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COMPARISON OF THE ACCURACY OF POSITIONING DEVICES FOR RADIATION THERAPY OF CANINE AND FELINE HEAD TUMORS
Authors:Hege  Kippenes  DVM   Patrick R.  Gavin  DVM  PhD   Ronald D.  Sande  DVM  MS  PhD   Dennis  Rogers  RT   Vaughn  Sweet  MS
Affiliation:Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman 99164-7060, USA.
Abstract:The purpose of this retrospective study was to evaluate the repositioning accuracy of different positioning devices in order to determine their applicability for potential use in conformal radiation therapy for animals. Forty-four animals with spontaneous tumors of the head were included. The animals were divided into 3 groups determined according to the positioning device used. Group 1 animals were positioned using a thermoplastic mask. Group 2 animals were positioned using a head holder. Group 3 animals were positioned using the head holder and an inflatable pillow. The time of presentation determined which position device was used. Port films of the 44 patients were reviewed retrospectively, and the repositioning precision was recorded by measurements in three orthogonal planes. Groups 2 and 3 had significantly better repositioning accuracy (P < or = 0.05) compared to Group 1. The position variation was not significantly different (P < or = 0.05) between Groups 2 and 3 in the lateral and longitudinal direction. Group 3 had a median reposition variation of 0.5 to 1.0 mm, with a standard deviation of 1.0 to 1.5 mm.
Keywords:Radiation therapy    repositioning accuracy    immobilization    head holder
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