PURPOSE Targeting and tracking of central lung tumors may be feasible on the Elekta MRI-linac (MRL) due to the soft-tissue visualization capabilities of MRI. The purpose of this work is to develop a novel treatment planning methodology to simulate tracking of central lung tumors with the MRL and to quantify the benefits in OAR sparing compared with the ITV approach. METHODS Full 4D-CT dataset...

To achieve a better therapeutic effect and suppress side effects for lung cancer treatments, latency involved in current radiotherapy devices is aimed to be compensated for improving accuracy of continuous (not gating) irradiation to a respiratory moving tumor. A novel prediction method of lung tumor motion is developed for compensating the latency. An essential core of the method is to extract...

Tumor-targeted therapies are playing growing roles in cancer research. The exploitation of these powerful therapeutic modalities largely depends on the discovery of tumor-targeting ligands. Phage display has proven a promising high throughput screening tool for the identification of novel specific peptides with high binding affinity to cancer cells. In the present study, we describe the use of ...

PURPOSE In this work, three-dimensional (3D) motion of lung tumors during radiotherapy in real time was investigated. Understanding the behavior of tumor motion in lung tissue to model tumor movement is necessary for accurate (gated or breath-hold) radiotherapy or CT scanning. METHODS Twenty patients were included in this study. Before treatment, a 2-mm gold marker was implanted in or near th...

More than half of all solid tumors receive external beam ionizing radiation as part of multimodality treatment. The goal of radiation treatment is to treat disease while avoiding normal tissue toxicity. In many sites, dose escalation has been shown to offer local tumor control benefits. This has often been reported in the literature addressing irradiation of lung tumors. Lung cancer is the seco...

PURPOSE To see the gross tumor volume (GTV) dependency according to the phase selection and reconstruction methods, we measured and analyzed the changes of tumor volume and motion at each phase in 20 cases with lung cancer patients who underwent image-guided radiotherapy. MATERIALS AND METHODS We retrospectively analyzed four-dimensional computed tomography (4D-CT) images in 20 cases of 19 pa...

Modeling of respiratory motion gains in importance within the field of radiation therapy of lung cancer patients. Current modeling approaches are usually confined to intra-patient registration of 3D image data representing the individual patient’s anatomy at different breathing phases. We propose an approach to generate a mean motion model of the lung based on thoracic 4D CT data of different p...