SU‐E‐J‐184: Stereo Time‐Of‐Flight System for Patient Positioning in Radiotherapy (Englisch)

The objective of this work is to test the advantage of using the surface acquired by two stereo Time‐of‐Flight (ToF) cameras in comparison of the use of one camera only for patient positioning in radiotherapy.

A first step consisted on validating the use of a stereo ToFcamera system for positioning management of a phantom mounted on a linear actuator producing very accurate and repeatable displacements. The displacements between two positions were computed from the surface point cloud acquired by either one or two cameras thanks to an iterative closest point algorithm. A second step consisted on determining the displacements on patient datasets, with two cameras fixed on the ceiling of the radiotherapy room. Measurements were done first on voluntary subject with fixed translations, then on patients during the normal clinical radiotherapy routine.

The phantom tests showed a major improvement in lateral and depth axis for motions above 10 mm when using the stereo‐system instead of a unique camera (Fig1). Patient measurements validate these results with a mean real and measured displacement differences in the depth direction of 1.5 mm when using one camera and 0.9 mm when using two cameras (Fig2). In the lateral direction, a mean difference of 1 mm was obtained by the stereo‐system instead of 3.2 mm. Along the longitudinal axis mean differences of 5.4 and 3.4 mm with one and two cameras respectively were noticed but these measurements were still inaccurate and globally underestimated in this direction as in the literature. Similar results were also found for patient subjects with a mean difference reduction of 35%, 7%, and 25% for the lateral, depth, and longitudinal displacement with the stereo‐system.

The addition of a second ToF‐camera to determine patient displacement strongly improved patient repositioning results and therefore insures better radiation delivery.