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Burman C, Mendoza Diaz A, Leslie A, Goldthorp K, Jubb B, Simms AR, Eapen V. Critical success factors for school-based integrated health care models: Learnings from an Australian example. Health Promot J Austr 2023; 34:775-783. [PMID: 36538268 DOI: 10.1002/hpja.690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 10/05/2022] [Accepted: 12/15/2022] [Indexed: 12/24/2022] Open
Abstract
ISSUES ADDRESSED Integrated school-based health services have the potential to address the unmet health needs of children experiencing disadvantage, yet these models remain poorly evaluated. The current article examines an integrated social and health care hub located on the grounds of a regional Australian public primary school, the Our Mia Mia Wellbeing Hub, to identify critical success factors for this service and others like it. METHODS Semi-structured qualitative interviews were conducted with N = 55 multi-sector stakeholders comprising parents, students, school staff, social and health care providers, and local Aboriginal community members. Interview transcripts were analysed according to a grounded theory approach. RESULTS Six themes emerged from the analysis, reflecting important success factors for the model: service accessibility; service coordination; integration of education and health systems; trust; community partnerships; and perceptions of health. CONCLUSIONS Findings highlighted Our Mia Mia as a promising model of care, yet also revealed important challenges for the service as it responds to the varied priorities of the stakeholders it serves. SO WHAT?: Through capturing the perspectives of a large number of stakeholders, the current study provides valuable insight into key challenges and success factors for Our Mia Mia; these learnings can guide the development of other emerging school-based health services and integrated care hubs.
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Affiliation(s)
- Charlotte Burman
- BestSTART-SWS, Ingham Institute of Applied Medical Research, Nowra, NSW, Australia
| | - Antonio Mendoza Diaz
- School of Psychiatry, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia
- Academic Unit of Child Psychiatry, Infant, Child and Adolescent Mental Health Service, NSW, Australia
| | - Andrew Leslie
- Nowra East Public School, Nowra, NSW, Australia
- Our Mia Mia Wellbeing Hub, Nowra, NSW, Australia
| | | | - Brendan Jubb
- Our Mia Mia Wellbeing Hub, Nowra, NSW, Australia
| | | | - Valsamma Eapen
- School of Psychiatry, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia
- Academic Unit of Child Psychiatry, Infant, Child and Adolescent Mental Health Service, NSW, Australia
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Northam JC, Fisher CA, Burman C, Hawes DJ, Dadds MR. No hard feelings: maternal emotion socialization and callous-unemotional traits in children. Eur Child Adolesc Psychiatry 2022; 31:1983-1993. [PMID: 34184116 DOI: 10.1007/s00787-021-01835-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Accepted: 06/23/2021] [Indexed: 01/26/2023]
Abstract
Parents' identification and discussion of their own and their children's emotions are important emotion socialization behaviors (ESBs) that may mitigate child conduct problems (CPs). However, if parents perceive their child to be relatively unemotional, which may be the case for children with conduct problems and high callous-unemotional traits (CP + CU), these parents may be limited in their capacity to use ESBs effectively. This study tested these questions by looking at ESBs in mothers (N = 145) of children aged 2-8 years with CP + CU (n = 24), CPs and low CU traits (CP-CU; n = 94) and a non-clinical community sample (n = 27). After watching an emotional movie excerpt, mothers were asked to (1) provide ratings of their child's emotional experience and then (2) engage in a debriefing task with their child about the content. Children's expressed emotion during the excerpt and transcriptions of the debriefing task were coded by masked raters. Unexpectedly, mothers' perceptions of their children's emotion did not vary by group. Emotional ratings provided by mothers of children in the CP + CU group most closely aligned with ratings from independent observers. ESBs did not differ by group in the debriefing task. Mothers of children with CP + CU traits were shown in this study to be reliable reporters of their children's expressed emotion and showed similar rates of parental ESBs as mothers of children in the other groups. Results are discussed in reference to various models of parenting and CU traits that might account for these unexpected findings.
