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2013 Fiscal Year Final Research Report

Development of four-dimensional CT acquisition and tumor detection system during volumetric modulated arc therapy.

Research Project

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Project/Area Number 23390298
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Radiation science
Research InstitutionThe University of Tokyo

Principal Investigator

NAKAGAWA Keiichi  東京大学, 医学部附属病院, 准教授 (80188896)

Co-Investigator(Kenkyū-buntansha) DEMACHI Kazuyuki  東京大学, 大学院・工学系研究科(工学部), 准教授 (00292764)
MASUTANI Yoshitaka  東京大学, 医学部附属病院, 講師 (20345193)
SAKUMI Akira  東京大学, 医学部附属病院, 特任助教 (30360556)
HAGA Akihiro  東京大学, 医学部附属病院, 助教 (30448021)
NISHIO Teiji  独立行政法人国立がん研究センター, 臨床開発センター, ユニット長 (40415526)
SHIRAISHI Kenshiro  東京大学, 医学部附属病院, 助教 (40447404)
YAMASHITA Hideomi  東京大学, 医学部附属病院, 助教 (70447407)
IGAKI Hiroshi  東京大学, 医学部附属病院, 講師 (90361344)
Project Period (FY) 2011-04-01 – 2014-03-31
KeywordsVMAT / コーンビーム CT / 呼吸性移動 / 4D-CT / IMRT / VMAT-CT / radiation therapy
Research Abstract

In this study, we have developed in-treatment kilo-voltage four-dimensional cone-beam CT (in-treatment kV 4D CBCT) acquisition during volumetric modulated arc therapy (VMAT) by use of the image-based phase recognition technique of projection images. With the in-treatment kV 4D CBCT, the respiratory motion of lung tumors has been quantitatively evaluated for the first time, and the margin applied in treatment planning has been retrospectively reanalyzed. In addition, the CBCT reconstruction using the portal images of VMAT beam and its four dimensional version (4D VMAT CBCT) have been developed. With the 4D VMAT CBCT, the tumor location and movement were visually observed. Combining 4D VMAT CBCT with in-treatment kV 4D CBCT, it is expected that the appropriate margin setting and the reduction of the extra-radiation dose for normal tissue are achieved.

  • Research Products

    (23 results)

All 2014 2013

All Journal Article (11 results) Presentation (12 results)

  • [Journal Article] Impact of flattening-filter-free techniques on delivery time for lung stereotactic volumetric modulated arc therapy and image quality of concurrent kilovoltage cone-beam computed tomography : a preliminary phantom study2014

    • Author(s)
      Nakagawa K, Haga A, Sakumi A, Yamashita H, Igaki H, Shiraki T, Ohtomo K, Iwai Y, Yoda K
    • Journal Title

      J Radiat Res

      Volume: 55(1) Pages: 200-2

    • DOI

      10.1093/jrr/rrt105.Epub2013Aug26

  • [Journal Article] Longitudinal assessments of quality of life and late toxicities before and after definitive chemoradiation for esophageal cancer2014

    • Author(s)
      Yamashita H, Omori M, Okuma K, Kobayashi R, Igaki H, Nakagawa K
    • Journal Title

      Jpn J Clin Oncol

      Volume: 44(1) Pages: 78-84

    • DOI

      10.1093/jjco/hyt170.Epub2013Nov11

  • [Journal Article] Multidisciplinary medical care in radiation oncology2013

    • Author(s)
      Igaki H, Shiraki T, Yamagami M, Haga A, Nakagawa K
    • Journal Title

      Gan To Kagaku Ryoho

      Volume: 40(4) Pages: 440-3

  • [Journal Article] Eleven secondary cancers after hematopoietic stem cell transplantation using a total body irradiation-based regimen in 370 consecutive pediatric and adult patients2013

    • Author(s)
      Omori M, Yamashita H, Shinohara A, Kurokawa M, Takita J, Hiwatari M, Nakagawa K
    • Journal Title

