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Review of cone beam computed tomography based online adaptive radiotherapy: current trend and future direction
Journal article   Open access   Peer reviewed

Review of cone beam computed tomography based online adaptive radiotherapy: current trend and future direction

Hefei Liu, David Schaal, Heather Curry, Ryan Clark, Anthony Magliari, Patrick Kupelian, Deepak Khuntia and Sushil Beriwal
Radiation oncology (London, England), v 18(1), 144
02 Sep 2023
PMID: 37660057
url
https://doi.org/10.1186/s13014-023-02340-2View
Published, Version of Record (VoR) Open

Abstract

Review ESI Highly Cited Paper (Incites)
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.

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Highly Cited Paper 
Collaboration types
Domestic collaboration
Web of Science research areas
Oncology
Radiology, Nuclear Medicine & Medical Imaging
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