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Affiliation(s)
- Jaimie C Northam
- School of Psychology, The University of Sydney, Sydney, Australia.
| | - Carri A Fisher
- School of Psychology, The University of Sydney, Sydney, Australia
| | - Charlotte Burman
- School of Psychology, The University of Sydney, Sydney, Australia
| | - David J Hawes
- School of Psychology, The University of Sydney, Sydney, Australia
| | - Mark R Dadds
- School of Psychology, The University of Sydney, Sydney, Australia
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Mendoza Diaz A, Leslie A, Burman C, Best J, Goldthorp K, Eapen V. School-based integrated healthcare model: how Our Mia Mia is improving health and education outcomes for children and young people. Aust J Prim Health 2021; 27:PY20177. [PMID: 33731251 DOI: 10.1071/py20177] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Accepted: 10/16/2020] [Indexed: 11/23/2022]
Abstract
Integrating healthcare into education settings represents a promising model to address complex health problems in disadvantaged communities through improving access to health and social services. One such example of an effective school-based health hub is the Our Mia Mia (OMM) Wellbeing Hub, located in a primary school in Nowra and servicing a community experiencing significant socioeconomic disadvantage. The efficacy of OMM rests on its success in facilitating access to services by removing the barriers of cost and transport and establishing connection to community. The OMM fosters collaborations between health professionals and educators to coordinate holistic treatment and implement appropriate student supports in a timely manner. The support of key individuals and groups, in addition to the flexibility of the model, has allowed the hub to pivot and adapt to meet the changing needs of its community, particularly as challenges pertaining to bureaucracy, financial sustainability and community mistrust have presented themselves. Future directions for the OMM hub, and the possibility of adapting and translating school-based healthcare delivery models in other disadvantaged communities, is discussed.
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Affiliation(s)
- Antonio Mendoza Diaz
- School of Psychiatry, Faculty of Medicine, University of New South Wales, Kensington, NSW 2052, Australia; and Infant Child and Adolescent Mental Health Services (ICAMHS), South Western Sydney Local Health District (SWSLHD), Liverpool, NSW 2170, Australia; and Corresponding author
| | - Andrew Leslie
- Our Mia Mia, Australia, 87 Jervis Street, Nowra, NSW 2541, Australia
| | - Charlotte Burman
- School of Psychiatry, Faculty of Medicine, University of New South Wales, Kensington, NSW 2052, Australia; and Ingham Institute, 1 Campbell Street, Liverpool, NSW 2170, Australia
| | - James Best
- Our Mia Mia, Australia, 87 Jervis Street, Nowra, NSW 2541, Australia
| | - Kristie Goldthorp
- Nowra East Public School, 87 Jervis Street, Nowra, NSW 2541, Australia
| | - Valsamma Eapen
- School of Psychiatry, Faculty of Medicine, University of New South Wales, Kensington, NSW 2052, Australia
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LoSasso T, Lim S, Tang G, Chan M, Li J, Obcemea C, Song Y, Ma R, Yang G, Xiong W, Huang D, Burman C, Mechalakos J, Hunt M. SU-E-T-52: Beam Data Comparison for 20 Linear Accelerators in One Network. Med Phys 2014. [DOI: 10.1118/1.4888382] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Li J, Burman C, Chan M. SU-E-T-43: The Impact of Gantry Rotations On the Accuracy of IMRT Dose Measurements Using EPIDs. Med Phys 2013. [DOI: 10.1118/1.4814478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chan M, Li J, Burman C, Schupak K, Parhar P. SU-C-108-02: Dosimetric Impact of VMAT Delivery and Target Motion: MIP-Based ITV Vs. ITV From Contoured Phases of 4DCT. Med Phys 2013. [DOI: 10.1118/1.4813940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Mueller B, Obcemea C, Burman C, Mychalczak B. SU-E-T-608: Feasibility Study of Stereotactic Radiosurgery Using a Non-Commercial VMAT Treatment Planning System with a Non-Coplanar Delivery Technique. Med Phys 2013. [DOI: 10.1118/1.4815036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Zhang Q, Song Y, Chan M, Burman C, Yamada Y. MO-F-108-06: A Novel Analytic Approach to Assessing Rotation-Induced Dosimetric Errors of Stereotactic Radiosurgery Cases. Med Phys 2013. [DOI: 10.1118/1.4815282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Li J, Burman C, Schupak K, Chan M. Study of Dose Variations Induced by Collimator Rotation for IMRT Delivery Using EPID Dosimetry. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.2091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Zhang Q, Song Y, Chan M, Burman C. How Much Margin Is Adequate for Single-fraction Stereotactic Radiosurgery Treatments? Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.2198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Xiong W, Huang D, Gewanter R, Burman C. SU-E-T-545: Dose Comparison between Intravenous Contrast-Enhanced CT and Non Contrast CT in Treatment Planning. Med Phys 2012; 39:3831. [PMID: 28518515 DOI: 10.1118/1.4735634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE With increasing concern for patient dose from CT scan, we are trying to reduce CT scan and use intravenous contrast-enhanced CT (contrast CT) in treatment planning. This study is to investigate dose calculation accuracy using contrast CT in treatment planning for lung, esophagus and pancreas cancer. METHODS We analyzed treatment plans for 8 patients for whom CT simulation was performed both with and without intravenous contrast agent (CA) (non-contrast CT). IMRT/3D plans were generated with inhomogeneity correction on the non-contrast CT scan. Contrast CTs were fused to the non-contrast studies and all contours and plans were copied to the contrast CT scans. For each patient, we analyzed dose-volume histograms (DVH) for planning volumes (PTV) and the organs-at-risk (OAR), comparing the doses generated on non-contrast CT scans with those generated on contrast CT scans. RESULTS Maximum doses ratio Dmax(contrast)/Dmax (non-contrast) in PTVs was 1.0009±0.0013. The ratio of D05 (contrast)/D05 (non-contrast) was 0.996±0.005. The ratio of mean PTV dose Dmean(contrast)/Dmean(non-contrast) was 0.990±0.005%. The ratio of minimum dose Dmin(contrast)/Dmin(non-contrast) and D95(contrast)/D95(non-contrast) were 0.970±0.030 and 0.984±0.009, respectively. Contrast CT raised cord dose slightly. The ratio of cord Dmax was 1.005±0.026. However there were two cases the ratio of cord Dmax were 1.035. CONCLUSIONS The PTV D95 is usually normalized to prescription dose and the D95 differences between contrast and regular CT were within 2%. In most cases, the contrast CT could be used to treatment planning clinically. However more attention should be paid to maximum cord dose if it is already close to criteria limit.
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Affiliation(s)
- W Xiong
- Memorial Sloan-Kettering Cancer Center, Rockville Center, NY
| | - D Huang
- Memorial Sloan-Kettering Cancer Center, Rockville Center, NY
| | - R Gewanter
- Memorial Sloan-Kettering Cancer Center, Rockville Center, NY
| | - C Burman
- Memorial Sloan-Kettering Cancer Center, Rockville Center, NY
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Chan M, Zhang P, Yang J, Xiong J, Li J, Burman C, Parhar P, Schupak K, Mageras G. TH-C-BRB-04: Dose-Painting VMAT and Patient Dose QA: Showcase of Whole Brain Radiotherapy with Hippocampal-Sparing and Simultaneous Boost to Brain Metastases. Med Phys 2012. [DOI: 10.1118/1.4736307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Zhang P, Li J, Burman C, Chan M. SU-E-T-170: A Viable Approach to Patient Specific QA for Spine VMAT SRS Using EPID-Based Dosimetry. Med Phys 2012; 39:3742. [DOI: 10.1118/1.4735228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Li J, Burman C, Chan M. SU-E-J-14: Evaluation of Mechanical Accuracy of Electronic Portal Imaging Devise on Its Use in Patient Specific IMRT QA. Med Phys 2012; 39:3655. [PMID: 28517581 DOI: 10.1118/1.4734847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE Electronic portal imaging devices (EPID) have been used for both in vivo dosimetry and in vitro dose verification in intensity modulated radiotherapy (IMRT). This study is to investigate the effect of EPID mechanical precision on the accuracy of measured dose distribution. METHODS EPID energy fluences (dicom images) of H&N IMRT fields were collected daily on two Varian LINACs (Clinac-iX & Trilogy) over 4-week period. The energy fluences were converted to doses using EPIDoseTM (Sun Nuclear Corp). Mechanical deviations of EPIDs could be divided into two components: one with inherent detector center misalignment from the beam central axis, another caused by the 'sagging effect' from gantry rotation. The first component was detected by 'best matching' of the measured and calculated dose at zero gantry angle (G=0). The second component was computed by 'best matching' the 10×10cm field defined by MLC at G=0, 90,180, and 270, separately. A 'shift' was generated by the combination of these two components and then applied to correct the measured dose at the corresponding gantry angle for the IMRT field. RESULTS Inherent misalignment of the detector's center and the 'sagging' deviation were found to be 1-2 mm and 1-5 mm, respectively for both LINACs. Each component was found very stable (change < 1mm) over the 4-week observational period. Using a Gamma index of 2%/2mm (DD/DTA), the 'shift' increased the average passing rate from 59% to more than 92%. On the other hand, blindly applying 'auto-shift' from commercially available software to obtain the best match would compound true QA issues with units' misalignments. CONCLUSIONS A false 'mismatch' between measured and calculated dose distribution caused by mechanical inaccuracies of EPID could be avoided by measuring the two components identified in this study. One should examine the mechanical precision of equipment prior to clinical use of EPID dosimetry.
