Table 3.
Head motion of five claustrophobic patients monitored with AlignRT in real time during treatment, and with both AlignRT and orthogonal kV imaging in pre‐ and post‐treatment (P&P). The average motion of these patients is similar to that of the volunteers. The X‐ray P&P data fall between two sets of AlignRT P&P data (OSI‐1 and OSI‐2) using different reference images. Note: both OSI‐1 and OSI‐2 show P&P differences, quantifying head motion during treatment, although OSI‐1 is more reliable since it does not carry residual head rotation at setup
Translation (mm) | Rotation (degree) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
RTD | P&P X‐ray | RTD | P&P | |||||||||
Patient | Sex | Age | fx/Fxa | Mean | St dev | OSI‐1b | OSI‐2c | kV | Mean | St dev | OSI‐1 | OSI‐2 |
1 | M | 65 | 16/30 | 1.2 | 0.6 | 1.3 | 2.3 | 1.7 | 0.5 | 0.2 | 0.6 | 1.1 |
2 | F | 72 | 11/20 | 0.7 | 0.1 | 0.9 | 1.5 | 1.0 | 0.3 | 0.1 | 0.3 | 1.2 |
3 | M | 59 | 16/33 | 0.6 | 0.3 | 0.5 | 1.4 | 1.2 | 0.3 | 0.1 | 0.2 | 0.6 |
4 | M | 76 | 4/5 | 0.5 | 0.2 | 1.3 | 1.0 | 1.1 | 0.6 | 0.2 | 0.8 | 0.2 |
5 | F | 55 | 14/33 | 0.9 | 0.4 | 1.1 | 1.6 | 1.4 | 0.4 | 0.2 | 0.4 | 0.8 |
Average | 65 | 12/24 | 0.8 | 0.3 | 1.0 | 1.6 | 1.4 | 0.4 | 0.2 | 0.5 | 0.8 | |
St dev | 0.3 | 0.4 | 0.5 | 0.5 | 0.2 | 0.3 | 0.4 |
fx/Fx refers to the number of fractions (fx) for which AlignRT was applied for motion monitoring over the total number of treatment fractions (Fx).
OSI‐1 uses the on‐site AlignRT image as the registration reference image, for pre‐ and post‐treatment registration.
OSI‐2 uses the CT external contours as the registration reference image, for pre‐ and post‐treatment registration.