Innovative Non-Irradiating and Non-Invasive Per Fraction Control System in Radiotherapy: Surface-Guided Radiation Therapy Experience of Casablanca Cancer Center

Purpose: Evaluation of the added value of radiotherapy guided by the cutaneous   surface in the positioning and monitoring of the radiotherapy   Patients and Methods: This study included 21 consecutive patients treated with an   accelerator dedicated to "True Beam®" stereotactic radiotherapy whose sessions were   monitored by an Optical Surface Monitoring System: "OSMS®". Excluded from our   study were treatments controlled exclusively by radiological imaging (IGRT).   Positioning variabilities were compared between conventional imaging and skin   surface infrared (OSMS) monitoring. Conventional imaging was in the form of   standard radiography (KV) performed during the treatment session or three-   dimensional by a series of Cone Beam computerized tomography (CBCT) scanned   images made at the beginning and end of The total time of the session and   the positioning variability’s in the 3 planes were   14   Results: The results of our study show that the cutaneous surface monitoring allowed   to obtain a faster alignment of the patient with an improvement in the overall time of   the session with a mean at 32% [14.5-49.27%], likewise a sub-millimeter positioning   quality for all locations with a median longitudinal distance of 0.02 cm [0-0.66], 01   cm verticality [0-0.32] and laterality 0.02 cm [0-0.77] This benefit is significantly   greater for cerebral and Head and neck’s localizations   21   Conclusion: Optical Surface Monitoring System (OSMS®) is a non-invasive and non-   irradiating means that allows reliable and fast