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Purpose: The main purpose of this work is to investigate the optimal usage of X-ray volume imaging (XVI) system in image-guided radiotherapy with different gantry rotations in order to reduce scanning volume. Methods: A total of 60 scans of 16 individual patients with breast and head and neck cancer were used in this study. Full and partial gantry rotations were performed at the same time with same setup on the couch using XVI system by changing the preset information. The reference and localization images were matched with this system. The set up errors were evaluated with XVI software. Results: Variation in translational errors with full and half gantry rotations in breast cases were <2 mm in 86.6% of measurements. Similarly, variations between full and partial gantry rotations in head and neck cases were <1 mm in 95.5% of measurements. Results showed almost similar translational and rotational shifts in both full and partial gantry rotations in the majority of the cases. Conclusion: Based on selected cases in this study, partial rotation of the gantry for acquiring 3D cone beam computerized tomography (CBCT) is very useful option in reducing scanning volume and total treatment time in IGRT. However, the use of partial rotation of the gantry depends on patient thickness and area to be reconstructed to track anatomical changes near to the target.

PurposeIntracavitary brachytherapy (ICB) is a widely used technique in the treatment of cervical cancer. In our Institute, we use different reconstructive methods in the conventional planning procedure. The main aim of this study was to compare these methods using critical organ doses obtained in various treatment plans. There is a small difference in the recommendations in selecting bladder dose point between ICRU (International Commission on Radiation Units & Measurements) -38 and ABS (American Brachytherapy Society). The second objective of the study was to find the difference in bladder dose using both recommendations.Material and methodsWe have selected two methods: variable angle method (M1) and orthogonal method (M2). Two orthogonal sets of radiographs were taken into consideration using conventional simulator. All four radiographs were used in M1 and only two radiographs were used in M2. Bladder and rectum doses were calculated using ICRU-38 recommendations. For maximum bladder dose reference point as per the ABS recommendation, 4 to 5 reference points were marked on Foley’s balloon.Results64% of plans were showing more bladder dose and 50% of plans presented more rectum dose in M1 compared to M2. Many of the plans reviled maximum bladder dose point, other than ICRU-38 bladder point in both methods. Variation was exceeded in 5% of considerable number of plans.ConclusionsWe observed a difference in critical organ dose between two studied methods. There is an advantage of using variable angle reconstruction method in identifying the catheters. It is useful to follow ABS recommendation to find maximum bladder dose.