Table 2:
Summary of motion management and image guidance utilized in Adrenal SBRT studies at the time of simulation, planning, and treatment.
| Author (citation) | Motion Management: Simulation and Planning | Motion management: Image Guidance for Treatment |
|---|---|---|
| Ahmed, 2013 (7) | 4DCT/ITV | ^Daily CB (2nd confirming CB for shifts> 3 mm) |
| Barney, 2012 (8) | Compression for diaphragm motion ≥ 5 mm + 4DCT to construct ITV | ^Daily CB (2nd confirming CB for shifts > 3 mm) |
| Casamassima, 2012 (9) | ITV from free-breathing, end inhale and end exhale CT scans at simulation | Daily CB (matched on bone) |
| Chawla, 2009 (5) | End Exhale Breath-hold | NR |
| Guiou, 2012 (10) | Compression if tolerated (5/9 pts); 4DCT for ITV | Daily CB |
| Holy, 2011 (11) | Compression (14/18 pts): SI margins from fluoroscopy of diaphragm | Daily orthogonal radiographs compared to DRR |
| Katoh, 2008 (12) | One implanted fiducial; Planning CT at end-exhale. | RTRT fluoroscopic tracking system, tracking fiducial |
| Oshiro, 2011 (27) | End exhale gating (9/11 pts) | Gating with modified Microtron |
| Rudra, 2011 (13) | Simulation with free-breathing, 4DCT and end exhale scans; plan for ITV (‘not significant tumor motion’) or end exhale | Daily orthogonal radiographs (match on bone) followed by ungated CB to verify PTV margin |
| Scorsetti, 2012 (14) | Population based | Orthogonal KV radiographs (2D-2D) |
| Torok, 2011 (15) | 4DCT for the 2/7 gating patients | 5/7 pts CK (Synchrony system); 2/7 pts Trilogy with gating |
| Desai, 2015 (22) | (single fiducial placed; free-breathing CT; margins NR | CK (Synchrony system) |
| Chance, 2016 (18) | 4DCT; ITV for 86% of pts, voluntary deep-inhale breath-hold for tumor motion> 1 cm (14% pts) | Daily CB or CT on Rails |
| Franzese, 2017 (26) | Abdominal compression and 4DCT for construction of ITV (union of CTVs on all phases) | Daily CB compared to simulation scan |
| Gamsiz, 2015 (16) | Moderate deep inhale using ABC™ device | Daily CB |
| Li, 2013 (23) | ≥ 3 fiducials placed; generic margins | CK |
Abbreviations: ITV (internal target volume); CB (cone beam); NR (not reported); DRR (digitally reconstructed radiograph); KV (kilovoltage); CK (CyberKnife);RTRT (Real-time Tumor-tracking radiotherapy (40)
^
matching structure not stated