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Review of cone beam computed tomography based online adaptive radiotherapy: current trend and future direction
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Review of cone beam computed tomography based online adaptive radiotherapy: current trend and future direction
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Journal Article
Review of cone beam computed tomography based online adaptive radiotherapy: current trend and future direction
2023
Overview
Adaptive radiotherapy (ART) was introduced in the late 1990s to improve the accuracy and efficiency of therapy and minimize radiation-induced toxicities. ART combines multiple tools for imaging, assessing the need for adaptation, treatment planning, quality assurance, and has been utilized to monitor inter- or intra-fraction anatomical variations of the target and organs-at-risk (OARs). Ethos™ (Varian Medical Systems, Palo Alto, CA), a cone beam computed tomography (CBCT) based radiotherapy treatment system that uses artificial intelligence (AI) and machine learning to perform ART, was introduced in 2020. Since then, numerous studies have been done to examine the potential benefits of Ethos™ CBCT-guided ART compared to non-adaptive radiotherapy. This review will explore the current trends of Ethos™, including improved CBCT image quality, a feasible clinical workflow, daily automated contouring and treatment planning, and motion management. Nevertheless, evidence of clinical improvements with the use of Ethos™ are limited and is currently under investigation via clinical trials.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Analysis
/ Artificial intelligence in Cancer imaging and diagnosis
/ Biomedical and Life Sciences
/ Bladder
/ Cone-Beam Computed Tomography
/ Cone-beam computed tomography (CBCT)
/ Ethos
/ Humans
/ Imaging
/ Medical equipment and supplies industry
/ Methods
/ Motion
/ Oncology
/ Planning
/ Prostate
/ Review
/ Workflow
