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Published in: Radiological Physics and Technology 3/2019

01-09-2019 | Computed Tomography

Evaluation of a 3D-printed heterogeneous anthropomorphic head and neck phantom for patient-specific quality assurance in intensity-modulated radiation therapy

Authors: Noriyuki Kadoya, Kota Abe, Hikaru Nemoto, Kiyokazu Sato, Yoshiro Ieko, Kengo Ito, Suguru Dobashi, Ken Takeda, Keiichi Jingu

Published in: Radiological Physics and Technology | Issue 3/2019

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Abstract

We evaluated an anthropomorphic head and neck phantom with tissue heterogeneity, produced using a personal 3D printer, with quality assurance (QA), specific to patients undergoing intensity-modulated radiation therapy (IMRT). Using semi-automatic segmentation, 3D models of bone, soft tissue, and an air-filled cavity were created based on computed tomography (CT) images from patients with head and neck cancer treated with IMRT. For the 3D printer settings, polylactide was used for soft tissue with 100% infill. Bone was reproduced by pouring plaster into the cavity created by the 3D printer. The average CT values for soft tissue and bone were 13.0 ± 144.3 HU and 439.5 ± 137.0 HU, respectively, for the phantom and 12.1 ± 124.5 HU and 771.5 ± 405.3 HU, respectively, for the patient. The gamma passing rate (3%/3 mm) was 96.1% for a nine-field IMRT plan. Thus, this phantom may be used instead of a standard shape phantom for patient-specific QA in IMRT.
Literature
1.
go back to reference Low DA, Harms WB, Mutic S, et al. A technique for the quantitative evaluation of dose distributions. Med Phys. 1998;25:656–61.CrossRefPubMed Low DA, Harms WB, Mutic S, et al. A technique for the quantitative evaluation of dose distributions. Med Phys. 1998;25:656–61.CrossRefPubMed
2.
go back to reference Ezzell GA, Burmeister JW, Dogan N, et al. IMRT commissioning: multiple institution planning and dosimetry comparisons, a report from AAPM task group 119. Med Phys. 2009;36:5359–73.CrossRefPubMed Ezzell GA, Burmeister JW, Dogan N, et al. IMRT commissioning: multiple institution planning and dosimetry comparisons, a report from AAPM task group 119. Med Phys. 2009;36:5359–73.CrossRefPubMed
3.
go back to reference Masi L, Casamassima F, Doro R, et al. Quality assurance of volumetric modulated arc therapy: evaluation and comparison of different dosimetric systems. Med Phys. 2011;38:612–21.CrossRefPubMed Masi L, Casamassima F, Doro R, et al. Quality assurance of volumetric modulated arc therapy: evaluation and comparison of different dosimetric systems. Med Phys. 2011;38:612–21.CrossRefPubMed
4.
go back to reference Kruse JJ. On the insensitivity of single field planar dosimetry to IMRT inaccuracies. Med Phys. 2010;37:2516–24.CrossRefPubMed Kruse JJ. On the insensitivity of single field planar dosimetry to IMRT inaccuracies. Med Phys. 2010;37:2516–24.CrossRefPubMed
5.
go back to reference Zhen H, Nelms BE, Tome WA. Moving from gamma passing rates to patient DVH-based QA metrics in pretreatment dose QA. Med Phys. 2011;38:5477–89.CrossRefPubMed Zhen H, Nelms BE, Tome WA. Moving from gamma passing rates to patient DVH-based QA metrics in pretreatment dose QA. Med Phys. 2011;38:5477–89.CrossRefPubMed
6.
go back to reference Ehler ED, Barney BM, Higgins PD, et al. Patient specific 3D printed phantom for IMRT quality assurance. Phys Med Biol. 2014;59:5763–73.CrossRefPubMed Ehler ED, Barney BM, Higgins PD, et al. Patient specific 3D printed phantom for IMRT quality assurance. Phys Med Biol. 2014;59:5763–73.CrossRefPubMed
7.
go back to reference Mayer R, Liacouras P, Thomas A, et al. 3D printer generated thorax phantom with mobile tumor for radiation dosimetry. Rev Sci Instrum. 2015;86:074301.CrossRefPubMed Mayer R, Liacouras P, Thomas A, et al. 3D printer generated thorax phantom with mobile tumor for radiation dosimetry. Rev Sci Instrum. 2015;86:074301.CrossRefPubMed
8.
go back to reference Jung J, Song SY, Yoon SM, et al. Verification of accuracy of cyberknife tumor-tracking radiation therapy using patient-specific lung phantoms. Int J Radiat Oncol Biol Phys. 2015;92:745–53.CrossRefPubMed Jung J, Song SY, Yoon SM, et al. Verification of accuracy of cyberknife tumor-tracking radiation therapy using patient-specific lung phantoms. Int J Radiat Oncol Biol Phys. 2015;92:745–53.CrossRefPubMed
9.
go back to reference Burleson S, Baker J, Hsia AT, et al. Use of 3D printers to create a patient-specific 3D bolus for external beam therapy. J Appl Clin Med Phys. 2015;16:5247.CrossRefPubMed Burleson S, Baker J, Hsia AT, et al. Use of 3D printers to create a patient-specific 3D bolus for external beam therapy. J Appl Clin Med Phys. 2015;16:5247.CrossRefPubMed
10.
go back to reference Madamesila J, McGeachy P, Villarreal Barajas JE, et al. Characterizing 3D printing in the fabrication of variable density phantoms for quality assurance of radiotherapy. Phys Med. 2016;32:242–7.CrossRefPubMed Madamesila J, McGeachy P, Villarreal Barajas JE, et al. Characterizing 3D printing in the fabrication of variable density phantoms for quality assurance of radiotherapy. Phys Med. 2016;32:242–7.CrossRefPubMed
