The accuracy of radiotherapy can be increased by correcting for geometric uncertainties and changes between radiotherapy fractions. These corrections are currently done with online adaptive treatment on a specialized linear accelerator (linac) for a small subset of patients. However, patients currently treated on a standard linac could also benefit from online adaptive radiotherapy. The objective is to determine the feasibility of online CBCT-guided adaptive radiation therapy on a standard Elekta linac.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Patients are treated in the NKI with CBCT-guided online adaptive radiotherapy. While in the clinical workflow one planning CT is used to make the radiotherapy plan, this study treatment creates a new radiotherapy plan on the day of every treatment fraction. Instead of directly irradiating, the radiotherapy plan is adjusted to the anatomy of the day.
Antoni van Leeuwenhoek Hospital
Amsterdam, Netherlands
RECRUITINGFeasibility: successful application of the online adaptive treatment in 90% of 20 patients
The adaptive treatment is feasible if the technique is successfully ap-plied in 90% of 20 patients.
Time frame: From first fraction until the last fraction, an average of 20-35 fractions
Safety: Treatment associated ≥ grade 3 acute toxicity according to the NCI Common Terminology Criteria of Adverse Events (CTCAE version 5.0).
Treatment associated ≥ grade 3 acute toxicity according to the NCI Common Terminology Criteria of Adverse Events (CTCAE version 5.0).
Time frame: From Baseline until 3 months after the last radiotherapy fraction
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.