Multicentre treatment planning inter-comparison in a national context: The liver stereotactic ablative radiotherapy case

Marco Esposito; Giulia Maggi; Carmelo Marino; Laura Bottalico; Elisabetta Cagni; Claudia Carbonini; Michelina Casale; Stefania Clemente; Valentina D'Alesio; David Fedele; Francesca Romana Giglioli; Valeria Landoni; Anna Martinotti; Roberta Nigro; Lidia Strigari; Elena Villaggi; Pietro Mancosu

doi:10.1016/j.ejmp.2015.09.009

Multicentre treatment planning inter-comparison in a national context: The liver stereotactic ablative radiotherapy case

Marco Esposito, Giulia Maggi, Carmelo Marino, Laura Bottalico, Elisabetta Cagni, Claudia Carbonini, Michelina Casale, Stefania Clemente, Valentina D'Alesio, David Fedele, Francesca Romana Giglioli, Valeria Landoni, Anna Martinotti, Roberta Nigro, Lidia Strigari, Elena Villaggi, Pietro Mancosu

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: To compare five liver metastasis stereotactic ablative radiotherapy (SABR) plans optimised in fourteen centres with 3D-Conformal-RT, IMRT, VMAT, CyberKnife and Tomotherapy and identify possible dosimetric differences. Methods: Dose prescription was 75 Gy in 3 fractions, normalised at 67%-95% isodose. Results: Excluding few cases, all institutions achieved the planning objectives. Differences up to 40% and 25% in mean dose to liver and PTV were found. No significant correlations between technological factors and DVH for target and OARs were observed; the optimisation strategies selected by the planners played a key role in the planning procedure. Conclusions: The human factor and the constraints imposed to the target volume have a greater dosimetric impact than treatment planning and radiation delivery technology in stereotactic treatment of liver metastases. Significant differences found both in terms of dosimetric target coverage and OAR sparing should be taken into consideration before starting a multi-institutional SARB clinical trial.

Original language	English
Pages (from-to)	277-83
Number of pages	6
Journal	Physica Medica
DOIs	https://doi.org/10.1016/j.ejmp.2015.09.009
Publication status	Published - Jan 1 2016

Keywords

Dosimetry
Liver
Multicentric clinical trial
Stereotactic ablative radiotherapy (SABR)
Stereotactic body radiation therapy (SBRT)

ASJC Scopus subject areas

Biophysics
Radiology Nuclear Medicine and imaging
Physics and Astronomy(all)

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Esposito, M., Maggi, G., Marino, C., Bottalico, L., Cagni, E., Carbonini, C., Casale, M., Clemente, S., D'Alesio, V., Fedele, D., Giglioli, F. R., Landoni, V., Martinotti, A., Nigro, R., Strigari, L., Villaggi, E., & Mancosu, P. (2016). Multicentre treatment planning inter-comparison in a national context: The liver stereotactic ablative radiotherapy case. Physica Medica, 277-83. https://doi.org/10.1016/j.ejmp.2015.09.009

Multicentre treatment planning inter-comparison in a national context : The liver stereotactic ablative radiotherapy case. / Esposito, Marco; Maggi, Giulia; Marino, Carmelo; Bottalico, Laura; Cagni, Elisabetta; Carbonini, Claudia; Casale, Michelina; Clemente, Stefania; D'Alesio, Valentina; Fedele, David; Giglioli, Francesca Romana; Landoni, Valeria; Martinotti, Anna; Nigro, Roberta; Strigari, Lidia; Villaggi, Elena; Mancosu, Pietro.

In: Physica Medica, 01.01.2016, p. 277-83.

