Dosimetric consequences of intrafraction prostate motion in scanned ion beam radiotherapy.
OBJECTIVE
Scanned-beam interplay with the intrafraction target motion may result in dose deterioration in particle therapy. The magnitude of this effect and the possibilities to mitigate it were investigated for carbon ion prostate treatments.


METHODS
For 12 prostate cases, 9 carbon ion treatment plans were prepared using 3 scanned-beam settings (spot sizes of 6, 7 and 9 mm and, respectively, raster pitches of 2, 2 and 3 mm) for 3 planning margins (3, 6 and 9 mm). Plans were recomputed in presence of 5 intrafraction prostate motion scenarios with and without intra-beam motion compensation.


RESULTS
For 6 mm margin and 7 mm spot, the median (max) CTV D(95%) change was -0.2 (-2.6) pp (percentual points) with pure drift motion, -3.8 (-6.0) pp and -2.8 (-3.1) pp in transient motion scenarios and -4.8 (-7.7) pp and -1.8 (-5.7) pp in mixed motion scenarios. No particular raster setting brought distinct advantage, while planning margin expansion showed statistically significant effects for drift-dominated scenarios. Intra-beam motion compensation yielded improved CTV coverage.


CONCLUSIONS
Intrafraction prostate motion can lead to marked target coverage deterioration, dependent on individual motion patterns, which can be only partially avoided through planning-time countermeasures. Among possible delivery-time countermeasures, intra-beam motion compensation is capable of improving target coverage.
Department of Radiotherapy and Radiation Oncology, University of Marburg, Germany; Department of Medical Physics in Radiation Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany. Electronic address: filippo.ammazzalorso@uni-marburg.de.
Filippo
F
Ammazzalorso
Department of Radiotherapy and Radiation Oncology, University of Marburg, Germany.
Sebastian
S
Graef
Department of Radiotherapy and Radiation Oncology, University of Marburg, Germany.
Uli
U
Weber
Department of Radiotherapy and Radiation Oncology, University of Marburg, Germany.
Andrea
A
Wittig
Department of Radiotherapy and Radiation Oncology, University of Marburg, Germany.
Rita
R
Engenhart-Cabillic
Department of Radiotherapy and Radiation Oncology, University of Marburg, Germany.
Urszula
U
Jelen
D019583:Dose Fractionation, Radiation; D063193:Heavy Ion Radiotherapy / Q000379:methods*; D006801:Humans; D008297:Male; D009068:Movement; D011471:Prostatic Neoplasms / Q000532:radiotherapy*; D011874:Radiometry; D011880:Radiotherapy Planning, Computer-Assisted / Q000379:methods*
Interplay effect; Intra-beam motion compensation; Intrafraction prostate movement; Ion beam therapy; Moving targets; Scanned-beam