dongxu Wang

J Contemp Brachytherapy 2018; 10, 1: 85–90

DOI: https://doi.org/10.5114/jcb.2018.73755

Online publish date: 2018/02/26

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Purpose
To quantify the reduction of relative displacement between the implanted intracavitary applicator and the patient bony anatomy, due to the use of a hover transport system during the patient transports between the imaging table and the treatment table.

Material and methods
The displacement of the applicator inside the patient was measured by comparing the distance between the tip of the tandem and the pubic bone on X-ray radiography images taken before and after moving a patient to magnetic resonance/computed tomography imaging. Displacements were evaluated for 27 fractions of treatment using hover transport and 185 fractions of treatment using manual transport.

Results
The use of hover transport system reduced the percentage of fractions with displacements greater than 5 mm from 22.7% to 7.4%. The reduction of applicator displacement using hover transport is statistically significant, compared to the manual transport method (p-value 0.0086; mean displacement 3.41 mm [95% CI: 2.96-3.97] for manual transport, and 2.27 mm [95% CI: 1.71-2.97] for hover transport fractions).

Conclusions
This study indicates that the hover transport system is effectively reducing displacement between tandem and patient bony anatomy during patient transports. The potential improvement in dosimetric accuracy due to this reduction warrants further study.

keywords:

Reduction of applicator displacement in MR/CT-guided cervical cancer HDR brachytherapy by the use of patient hover transport system

Megan Andrew , Yusung Kim , Timothy Ginader , Brian J. Smith , Wenqing Sun , Dongxu Wang

applicator displacement, cervical cancer, HDR, MRI-guided

Megan Andrew

,

Yusung Kim

,

Timothy Ginader

,

Brian J. Smith

,

Wenqing Sun

,

Dongxu Wang