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[Impact of Respiratory Waveform on Gate Signal Generation on Respiratory Gated Irradiation and Evaluation Method of Respiratory Waveform to Be Used].

Abstract

PURPOSE

The respiratory gated irradiation using the real-time position management system (RPM) was used to clarify the generation of the gated signal when the respiration waveform changed, and also the evaluation method of the respiration waveform was also examined.

METHODS

The respiratory waveform was changed using a moving phantom. Respiratory waveform was analyzed from the data recorded in RPM, and the out-of-phase gated rate was examined. Analysis was made by focusing on the coefficient of variation of the respiratory wavelength in the evaluation of respiratory waveform.

RESULTS

Immediately after the change of respiratory wavelength from the short cycle to the long cycle, a gated signal was generated at a phase before the set gated phase, and a maximum advance of 1.259 ± 0.212 s occurred. Immediately after the change of respiratory wavelength from the long cycle to the short cycle, the gated signal was generated at the phase exceeding the set gated phase, and a delay of 0.997 ± 0.180 s occurred at the maximum. As the value of the coefficient of variation increased, the gated rate which was out of setting also increased.

CONCLUSION

In respiratory gated irradiation using RPM, it became clear that the gated signal is generated out of the phase set by the respiratory waveform change. Coefficient of variation of the respiratory wavelength is considered to be an indicator for evaluating the respiratory waveform to be used in the respiratory gated irradiation.

Authors+Show Affiliations

Department of Radiology, National Center for Global Health and Medicine(Current Address: Department of Radiology, National Hospital Organization Saitama National Hospital).Department of Radiology, National Center for Global Health and Medicine.Department of Radiology, National Center for Global Health and Medicine.Department of Radiology, National Center for Global Health and Medicine.Department of Radiology, National Center for Global Health and Medicine.Department of Radiology, National Center for Global Health and Medicine.Department of Radiotherapy, National Center for Global Health and Medicine.

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

31434850

Citation

Kanai, Kazuyoshi, et al. "[Impact of Respiratory Waveform On Gate Signal Generation On Respiratory Gated Irradiation and Evaluation Method of Respiratory Waveform to Be Used]." Nihon Hoshasen Gijutsu Gakkai Zasshi, vol. 75, no. 8, 2019, pp. 777-784.
Kanai K, Sugawara Y, Kotabe K, et al. [Impact of Respiratory Waveform on Gate Signal Generation on Respiratory Gated Irradiation and Evaluation Method of Respiratory Waveform to Be Used]. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2019;75(8):777-784.
Kanai, K., Sugawara, Y., Kotabe, K., Yokoyama, O., Yamane, S., Endou, S., & Nakayama, H. (2019). [Impact of Respiratory Waveform on Gate Signal Generation on Respiratory Gated Irradiation and Evaluation Method of Respiratory Waveform to Be Used]. Nihon Hoshasen Gijutsu Gakkai Zasshi, 75(8), pp. 777-784. doi:10.6009/jjrt.2019_JSRT_75.8.777.
Kanai K, et al. [Impact of Respiratory Waveform On Gate Signal Generation On Respiratory Gated Irradiation and Evaluation Method of Respiratory Waveform to Be Used]. Nihon Hoshasen Gijutsu Gakkai Zasshi. 2019;75(8):777-784. PubMed PMID: 31434850.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Impact of Respiratory Waveform on Gate Signal Generation on Respiratory Gated Irradiation and Evaluation Method of Respiratory Waveform to Be Used]. AU - Kanai,Kazuyoshi, AU - Sugawara,Yasuharu, AU - Kotabe,Kazuki, AU - Yokoyama,Ouki, AU - Yamane,Satoshi, AU - Endou,Saeko, AU - Nakayama,Hidetsugu, PY - 2019/8/23/entrez KW - phase KW - real-time position management system(RPM) KW - respiratory gated KW - respiratory waveform SP - 777 EP - 784 JF - Nihon Hoshasen Gijutsu Gakkai zasshi JO - Nihon Hoshasen Gijutsu Gakkai Zasshi VL - 75 IS - 8 N2 - PURPOSE: The respiratory gated irradiation using the real-time position management system (RPM) was used to clarify the generation of the gated signal when the respiration waveform changed, and also the evaluation method of the respiration waveform was also examined. METHODS: The respiratory waveform was changed using a moving phantom. Respiratory waveform was analyzed from the data recorded in RPM, and the out-of-phase gated rate was examined. Analysis was made by focusing on the coefficient of variation of the respiratory wavelength in the evaluation of respiratory waveform. RESULTS: Immediately after the change of respiratory wavelength from the short cycle to the long cycle, a gated signal was generated at a phase before the set gated phase, and a maximum advance of 1.259 ± 0.212 s occurred. Immediately after the change of respiratory wavelength from the long cycle to the short cycle, the gated signal was generated at the phase exceeding the set gated phase, and a delay of 0.997 ± 0.180 s occurred at the maximum. As the value of the coefficient of variation increased, the gated rate which was out of setting also increased. CONCLUSION: In respiratory gated irradiation using RPM, it became clear that the gated signal is generated out of the phase set by the respiratory waveform change. Coefficient of variation of the respiratory wavelength is considered to be an indicator for evaluating the respiratory waveform to be used in the respiratory gated irradiation. SN - 0369-4305 UR - https://www.unboundmedicine.com/medline/citation/31434850/[Impact_of_Respiratory_Waveform_on_Gate_Signal_Generation_on_Respiratory_Gated_Irradiation_and_Evaluation_Method_of_Respiratory_Waveform_to_Be_Used] L2 - https://dx.doi.org/10.6009/jjrt.2019_JSRT_75.8.777 DB - PRIME DP - Unbound Medicine ER -