Semi-automated reproducible target transfer for cardiac radioablation - A multi-center cross-validation study within the RAVENTA trial
Background - Stereotactic arrhythmia radioablation (STAR) is a therapeutic option for ventricular tachycardia (VT) where catheter-based ablation is not feasible or has previously failed. Target definition and its transfer from electro-anatomic maps (EAM) to radiotherapy treatment planning systems (T...
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
November 2024
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| In: |
Radiotherapy and oncology
Year: 2024, Volume: 200, Pages: 1-8 |
| ISSN: | 1879-0887 |
| DOI: | 10.1016/j.radonc.2024.110499 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.radonc.2024.110499 Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S0167814024007692 
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| Author Notes: | Stephan Hohmann, Jingyang Xie, Miriam Eckl, Melanie Grehn, Nizar Karfoul, Christian Janorschke, Roland Merten, Boris Rudic, Daniel Buergy, Evgeny Lyan, David Krug, Felix Mehrhof, Leif-Hendrik Boldt, Stefanie Corradini, Hannah Fanslau, Lena Kaestner, Adrian Zaman, Frank A. Giordano, David Duncker, Jürgen Dunst, Roland R. Tilz, Achim Schweikard, Oliver Blanck, Judit Boda-Heggemann |
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| 245 | 1 | 0 | |a Semi-automated reproducible target transfer for cardiac radioablation - A multi-center cross-validation study within the RAVENTA trial |c Stephan Hohmann, Jingyang Xie, Miriam Eckl, Melanie Grehn, Nizar Karfoul, Christian Janorschke, Roland Merten, Boris Rudic, Daniel Buergy, Evgeny Lyan, David Krug, Felix Mehrhof, Leif-Hendrik Boldt, Stefanie Corradini, Hannah Fanslau, Lena Kaestner, Adrian Zaman, Frank A. Giordano, David Duncker, Jürgen Dunst, Roland R. Tilz, Achim Schweikard, Oliver Blanck, Judit Boda-Heggemann |
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| 520 | |a Background - Stereotactic arrhythmia radioablation (STAR) is a therapeutic option for ventricular tachycardia (VT) where catheter-based ablation is not feasible or has previously failed. Target definition and its transfer from electro-anatomic maps (EAM) to radiotherapy treatment planning systems (TPS) is challenging and operator-dependent. Software solutions have been developed to register EAM with cardiac CT and semi-automatically transfer 2D target surface data into 3D CT volume coordinates. Results of a cross-validation study of two conceptually different software solutions using data from the RAVENTA trial (NCT03867747) are reported. - Methods - Clinical Target Volumes (CTVs) were created from target regions delineated on EAM using two conceptually different approaches by separate investigators on data of 10 patients, blinded to each other’s results. Targets were transferred using 3D-3D registration and 2D-3D registration, respectively. The resulting CTVs were compared in a core-lab using two complementary analysis software packages for structure similarity and geometric characteristics. - Results - Volumes and surface areas of the CTVs created by both methods were comparable: 14.88 ± 11.72 ml versus 15.15 ± 11.35 ml and 44.29 ± 33.63 cm2 versus 46.43 ± 35.13 cm2. The Dice-coefficient was 0.84 ± 0.04; median surface-distance and Hausdorff-distance were 0.53 ± 0.37 mm and 6.91 ± 2.26 mm, respectively. The 3D-center-of-mass difference was 3.62 ± 0.99 mm. Geometrical volume similarity was 0.94 ± 0.05 %. - Conclusion - The STAR targets transferred from EAM to TPS using both software solutions resulted in nearly identical 3D structures. Both solutions can be used for QA (quality assurance) and EAM-to-TPS transfer of STAR-targets. Semi-automated methods could potentially help to avoid mistargeting in STAR and offer standardized workflows for methodically harmonized treatments. | ||
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| 650 | 4 | |a Semi-automated software solutions | |
| 650 | 4 | |a STAR | |
| 650 | 4 | |a Stereotactic Arrhythmia Radioablation | |
| 650 | 4 | |a Target transfer | |
| 650 | 4 | |a Target volume definition | |
| 650 | 4 | |a Ventricular tachycardia | |
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