Markerless Image Guidance Using Intrafraction Kilovoltage X-ray Imaging

ConditionLung Cancer
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Sydney

About this trial

This trial will investigate the feasibility of the Markerless Tumour Tracking technology.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Is willing to comply with all trial procedures and intends to provide written Informed Consent for participation in this trial.

Patients undergoing external beam radiotherapy.

Histologically proven Stage I NSCLC or oligometastatic lung metastases (3 or less).

MRI/4D-CT prior to insertion of fiducial markers.

Disqualifiers

Patient has low respiratory performance as evaluated by the physicians.

Previous high-dose thoracic radiotherapy.

Less than one fiducial marker implanted in the lung.

Fiducial markers are too far from the tumour centroid (>9 cm).

Trial design

Design model

Single group

Treatments tested in this trial

  • Markerless Image Guidance

    Device

    Single arm trial using implanted markers to determine the feasibility of Markerless Image Guidance using Intrafraction Kilovoltage X-ray Imaging

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Markerless Image Guidance ArmExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Markerless Tumour Tracking is feasible for motion-adaptive lung cancer radiotherapy

This will be measured by 90% of the treatment fractions achieving: 1. Continuous on-line tracking with no software failure; 2. Agreement between markerless and marker-based tracking within 3 mm in each direction (left-right, superior-inferior, anterior-posterior) for at least 80% of the beam-on time as assessed in off-line analyses.

Time frame
2 years

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.