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Affiliation(s)
- J Li
- Memorial Sloan-Kettering Cancer Center, Basking Ridge, NJ
| | - C Burman
- Memorial Sloan-Kettering Cancer Center, Basking Ridge, NJ
| | - M Chan
- Memorial Sloan-Kettering Cancer Center, Basking Ridge, NJ
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Li J, Burman C, Parhar P, Schupak K, Chan M. Patient Dose Metrics Analysis for Head and Neck IMRT. Int J Radiat Oncol Biol Phys 2011. [DOI: 10.1016/j.ijrobp.2011.06.358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Song Y, Zhang Q, Burman C, Obcemea C, Mueller B, Mychalczak B. Investigation of the Compounding Effect of MLC Positioning Uncertainty and Gantry Angular Acceleration in VMAT Delivery. Int J Radiat Oncol Biol Phys 2011. [DOI: 10.1016/j.ijrobp.2011.06.1598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Xiong W, Huang Y, Gewanter R, Dutta P, Burman C. SU-E-T-557: Dose Calculation Accuracy Using Cone-Beam CT (CBCT) for Lung Stereotactic Body Radiotherapy (SBRT). Med Phys 2011. [DOI: 10.1118/1.3612519] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chan M, Zhang Q, Li J, Schupak K, Burman C. SU-E-T-560: The Use of EBT2 Films for IPlan Commissioning Verification. Med Phys 2011. [DOI: 10.1118/1.3612522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Zhang Q, Chan M, Burman C, Amols H, Ling C, Mageras G. SU-E-J-64: Margins for Single-Fraction Treatments: Stereotactic Radiosurgery Brain Cases. Med Phys 2011. [DOI: 10.1118/1.3611832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chan M, Chiu-Tsao S, Li J, Schupak K, Burman C. SU-E-T-733: Effect of IGRT Couch and Alpha-Cradle on Dose Distributions in the Buildup Region: Comparison of EBT2 Film Data and TPS Calculation. Med Phys 2011. [DOI: 10.1118/1.3612695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Li J, Chan M, Hu Y, Schupak K, Burman C. Use of 4D-CT and Deformable Registration to Determine the Impact of Respiratory Motion on Lung Dose from Radiation Therapy. Int J Radiat Oncol Biol Phys 2010. [DOI: 10.1016/j.ijrobp.2010.07.1643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Li J, Chan M, Hu Y, Burman C. SU-GG-T-593: Evaluation of Lung Dose Using Deformable 4DCT Registration Method. Med Phys 2010. [DOI: 10.1118/1.3468994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xiong W, Huang Y, Gewanter R, Dutta P, Burman C. SU-GG-T-101: Dosimetric Analysis of Matching 6 MV Photon and Electron Fields in Chestwall Treatment. Med Phys 2010. [DOI: 10.1118/1.3468489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Obcemea C, Mueller B, Burman C, Mychalczak B. SU-GG-T-216: Practical Considerations and Clinical Implementation of Patient Specific QA for Volumetric Modulated Arc Therapy. Med Phys 2010. [DOI: 10.1118/1.3468606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chan M, Li J, Burman C. SU-GG-T-241: Patient Specific QA Using EBT2 Films for VMAT. Med Phys 2010. [DOI: 10.1118/1.3468633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Li J, Chan M, Schupak K, Burman C. Utilization of Lung Regional Density Variation for Image Guided IMRT Treatment Planning: A 4D CT Study. Int J Radiat Oncol Biol Phys 2009. [DOI: 10.1016/j.ijrobp.2009.07.1505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Chan M, Li J, Wang P, Burman C. SU-FF-T-310: Evaluation of Angular Response of 2D Diode Array Detectors with Buildup Phantom. Med Phys 2009. [DOI: 10.1118/1.3181790] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chan M, Burman C, Chiu-Tsao S. SU-FF-T-239: Planning Dose Comparison of EBT Films and 2D Diode Array at Different Gantry Angles. Med Phys 2009. [DOI: 10.1118/1.3181715] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xiong W, Huang Y, Gewanter R, Burman C. SU-FF-T-527: Patient's Variation On Tumor Control Probability for Lung Cancer Treatment. Med Phys 2009. [DOI: 10.1118/1.3182025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xiong W, Yorke E, Rosenzweig K, Sheu R, Yang J, Burman C, Huang Y, Gewanter R, Mageras G. SU-FF-T-190: Monte Carlo-Guided Improvement of Therapeutic Ratio in Pencil Beam Dose-Based IMRT Plans of Small Tumors in Lung. Med Phys 