Research output: Contribution to journal › Article › peer-review

Esposito, M, Maggi, G, Marino, C, Bottalico, L, Cagni, E, Carbonini, C, Casale, M, Clemente, S, D'Alesio, V, Fedele, D, Giglioli, FR, Landoni, V, Martinotti, A, Nigro, R, Strigari, L, Villaggi, E & Mancosu, P 2016, 'Multicentre treatment planning inter-comparison in a national context: The liver stereotactic ablative radiotherapy case', Physica Medica, pp. 277-83. https://doi.org/10.1016/j.ejmp.2015.09.009

Esposito, Marco ; Maggi, Giulia ; Marino, Carmelo ; Bottalico, Laura ; Cagni, Elisabetta ; Carbonini, Claudia ; Casale, Michelina ; Clemente, Stefania ; D'Alesio, Valentina ; Fedele, David ; Giglioli, Francesca Romana ; Landoni, Valeria ; Martinotti, Anna ; Nigro, Roberta ; Strigari, Lidia ; Villaggi, Elena ; Mancosu, Pietro. / Multicentre treatment planning inter-comparison in a national context : The liver stereotactic ablative radiotherapy case. In: Physica Medica. 2016 ; pp. 277-83.

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abstract = "Purpose: To compare five liver metastasis stereotactic ablative radiotherapy (SABR) plans optimised in fourteen centres with 3D-Conformal-RT, IMRT, VMAT, CyberKnife and Tomotherapy and identify possible dosimetric differences. Methods: Dose prescription was 75 Gy in 3 fractions, normalised at 67%-95% isodose. Results: Excluding few cases, all institutions achieved the planning objectives. Differences up to 40% and 25% in mean dose to liver and PTV were found. No significant correlations between technological factors and DVH for target and OARs were observed; the optimisation strategies selected by the planners played a key role in the planning procedure. Conclusions: The human factor and the constraints imposed to the target volume have a greater dosimetric impact than treatment planning and radiation delivery technology in stereotactic treatment of liver metastases. Significant differences found both in terms of dosimetric target coverage and OAR sparing should be taken into consideration before starting a multi-institutional SARB clinical trial.",

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AU - Bottalico, Laura

AU - Cagni, Elisabetta

AU - Carbonini, Claudia

AU - Casale, Michelina

AU - Clemente, Stefania

AU - D'Alesio, Valentina

AU - Fedele, David

AU - Giglioli, Francesca Romana

AU - Landoni, Valeria

AU - Martinotti, Anna

AU - Nigro, Roberta

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AU - Villaggi, Elena

AU - Mancosu, Pietro

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N2 - Purpose: To compare five liver metastasis stereotactic ablative radiotherapy (SABR) plans optimised in fourteen centres with 3D-Conformal-RT, IMRT, VMAT, CyberKnife and Tomotherapy and identify possible dosimetric differences. Methods: Dose prescription was 75 Gy in 3 fractions, normalised at 67%-95% isodose. Results: Excluding few cases, all institutions achieved the planning objectives. Differences up to 40% and 25% in mean dose to liver and PTV were found. No significant correlations between technological factors and DVH for target and OARs were observed; the optimisation strategies selected by the planners played a key role in the planning procedure. Conclusions: The human factor and the constraints imposed to the target volume have a greater dosimetric impact than treatment planning and radiation delivery technology in stereotactic treatment of liver metastases. Significant differences found both in terms of dosimetric target coverage and OAR sparing should be taken into consideration before starting a multi-institutional SARB clinical trial.

AB - Purpose: To compare five liver metastasis stereotactic ablative radiotherapy (SABR) plans optimised in fourteen centres with 3D-Conformal-RT, IMRT, VMAT, CyberKnife and Tomotherapy and identify possible dosimetric differences. Methods: Dose prescription was 75 Gy in 3 fractions, normalised at 67%-95% isodose. Results: Excluding few cases, all institutions achieved the planning objectives. Differences up to 40% and 25% in mean dose to liver and PTV were found. No significant correlations between technological factors and DVH for target and OARs were observed; the optimisation strategies selected by the planners played a key role in the planning procedure. Conclusions: The human factor and the constraints imposed to the target volume have a greater dosimetric impact than treatment planning and radiation delivery technology in stereotactic treatment of liver metastases. Significant differences found both in terms of dosimetric target coverage and OAR sparing should be taken into consideration before starting a multi-institutional SARB clinical trial.

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