      Springerplus

      Volume: 2 Pages: 424

    • DOI

      10.1186/2193-1801-2-424

  • [Journal Article] A newly introduced comprehensive consultation fee in the national health insurance system in Japan : a promotive effect of multidisciplinary medical care in the field of radiation oncology--results from a questionnaire survey2013

    • Author(s)
      Igaki H, Onishi H, Nakagawa K, Dokiya T, Nemoto K, Shigematsu N, Nishimura Y, Hiraoka M; Japanese Society for Therapeutic Radiology and Oncology Health Insurance Committee
    • Journal Title

      Jpn J Clin Oncol

      Volume: 43(12) Pages: 1233-7

    • DOI

      10.1093/jjco/hyt147.Epub2013Sep25

  • [Journal Article] The feasibility and efficacy of stereotactic body radiotherapy for centrally-located lung tumors2013

    • Author(s)
      Takahashi W, Yamashita H, Omori M, Kitaguchi M, Shibata-Kobayashi S, Sakumi A, Nakagawa K
    • Journal Title

      Anticancer Res

      Volume: 33(11) Pages: 4959-64

  • [Journal Article] High-dose-rate intra-cavitary brachytherapy combined with external beam radiation therapy for under 40-year-old patients with invasive uterine cervical carcinoma : clinical outcomes in 118 Patients in a Japanese multi-institutional study, JASTRO2013

    • Author(s)
      Yamashita H, Niibe Y, Toita T, Kazumoto T, Nishimura T, Kodaira T, Eto H, Kinoshita R, Tsujino K, Onishi H, Takemoto M, Hayakawa K
    • Journal Title

      Jpn J Clin Oncol

      Volume: 43(5) Pages: 547-52

    • DOI

      10.1093/jjco/hyt029.Epub2013Mar8

  • [Journal Article] Guidelines for respiratory motion management in radiation therapy2013

    • Author(s)
      Matsuo Y, Onishi H, Nakagawa K, Nakamura M, Ariji T, Kumazaki Y, Shimbo M, Tohyama N, Nishio T, Okumura M, Shirato H, Hiraoka M
    • Journal Title

      J Radiat Res

      Volume: 54(3) Pages: 561-8

    • DOI

      10.1093/jrr/rrs122.Epub2012Dec13

  • [Journal Article] High-dose-rate interstitial brachytherapy for gynecologic malignancies--dosimetric changes during treatment period2013

    • Author(s)
      Onoe T, Nose T, Yamashita H, Yoshioka M, Toshiyasu T, Kozuka T, Oguchi M, Nakagawa K
    • Journal Title

      J Radiat Res

      Volume: 54(4) Pages: 663-70

    • DOI

      10.1093/jrr/rrs130.Epub2013Jan7

  • [Journal Article] Dose verification of volumetric modulated arc therapy (VMAT) by use of in-treatment linac parameters2013

    • Author(s)
      Haga A, Sakumi A, Okano Y, Itoh S, Saotome N, Kida S, Igaki H, Shiraishi K, Yamashita H, Ohtomo K, Nakagawa K
    • Journal Title

      Radiol Phys Technol

      Volume: 6(2) Pages: 335-42

    • DOI

      10.1007/s12194-013-0205-6.Epub2013Mar12

  • [Journal Article] Verification of planning target volume settings in volumetric modulated arc therapy for stereotactic body radiation therapy by using in-treatment 4-dimensional cone beam computed tomography2013

    • Author(s)
      Takahashi W, Yamashita H, Kida S, Masutani Y, Sakumi A, Ohtomo K, Nakagawa K, Haga A
    • Journal Title

      Int J Radiat Oncol Biol Phys

      Volume: 86(3) Pages: 426-31

    • DOI

      10.1016/j.ijrobp.2013.02.019.Epub2013Apr5

  • [Presentation] 肺がんVMAT-SRTにおける呼吸抑制再現性の検証2013

    • Author(s)
      中川恵一, 芳賀昭弘, 木田智士, 増谷佳孝, 山下英臣, 高橋渉, 作美明, 早乙女直也, 白木尚, 大友邦
    • Organizer
      日本放射線腫瘍学会第26回学術退会
    • Place of Presentation
      青森
    • Year and Date
      20131018-20
  • [Presentation] NK/T-cell lymphoma, nasal type 11例における照射線量及び化学療法の比較2013