2009. [DOI: 10.1118/1.3181665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xiong W, Huang Y, Lee L, Burman C. SU-GG-T-443: Effect of Inhomogeneity On Dose Distribution for Gamma Knife(R) Perfexion(TM) Treatment. Med Phys 2008. [DOI: 10.1118/1.2962191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Obcemea C, Mueller B, Burman C, Mychalczak B. SU-GG-T-222: How Accurate Is the Gold Seeds-Based IGRT in Determining True Prostate Shifts. Med Phys 2008. [DOI: 10.1118/1.2961974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Li J, Chan M, Burman C. SU-GG-J-31: Analysis of Dosimetric Errors for CBCT Based Dose Calculation for IMRT Head and Neck Treatment. Med Phys 2008. [DOI: 10.1118/1.2961588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chan M, Burman C, Li J, Sim S. SU-GG-J-157: Quantitative Feasibility Evaluation of Contrast Enhanced CBCT for IGRT in An In-Vitro Model. Med Phys 2008. [DOI: 10.1118/1.2961706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chan M, Sim S, Li J, Burman C. SU-GG-J-103: Image-Guided Adaptive Radiation Therapy for Head and Neck Cancer Using Adaptive Planning CT Images. Med Phys 2008. [DOI: 10.1118/1.2961653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Li J, Burman C, Chan M, Sim S. SU-GG-J-87: Evaluation of Organ Motion for Prostate IMRT Treatment Using 4D CT. Med Phys 2008. [DOI: 10.1118/1.2961637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Li G, Citrin D, Camphausen K, Mueller B, Burman C, Mychalczak B, Miller RW, Song Y. Advances in 4D medical imaging and 4D radiation therapy. Technol Cancer Res Treat 2008; 7:67-81. [PMID: 18198927 DOI: 10.1177/153303460800700109] [Citation(s) in RCA: 108] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
This paper reviews recent advances in 4D medical imaging (4DMI) and 4D radiation therapy (4DRT), which study, characterize, and minimize patient motion during the processes of imaging and radiotherapy. Patient motion is inevitably present in these processes, producing artifacts and uncertainties in target (lesion) identification, delineation, and localization. 4DMI includes time-resolved volumetric CT, MRI, PET, PET/CT, SPECT, and US imaging. To enhance the performance of these volumetric imaging techniques, parallel multi-detector array has been employed for acquiring image projections and the volumetric image reconstruction has been advanced from the 2D to the 3D tomography paradigm. The time information required for motion characterization in 4D imaging can be obtained either prospectively or retrospectively using respiratory gating or motion tracking techniques. The former acquires snapshot projections for reconstructing a motion-free image. The latter acquires image projections continuously with an associated timestamp indicating respiratory phases using external surrogates and sorts these projections into bins that represent different respiratory phases prior to reconstructing the cyclical series of 3D images. These methodologies generally work for all imaging modalities with variations in detailed implementation. In 4D CT imaging, both multi-slice CT (MSCT) and cone-beam CT (CBCT) are applicable in 4D imaging. In 4D MR imaging, parallel imaging with multi-coil-detectors has made 4D volumetric MRI possible. In 4D PET and SPECT, rigid and non-rigid motions can be corrected with aid of rigid and deformable registration, respectively, without suffering from low statistics due to signal binning. In 4D PET/CT and SPECT/CT, a single set of 4D images can be utilized for motion-free image creation, intrinsic registration, and attenuation correction. In 4D US, volumetric ultrasonography can be employed to monitor fetal heart beating with relatively high temporal resolution. 4DRT aims to track and compensate for target motion during radiation treatment, minimizing normal tissue injury, especially critical structures adjacent to the target, and/or maximizing radiation dose to the target. 