AAPM Task Group Report 290: Respiratory motion management for particle therapy

Li H, Dong L, Bert C, Chang J, Flampouri S, Jee KW, Lin L, Moyers M, Mori S, Rottmann J, Tryggestad E, Vedam S (2022)

Publication Type: Journal article

Publication year: 2022

Journal

Medical Physics Wiley

DOI: 10.1002/mp.15470

Abstract

Dose uncertainty induced by respiratory motion remains a major concern for treating thoracic and abdominal lesions using particle beams. This Task Group report reviews the impact of tumor motion and dosimetric considerations in particle radiotherapy, current motion-management techniques, and limitations for different particle-beam delivery modes (i.e., passive scattering, uniform scanning, and pencil-beam scanning). Furthermore, the report provides guidance and risk analysis for quality assurance of the motion-management procedures to ensure consistency and accuracy, and discusses future development and emerging motion-management strategies. This report supplements previously published AAPM report TG76, and considers aspects of motion management that are crucial to the accurate and safe delivery of particle-beam therapy. To that end, this report produces general recommendations for commissioning and facility-specific dosimetric characterization, motion assessment, treatment planning, active and passive motion-management techniques, image guidance and related decision-making, monitoring throughout therapy, and recommendations for vendors. Key among these recommendations are that: (1) facilities should perform thorough planning studies (using retrospective data) and develop standard operating procedures that address all aspects of therapy for any treatment site involving respiratory motion; (2) a risk-based methodology should be adopted for quality management and ongoing process improvement.

Authors with CRIS profile

Christoph Bert Professur für Med. Strahlenphysik

Involved external institutions

Johns Hopkins University (JHU) US United States (USA) (US) University of Pennsylvania US United States (USA) (US) University of Texas MD Anderson Cancer Center US United States (USA) (US) Emory University US United States (USA) (US) Massachusetts General Hospital US United States (USA) (US) Fudan University / 复旦大学 CN China (CN) National Institute of Radiological Sciences (NIRS) / 放射線医学総合研究所 JP Japan (JP) Proton Therapy PTE LTD SG Singapore (SG) Mayo Clinic US United States (USA) (US) University of Maryland US United States (USA) (US)

How to cite

APA:

Li, H., Dong, L., Bert, C., Chang, J., Flampouri, S., Jee, K.-W.,... Vedam, S. (2022). AAPM Task Group Report 290: Respiratory motion management for particle therapy. Medical Physics. https://doi.org/10.1002/mp.15470

MLA:

Li, Heng, et al. "AAPM Task Group Report 290: Respiratory motion management for particle therapy." Medical Physics (2022).

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