11.
go back to reference Arimura T, Ogino T, Yoshiura T, et al. A feasibility study of a hybrid breast-immobilization system for early breast cancer in proton beam therapy. Med Phys. 2017;44:1268–74.CrossRefPubMed Arimura T, Ogino T, Yoshiura T, et al. A feasibility study of a hybrid breast-immobilization system for early breast cancer in proton beam therapy. Med Phys. 2017;44:1268–74.CrossRefPubMed
12.
go back to reference Lukowiak M, Jezierska K, Boehlke M, et al. Utilization of a 3D printer to fabricate boluses used for electron therapy of skin lesions of the eye canthi. J Appl Clin Med Phys. 2017;18:76–81.CrossRefPubMed Lukowiak M, Jezierska K, Boehlke M, et al. Utilization of a 3D printer to fabricate boluses used for electron therapy of skin lesions of the eye canthi. J Appl Clin Med Phys. 2017;18:76–81.CrossRefPubMed
13.
go back to reference Zhao Y, Moran K, Yewondwossen M, et al. Clinical applications of 3-dimensional printing in radiation therapy. Med Dosim. 2017;42:150–5.CrossRefPubMed Zhao Y, Moran K, Yewondwossen M, et al. Clinical applications of 3-dimensional printing in radiation therapy. Med Dosim. 2017;42:150–5.CrossRefPubMed
15.
go back to reference Kamomae T, Shimizu H, Nakaya T, et al. Three-dimensional printer-generated patient-specific phantom for artificial in vivo dosimetry in radiotherapy quality assurance. Phys Med. 2017;44:205–11.CrossRefPubMed Kamomae T, Shimizu H, Nakaya T, et al. Three-dimensional printer-generated patient-specific phantom for artificial in vivo dosimetry in radiotherapy quality assurance. Phys Med. 2017;44:205–11.CrossRefPubMed
16.
go back to reference Yea JW, Park JW, Kim SK, et al. Feasibility of a 3D-printed anthropomorphic patient-specific head phantom for patient-specific quality assurance of intensity-modulated radiotherapy. PLoS One. 2017;12:e0181560.CrossRefPubMedPubMedCentral Yea JW, Park JW, Kim SK, et al. Feasibility of a 3D-printed anthropomorphic patient-specific head phantom for patient-specific quality assurance of intensity-modulated radiotherapy. PLoS One. 2017;12:e0181560.CrossRefPubMedPubMedCentral
17.
go back to reference Kitamori H, Sumida I, Tsujimoto T, et al. Evaluation of mouthpiece fixation devices for head and neck radiotherapy patients fabricated in PolyJet photopolymer by a 3D printer. Phys Med. 2019;58:90–8.CrossRefPubMed Kitamori H, Sumida I, Tsujimoto T, et al. Evaluation of mouthpiece fixation devices for head and neck radiotherapy patients fabricated in PolyJet photopolymer by a 3D printer. Phys Med. 2019;58:90–8.CrossRefPubMed
18.
go back to reference Alqahtani MS, Lees JE, Bugby SL, et al. Design and implementation of a prototype head and neck phantom for the performance evaluation of gamma imaging systems. EJNMMI Phys. 2017;4:19.CrossRefPubMedPubMedCentral Alqahtani MS, Lees JE, Bugby SL, et al. Design and implementation of a prototype head and neck phantom for the performance evaluation of gamma imaging systems. EJNMMI Phys. 2017;4:19.CrossRefPubMedPubMedCentral
19.
go back to reference Otsu N. A threshold selection method from gray-level histgrams. IEEE Trans Syst Man Cybern. 1979;9:6.CrossRef Otsu N. A threshold selection method from gray-level histgrams. IEEE Trans Syst Man Cybern. 1979;9:6.CrossRef
20.
go back to reference Tsuruta Y, Nakata M, Nakamura M, et al. Dosimetric comparison of Acuros XB, AAA, and XVMC in stereotactic body radiotherapy for lung cancer. Med Phys. 2014;41:081715.CrossRefPubMed Tsuruta Y, Nakata M, Nakamura M, et al. Dosimetric comparison of Acuros XB, AAA, and XVMC in stereotactic body radiotherapy for lung cancer. Med Phys. 2014;41:081715.CrossRefPubMed
21.
go back to reference Kadoya N, Miyasaka Y, Nakajima Y, et al. Evaluation of deformable image registration between external beam radiotherapy and HDR brachytherapy for cervical cancer with a 3D-printed deformable pelvis phantom. Med Phys. 2017;44:1445–55.CrossRefPubMed Kadoya N, Miyasaka Y, Nakajima Y, et al. Evaluation of deformable image registration between external beam radiotherapy and HDR brachytherapy for cervical cancer with a 3D-printed deformable pelvis phantom. Med Phys. 2017;44:1445–55.CrossRefPubMed
22.
go back to reference Dice LR. Measures of the amount of ecologic association between species. Ecology. 1945;26:297–302.CrossRef Dice LR. Measures of the amount of ecologic association between species. Ecology. 1945;26:297–302.CrossRef
Metadata
Title
Evaluation of a 3D-printed heterogeneous anthropomorphic head and neck phantom for patient-specific quality assurance in intensity-modulated radiation therapy
Authors
Noriyuki Kadoya
Kota Abe
Hikaru Nemoto
Kiyokazu Sato
Yoshiro Ieko
Kengo Ito
Suguru Dobashi
Ken Takeda
Keiichi Jingu
Publication date
01-09-2019
Publisher
Springer Singapore
Published in
Radiological Physics and Technology / Issue 3/2019
Print ISSN: 1865-0333
Electronic ISSN: 1865-0341
DOI
https://doi.org/10.1007/s12194-019-00527-5

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