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Improved Methodology of Static HDMLC Virtual Cone based Rapid Arcs for Stereotactic Ablative Radiotherapy

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Date Issued:
2020
Abstract/Description:
Physical cones equipped on GammaKnife, Cyberknife, and C-arm linacs have been the standard practice in Stereotactic Ablative Radiotherapy (SART) for small intracranial lesions, such as treating trigeminal or glossopharyngeal neuralgia targets. The advancement of high-definition multi-leaf collimators (HDMLC), treatment planning systems, and small field dosimetry now allows for treatment without the need for an auxiliary mounted physical cone. This treatment type uses the “virtual cone”, a permanent high-definition MLC, arrangement to deliver “very small fields” with comparable spherical dose distributions to physical cones. The virtual cone therapy, on a Varian Edge™ linac using multiple non-coplanar arcs with static HDMLCs, is a comparable technique that can be used to treat small intracranial neuralgia or other small lesions. In this investigation, two flattening filter free (FFF) photon beams, 6MV FFF and 10MV FFF, were tested for optimal delivery and safety conditions for treating intracranial lesions. The virtual cone method on a Varian Edge™ Linear accelerator using rapid arc stereotactic radiosurgery was used to treat cranial neuralgia for chronic pain for six patients. Absolute dose, relative dose measurements, and monitor units were the main characteristics that were examined to decide which energy was the best for treatment. Source-to-axis distances (SAD) of 100cm measurements were taken at depths of 10cm and 5cm, respectively.
Title: Improved Methodology of Static HDMLC Virtual Cone based Rapid Arcs for Stereotactic Ablative Radiotherapy.
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Name(s): Stevens, Ryan, author
Shang, Charles , Thesis advisor
Muhammad, Wazir, Thesis advisor
Florida Atlantic University, Degree grantor
Department of Physics
Charles E. Schmidt College of Science
Type of Resource: text
Genre: Electronic Thesis Or Dissertation
Date Created: 2020
Date Issued: 2020
Publisher: Florida Atlantic University
Place of Publication: Boca Raton, Fla.
Physical Form: application/pdf
Extent: 106 p.
Language(s): English
Abstract/Description: Physical cones equipped on GammaKnife, Cyberknife, and C-arm linacs have been the standard practice in Stereotactic Ablative Radiotherapy (SART) for small intracranial lesions, such as treating trigeminal or glossopharyngeal neuralgia targets. The advancement of high-definition multi-leaf collimators (HDMLC), treatment planning systems, and small field dosimetry now allows for treatment without the need for an auxiliary mounted physical cone. This treatment type uses the “virtual cone”, a permanent high-definition MLC, arrangement to deliver “very small fields” with comparable spherical dose distributions to physical cones. The virtual cone therapy, on a Varian Edge™ linac using multiple non-coplanar arcs with static HDMLCs, is a comparable technique that can be used to treat small intracranial neuralgia or other small lesions. In this investigation, two flattening filter free (FFF) photon beams, 6MV FFF and 10MV FFF, were tested for optimal delivery and safety conditions for treating intracranial lesions. The virtual cone method on a Varian Edge™ Linear accelerator using rapid arc stereotactic radiosurgery was used to treat cranial neuralgia for chronic pain for six patients. Absolute dose, relative dose measurements, and monitor units were the main characteristics that were examined to decide which energy was the best for treatment. Source-to-axis distances (SAD) of 100cm measurements were taken at depths of 10cm and 5cm, respectively.
Identifier: FA00013630 (IID)
Degree granted: Thesis (M.S.)--Florida Atlantic University, 2020.
Collection: FAU Electronic Theses and Dissertations Collection
Note(s): Includes bibliography.
Subject(s): Radiotherapy
Radiation dosimetry
Stereotaxic Techniques
Held by: Florida Atlantic University Libraries
Sublocation: Digital Library
Persistent Link to This Record: http://purl.flvc.org/fau/fd/FA00013630
Use and Reproduction: Copyright © is held by the author with permission granted to Florida Atlantic University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
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Host Institution: FAU
Is Part of Series: Florida Atlantic University Digital Library Collections.