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Real-Time Measurement of ICD Lead Motion During Stereotactic Body Radiotherapy of Ventricular Tachycardia

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989100%3A27240%2F20%3A10246644" target="_blank" >RIV/61989100:27240/20:10246644 - isvavai.cz</a>

  • Result on the web

    <a href="https://www.redjournal.org/article/S0360-3016(20)32120-9/fulltext" target="_blank" >https://www.redjournal.org/article/S0360-3016(20)32120-9/fulltext</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.5603/RPOR.a2021.0020" target="_blank" >10.5603/RPOR.a2021.0020</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Real-Time Measurement of ICD Lead Motion During Stereotactic Body Radiotherapy of Ventricular Tachycardia

  • Original language description

    Background: Here we aimed to evaluate the respiratory and cardiac-induced motion of a ICD lead used as surrogate in the heart during stereotactic body radiotherapy (SBRT) of ventricular tachycardia (VT). Data provides insight regarding motion and motion variations during treatment. Material and methods: We analyzed the log files of surrogate motion during SBRT of ventricular tachycardia performed in 20 patients. Evaluated parameters included the ICD lead motion amplitudes; intrafraction amplitude variability; correlation error between the ICD lead and external markers; and margin expansion in the superior-inferior (SI), latero-lateral (LL), and anterior-posterior (AP) directions to cover 90% or 95% of all amplitudes. Results: In the SI, LL, and AP directions, respectively, the mean motion amplitudes were 5.0 +- 2.6, 3.4. +- 1.9, and 3.1 +- 1.6 mm. The mean intrafraction amplitude variability was 2.6 +- 0.9, 1.9 +- 1.3, and 1.6 +- 0.8 mm in the SI, LL, and AP directions, respectively. The margins required to cover 95% of ICD lead motion amplitudes were 9.5, 6.7, and 5.5 mm in the SI, LL, and AP directions, respectively. The mean correlation error was 2.2 +- 0.9 mm. Conclusions: Data from online tracking indicated motion irregularities and correlation errors, necessitating an increased CTV-PTV margin of 3 mm. In 35% of cases, the motion variability exceeded 3 mm in one or more directions. We recommend verifying the correlation between CTV and surrogate individually for every atient, especially for targets with posterobasal localization where we observed the highest difference between the lead and CTV motion.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    20601 - Medical engineering

Result continuities

  • Project

  • Continuities

    S - Specificky vyzkum na vysokych skolach

Others

  • Publication year

    2020

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    International Journal of Radiation Oncology Biology Physics

  • ISSN

    0360-3016

  • e-ISSN

  • Volume of the periodical

    108

  • Issue of the periodical within the volume

    3

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    18

  • Pages from-to

    "E293"

  • UT code for WoS article

    000582521501121

  • EID of the result in the Scopus database