SU-F-T-525: Monitordeep-Inspiratory Breathhold with a Laser Sensor for Radiation Therapy of Left Breast Cancer




Radiation therapy (RT) of left sided breast cancers with deep-inspiratory breathhold (DIBH) can reduce the dose to heart. The purpose of this study is to develop and test a new laser-based tool to improve ease of RT delivery using DIBH.


A laser sensor together with breathing monitor device (Anzai Inc., Japan) was used to record the surface breathing motion of phantom/volunteers. The device projects a laser beam to the chestwall and the reflected light creates a focal spot on a light detecting element. The position change of the focal spot correlates with the patient's breathing motion and is measured through the change of current in the light detecting element. The signal is amplified and displayed on a computer screen, which is used to trigger radiation gating. The laser sensor can be easily mounted to the simulation/treatment couch with a fixing plate and a magnet base, and has a sensitivity range of 10 to 40 cm from the patient. The correlation of breathing signals detected by laser sensor and visionRT is also investigated.


It is found that the measured breathing signal from the laser sensor is stable and reproducible and has no noticeable delay. It correlates well with the VisionRT surface imaging system. The DIBH reference level does not change with movement of the couch because the laser sensor and couch move together.


The Anzai laser sensor provides a cost-effective way to improve beam gating with DIBH for treating left breast cancer. It can be used alone or together with VisionRT to determine the correct DIBH level during the radiation treatment of left breast cancer with DIBH.