Correlation of Optical Surface Respiratory Motion Signal and Internal Lung and Liver Tumor Motion: A Retrospective Single-Center Observational Study

oleh: Guangyu Wang MM, Xinyu Song MM, Guangjun Li MS, Lian Duan BE, Zhibin Li MM, Guyu Dai MM, Long Bai MS, Qing Xiao MM, Xiangbin Zhang MM, Ying Song MS, Sen Bai MS

Format: Article
Diterbitkan: SAGE Publishing 2022-07-01

Deskripsi

Purpose: Surface-guided radiation therapy (SGRT) application has limitations. This study aimed to explore the relationship between patient characteristics and their external/internal correlation to qualitatively assess the external/internal correlation in a particular patient. Methods: Liver and lung cancer patients treated with radiotherapy in our institution were retrospectively analyzed. The external/internal correlation were calculated with Spearman correlation coefficient (SCC) and SCC after support vector regression (SVR) fitting (SCC svr ). The relationship between the external/internal correlation and magnitudes of motion of the tumor and external marker (A i , A e ), tumor volume V t , patient age, gender, and tumor location were explored. Results: The external/internal motions of liver and lung cancer patients were strongly correlated in the S-I direction, with mean SCC svr values of 0.913 and 0.813. The correlation coefficients between the external/internal correlations and the patients’ characteristics (A i , A e , V t , and age) were all smaller than 0.5; A i , A e and liver tumor volumes were positively correlated with the strength of the external/internal correlation, while lung tumor volumes and patient age were negative. The external/internal correlations in males and females were roughly equal, and the external/internal correlations in patients with peripheral lung cancers were stronger than those in patients with central lung cancers. Conclusion: The external/internal correlation shows great individual differences. The effects of A i , A e , V t , and age are weakly to moderately correlated. Our results suggest the necessity of individualized assessment of patient's external/internal motion correlation prior to the application of SGRT technique for breath motion monitoring.