Table 4. Comparison of KIM with other real-time prostate tumor localization modalities.
Localization method | Kilovoltage intrafraction monitoring | Calypso electromagnetic guidance | Navotek radioactive fiducial |
---|---|---|---|
Accuracy | 0.46 mm | 0.54 mm (18) | 0.89 mm (8) |
Imaging dose | 61 mSv at 10 Hz | None | 64 mSv (19) |
MRI distortion | No | Yes | No |
Information type | Image plus 3 points | 3 points | 1 point |
Marker size | 1-mm diameter × 3-mm length | 1.85-mm diameter × 8-mm length | 240-μm diameter × 2-cm length coil that crumples into a smaller size |
Rotation information potential | Yes | Yes | No |
Intratreatment validation potential | Yes (kV/MV triangulation) | No | No |
Image reconstruction potential | Yes | No | No |
Accessibility potential | Widespread | Limited | Limited |