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F Bova

Publications and source records attributed to F Bova.

7 recordsLinked to original sources

Volume rendering quantification algorithm for reconstruction of CT volume-rendered structures: Part I. Cerebral arteriovenous malformations.

Volume rendering is a visualization technique that has important applications in diagnostic radiology and in radiotherapy but has not achieved widespread use due, in part, to the lack of volumetric analysis tools for comparison of volume rendering to conventional visualization techniques. The volume rendering quantification algorithm (VRQA), a technique for three-dimensional (3-D) reconstruction of a structure identified on six principal volume-rendered views, is introduced and described. VRQA involves three major steps: 1) preprocessing of the partial surfaces constructed from each of six volume-rendered images; 2) merging these processed partial surfaces to define the boundaries of a volume; and 3) computation of the volume of the structure from this boundary information. After testing on phantoms, VRQA was applied to CT data of patients with cerebral arteriovenous malformations (AVM's). Because volumetric visualization of the cerebral AVM is relatively insensitive to operator dependencies, such as the choice of opacity transfer function, and because precise volumetric definition of the AVM is necessary for radiosurgical treatment planning, it is representative of a class of structures that is ideal for testing and calibration of VRQA. AVM volumes obtained using VRQA are intermediate to those obtained using axial contouring and those obtained using CT-correlated biplanar angiography (two routinely used visualization techniques for treatment planning for AVM's). Applications and potential expansions of VRQA are discussed.

Algorithms↗

Inverse radiosurgery treatment planning through deconvolution and constrained optimization.

An inverse radiosurgery treatment planning approach is presented which calculates conformal dose distributions for small, irregularly shaped targets. Two general approaches have been suggested for solution of the inverse radiotherapy problem: explicit and implicit. Explicit methods are typically fast, but generally require geometric and/or dosimetric simplifications. Implicit methods have also been used, but are computationally expensive because they require iterative manipulation of each beam's individual elements. The method presented here incorporates an integrated approach in order to efficiently solve the inverse problem without requiring simplifications which may affect the accuracy of the final result. A deconvolution algorithm (explicit approach) is utilized to determine the intensity modulation function for multiple user-selected beam's eye views of the desired dose distribution. A simulated annealing algorithm (implicit approach) then optimizes each beam's macroscopic weight. Additionally, this method is fully three-dimensional and accurately models phantom scatter by incorporating Monte Carlo generated energy deposition kernels into the dosimetry process. Several small target structure examples are presented and applicability of this methodology to larger targets for general radiotherapy cases is addressed.

Algorithms↗

Current radiosurgery practice: results of an ASTRO survey. Task Force on Stereotactic Radiosurgery, American Society for Therapeutic Radiology and Oncology.

PURPOSE: Although there is increasing interest in radiosurgery, little quantitative data regarding current patterns of radiosurgery practice are available. We developed a radiosurgery questionnaire to obtain information on radiosurgery practice. METHODS AND MATERIALS: We distributed the questionnaire to the entire membership of the American Society of Therapeutic Radiology and Oncology in early 1993. Responses were obtained from 74 facilities that practice radiosurgery, corresponding to over 6000 treatments carried out since 1983 by 135 radiation oncologists and 130 physicists. RESULTS: Most respondents were found to work within a multidisciplinary team, consisting of the following specialists (average hours devoted per patient on day of treatment in parentheses): radiation oncologist (3.8), neurosurgeon (3.2), physicist (6.1), radiologist (0.7), nurse (2.7), other (3.0). On average, neurosurgeons and nurses who perform Gamma Knife radiosurgery devote significantly more time-per-patient on the day of treatment than their peers who perform linac radiosurgery. On average, less experienced radiation oncologists and physicists (< or = 24 months experience, or < or = 50 patients treated) devote significantly more time-per-patient on the day of treatment than their more experienced peers. Although there are many more linac radiosurgery facilities than Gamma Knife facilities, on average the number of patients treated per month per facility is significantly larger at the latter. On average, follow-up responsibilities are nearly equally shared by radiation oncologists and neurosurgeons, except at Gamma Knife facilities, where neurosurgeons assume a larger percentage of follow-up responsibility. The percentages of patients treated at linac facilities for metastases or primary CNS malignancy are larger than the corresponding percentages at Gamma Knife facilities; the opposite is true for arteriovenous malformation, acoustic neuroma, and meningioma. CONCLUSION: Current radiosurgery practice usually involves a team approach, with participation of specialists from radiation oncology, neurosurgery, physics, radiology, and nursing. The average number of M.D. and Ph.D. hours required per treatment on the day of radiosurgery is high.

Canada↗

Optimisation of dose distribution for linear accelerator-based stereotactic radiosurgery.

The work presented in the paper addresses a method for obtaining the optimal dose distribution for LINAC-based stereotactic radiosurgery. As many targets have nonspherical or irregular shapes and three-dimensional dose calculations included in dose optimisation, long computation times are required to determine the optimum isocentre separation and collimator sizes to shape the irregular target using the multiple-isocentre approach, by trial-and-error types of method. The simple approach, using a computer-aided design optimisation technique and a fast approximate dose model, has been developed to find the optimum isocentre positions and collimator sizes quickly and automatically. A spherical dose model has been developed to represent the dose for a standard arc system with a single isocentre. The implementation of computer-aided design algorithms with the spherical dose model and their application to several cases are discussed. It is shown that the spherical dose model gives dose distribution similar to that of the exact dose model, which makes this simple dose model more efficient, with computer-aided design optimisation, in finding optimum isocentre positions and collimator sizes used in stereotactic radiosurgery.

Humans↗

A device for experimental radiosurgery.

As radiosurgery evolves into a widely available treatment modality for a variety of intracranial lesions, the need for basic research concerning the radiobiology of high-dose single-fraction ionizing radiation becomes crucial. A device especially designed for experimental radiosurgery in the cat is described. It incorporates basic parts of the Kopf stereotactic frame for accurate target positioning. A motorized pendular movement of the machine is used to describe a radiation arc, while the radiation source (either a linear accelerator or a cobalt machine) remains stationary. The pathway of the different radiation arcs is modified by rotation of the animal platform around the machine isocenter. Mechanical accuracy tests have shown a maximal alignment error of 0.15 mm, comparing favorably with that reported for modern clinical radiosurgical systems.

Animals↗