Correction of respiratory motion for IMRT using aperture adaptive technique and visual guidance: A feasibility study

Ho Hsing Chen, Jay Wu, Keh Shih Chuang, Hsiang Chi Kuo

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Intensity-modulated radiation therapy (IMRT) utilizes nonuniform beam profile to deliver precise radiation doses to a tumor while minimizing radiation exposure to surrounding normal tissues. However, the problem of intrafraction organ motion distorts the dose distribution and leads to significant dosimetric errors. In this research, we applied an aperture adaptive technique with a visual guiding system to toggle the problem of respiratory motion. A homemade computer program showing a cyclic moving pattern was projected onto the ceiling to visually help patients adjust their respiratory patterns. Once the respiratory motion becomes regular, the leaf sequence can be synchronized with the target motion. An oscillator was employed to simulate the patient's breathing pattern. Two simple fields and one IMRT field were measured to verify the accuracy. Preliminary results showed that after appropriate training, the amplitude and duration of volunteer's breathing can be well controlled by the visual guiding system. The sharp dose gradient at the edge of the radiation fields was successfully restored. The maximum dosimetric error in the IMRT field was significantly decreased from 63% to 3%. We conclude that the aperture adaptive technique with the visual guiding system can be an inexpensive and feasible alternative without compromising delivery efficiency in clinical practice.

Original languageEnglish (US)
Pages (from-to)734-740
Number of pages7
JournalNuclear Instruments and Methods in Physics Research, Section A: Accelerators, Spectrometers, Detectors and Associated Equipment
Issue number3
StatePublished - Jul 11 2007
Externally publishedYes


  • Intensity-modulated radiation therapy
  • Respiratory motion
  • Visual guidance

ASJC Scopus subject areas

  • Nuclear and High Energy Physics
  • Instrumentation


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