    • Author(s)
      軽部雅崇, 山下英臣, 中川恵一
    • Organizer
      日本放射線腫瘍学会第26会大会
    • Place of Presentation
      青森
    • Year and Date
      20131018-20
  • [Presentation] 術前放射線治療を施行した直腸癌症例における治療前FDG-PETと予後についての検討2013

    • Author(s)
      大森万美, 山下英臣, 中川恵一
    • Organizer
      日本放射線腫瘍学会第26会大会
    • Place of Presentation
      青森
    • Year and Date
      20131018-20
  • [Presentation] 乳房温存療法後の二次発癌は独立した予後不良因子である2013

    • Author(s)
      白石憲史郎, 中川恵一, 河守次郎, 衣袋健司, 福内敦, 西常博
    • Organizer
      日本放射線腫瘍学会第26会大会
    • Place of Presentation
      青森
    • Year and Date
      20131018-20
  • [Presentation] 低線量被ばくリスクの 「正しい」伝え方- 既知の他のリスクと比較するのは是か非か?2013

    • Author(s)
      佐倉統, 水島希, 加瀬郁子, 伴信彦, 黒田佑次郎, 坂田尚子, 作美明, 中川恵一
    • Organizer
      日本放射線影響学会第56会大会
    • Place of Presentation
      青森
    • Year and Date
      20131018-20
  • [Presentation] 放射線リスクコミュニケーションとリスク認知に関する研究2013

    • Author(s)
      中川恵一, 黒田佑次郎, 坂田尚子, 作美明, 伴信彦, 坪野圭介, 岩満優美, 竹村和久, 水島希, 加瀬郁子, 佐倉統
    • Organizer
      日本放射線影響学会第56会大会
    • Place of Presentation
      青森
    • Year and Date
      20131018-20
  • [Presentation] 飯舘村でのリスクコミュニケーションに関わって2013

    • Author(s)
      中川恵一, 黒田佑次郎, 坂田尚子, 一ノ瀬正樹, 佐倉統
    • Organizer
      第6回福島原発事故による長期影響地域の生活回復のためのダイアログセミナー「飯舘の人々と直面する問題を考える」
    • Year and Date
      20130706-07
  • [Presentation] 食道扁平上皮癌の根治目的化学放射線治療法におけるHER-2とCLDN-5の予後予測因子としての意義2013

    • Author(s)
      芝田紫野, 山下英臣, 松坂恵介, 中川恵一
    • Organizer
      第72回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Year and Date
      20130411-14
  • [Presentation] 進行直腸癌16症例に対する術前化学放射線治療におけるVMAT-IMRTを用いたSIB法の初期経験2013

    • Author(s)
      山下英臣, 大熊加惠, 中川恵一
    • Organizer
      第72回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Year and Date
      20130411-14
  • [Presentation] 全骨髄照射時の卵巣機能温存についての検討2013

    • Author(s)
      大森万美, 山下英臣, 中野正寬, 中川恵一
    • Organizer
      第72回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Year and Date
      20130411-14
  • [Presentation] 再発・転移症例における緩和的肺定位照射2013

    • Author(s)
      大熊加惠, 山下英臣, 中川恵一
    • Organizer
      第72回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Year and Date
      20130411-14
  • [Presentation] VMAT治療中に取得する4DコーンビームCTによる肺腫瘍の位置照合精度2013

    • Author(s)
      芳賀昭弘, 中川恵一, 木田智士, 増谷佳孝, 山下英臣, 高橋渉, 今江禄一, 白木尚, 早乙女直也, 作美明
    • Organizer
      第72回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Year and Date
      20130411-14

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Published: 2015-06-25   Modified: 2015-07-08  

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