4DRT requires 4DMI, 4D radiation treatment planning (4D RTP), and 4D radiation treatment delivery (4D RTD). Many concepts in 4DRT are borrowed, adapted and extended from existing image-guided radiation therapy (IGRT) and adaptive radiation therapy (ART). The advantage of 4DRT is its promise of sparing additional normal tissue by synchronizing the radiation beam with the moving target in real-time. 4DRT can be implemented differently depending upon how the time information is incorporated and utilized. In an ideal situation, the motion adaptive approach guided by 4D imaging should be applied to both RTP and RTD. However, until new automatic planning and motion feedback tools are developed for 4DRT, clinical implementation of ideal 4DRT will meet with limited success. However, simplified forms of 4DRT have been implemented with minor modifications of existing planning and delivery systems. The most common approach is the use of gating techniques in both imaging and treatment, so that the planned and treated target localizations are identical. In 4D planning, the use of a single planning CT image, which is representative of the statistical respiratory mean, seems preferable. In 4D delivery, on-site CBCT imaging or 3D US localization imaging for patient setup and internal fiducial markers for target motion tracking can significantly reduce the uncertainty in treatment delivery, providing improved normal tissue sparing. Most of the work on 4DRT can be regarded as a proof-of-principle and 4DRT is still in its early stage of development.
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Affiliation(s)
- G Li
- Radiation Oncology Branch, National Cancer Institute, NIH, 9000 Rockville Pike, Bethesda, MD 20892, USA
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Chan M, Dauer L, Burman C. SU-FF-T-166: Dose Measurement to ICD Outside the Treatment Fields Using Optically Stimulated Luminescence. Med Phys 2007. [DOI: 10.1118/1.2760825] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xiong W, Huang D, Qin L, Lee L, Feng J, Morris K, Calugaru E, Li J, Burman C. SU-FF-T-167: Dose Perturbation From Head Frame at Gamma Knife Stereotactic Radiosurgery. Med Phys 2007. [DOI: 10.1118/1.2760826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Obcemea C, Muller B, Mychalczak B, Burman C. TU-D-M100F-05: Pre-Treatment Verification of Large-Field IMRT Dose Painting Plans for Head and Neck Cancer Using a Commercial QA Device. Med Phys 2007. [DOI: 10.1118/1.2761393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Song Y, Obcemea C, Muller B, Mychalczak B, Burman C. SU-FF-T-434: Urethra Identification in CT Images Based On 3-D Model Construction. Med Phys 2007. [DOI: 10.1118/1.2761159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xiong W, Huang Y, Qin L, Lee L, Feng J, Morris K, Calugaru E, Li J, Burman C. SU-FF-T-247: Implementation of MRI-Based Monte Carlo Simulation for Gamma Knife SRS. Med Phys 2007. [DOI: 10.1118/1.2760908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Chan M, Song Y, Meli J, Huang Y, Burman C. TU-FF-A1-02: Estimating Dose to ICD Outside the Treatment Fields Using Skin QED Diode. Med Phys 2006. [DOI: 10.1118/1.2241639] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Song Y, Chan M, Burman C, Wang S, Dhawan A. SU-FF-T-44: A Practical DRR Reconstruction Technique for Removing Artifact Induced by Patient Respiration for Prostate Cancer Treated with IMRT. Med Phys 2006. [DOI: 10.1118/1.2240945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Xiong W, Huang Y, Lee L, Feng J, Morris K, Calugaru E, Burman C, Yeh K, Li J, Ma C. SU-FF-T-287: Inhomogeneity Effect On Gamma Knife Stereotactic RadioSurgery. Med Phys 2006. [DOI: 10.1118/1.2241204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Chan M, Burman C, Wang S, Dhawan A. WE-E-224C-04: A New CT Reconstruction Technique for Removal of Streak Artifacts Due to Metallic Dental Fillings and Implants for the Treatment of Head and Neck Cancer with Intensity Modulated Radiation Therapy. Med Phys 2006. [DOI: 10.1118/1.2241813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Chan M, Burman C. SU-FF-T-167: Systematic Approach for Predicting DMLC Motor Failure: A Prognostic Strategy. Med Phys 2005. [DOI: 10.1118/1.1997838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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