Development And Validation Of A Low-Cost Dynamic Phantom For Quality Control Of Respiratory Management Systems
Keywords:
Deep inspiration breath‑hold, gated radiotherapy, respiratory‑gated, treatment, respiratory monitoring system, dynamic phantomAbstract
This study aims to develop and validate a cost-effective dynamic phantom designed to simulate respiratory motion for use in the quality control of management systems. The phantom was constructed using polycarbonate material and a Nema 17 motor to replicate respiratory motion. A user-friendly graphical interface was developed to configure movement patterns. A paraffin semi-sphere was incorporated to mimic breast anatomy, and its dimensions were verified for electronic equilibrium. System calibration adjusted the amplitude of the simulated respiratory motion based on the motor's step count. Repeatability and reproducibility tests were conducted for amplitude, apnea duration, and various frequencies. The density of the paraffin buildup cap was assessed using Hounsfield Units (HU) in Treatment Planning Systems. The movement calibration yielded a third-degree polynomial fit (R² = 0.999). Repeatability tests in free-breathing mode showed an average amplitude of 31.2 ± 0.17 mm, with a global relative deviation of 0.5%. Reproducibility tests revealed variances relative to the mean of less than 0.5%. In apnea mode, the maximum relative variation in movement suspension time was 0.8%. Amplitude consistency tests indicated reliable performance with variations below 0.18 mm for amplitudes above 10 mm. The paraffin cap's HU value averaged -215 ± 40, sufficient for electronic equilibrium. The developed phantom has been validated as an effective tool for conducting prescribed tests to evaluate the quality and performance of respiratory management systems. Its high precision makes it suitable for various assessments, including dosimetric evaluations and the simulation of different respiratory cycles.
Downloads
References
Abdollahi, S. et al. Dynamic anthropomorphic thorax phantom for quality assurance of motion management in radiotherapy. Physics and Imaging in Radiation Oncology, v. 30, p. 100587, abr. 2024.
Bergom, C. et al. Deep inspiration breath hold: Techniques and advantages for cardiac sparing during breast cancer irradiation. Frontiers in Oncology, v. 8, n. APR, 4 abr. 2018.
Bright, M. et al. Failure modes and effects analysis for surface-guided DIBH breast radiotherapy. Journal of Applied Clinical Medical Physics, v. 23, n. 4, 1 abr. 2022.
Bruzzaniti, V. et al. Dosimetric and clinical advantages of deep inspiration breath-hold (DIBH) during radiotherapy of breast cancer. Journal of Experimental and Clinical Cancer Research, v. 32, n. 1, 2013.
Cheung, Y.; SAWANT, A. An externally and internally deformable, programmable lung motion phantom. Medical Physics, v. 42, n. 5, 1 maio 2015.
Duma, M. N. et al. Heart-sparing radiotherapy techniques in breast cancer patients: a recommendation of the breast cancer expert panel of the German society of radiation oncology (DEGRO). Strahlentherapie und Onkologie, v. 195, n. 10, p. 861–871, 1 out. 2019.
Dunn, L. et al. A programmable motion phantom for quality assurance of motion management in radiotherapy. Australasian Physical and Engineering Sciences in Medicine, v. 35, n. 1, p. 93–100, mar. 2012.
Ezzell, G. A. et al. IMRT commissioning: Multiple institution planning and dosimetry comparisons, a report from AAPM Task Group 119. Medical Physics, v. 36, n. 11, p. 5359–5373, 2009.
Farzaneh, M. J. K. et al. Design and construction of a laser-based respiratory gating system for implementation of deep inspiration breathe hold technique in radiotherapy clinics. Journal of Medical Signals and Sensors, v. 8, n. 4, p. 253–262, 1 out. 2018.
Fassi, A. et al. Reproducibility of the external surface position in left-breast DIBH radiotherapy with spirometer-based monitoring. Journal of Applied Clinical Medical Physics, v. 15, n. 1, p. 130–140, 2014.
Jiang, S. B. et al. An experimental investigation on intra-fractional organ motion effects in lung IMRT treatments. MEDICINE AND BIOLOGY Phys. Med. Biol, v. 48, p. 1773–1784, 2003.
Keall, P. J. et al. The management of respiratory motion in radiation oncology report of AAPM Task Group 76Medical Physics. [s.l.] John Wiley and Sons Ltd, 2006.
Klein, E. E. et al. Task group 142 report: Quality assurance of medical accelerators. Medical Physics. John Wiley and Sons Ltd, , 2009.
Kvist, H.; SJÖSTRÖM, L.; TYLÉN, U. Adipose tissue volume determinations in women by computed tomography: technical considerations. International journal of obesity, v. 10, n. 1, p. 53–67, 1986.
Latty, D. et al. Review of deep inspiration breath-hold techniques for the treatment of breast cancer. Journal of Medical Radiation Sciences, v. 62, n. 1, p. 74–81, 1 mar. 2015.
Li, H. et al. AAPM Task Group Report 290: Respiratory motion management for particle therapy. Medical Physics, v. 49, n. 4, 31 abr. 2022.
Li, N. et al. Design of a Patient-Specific Respiratory-Motion-Simulating Platform for In Vitro 4D Flow MRI. Annals of Biomedical Engineering, v. 51, n. 5, p. 1028–1039, 29 maio 2023.
Lu, H.-M. et al. REDUCTION OF CARDIAC VOLUME IN LEFT-BREAST TREATMENT FIELDS BY RESPIRATORY MANEUVERS: A CT STUDY. 2000.
Macrie, B. D. et al. A cost-effective technique for cardiac sparing with deep inspiration-breath hold (DIBH). Physica Medica, v. 31, n. 7, p. 733–737, 1 nov. 2015.
Nano, T. et al. OpenABC: An Open-Source Active Breathing Control System for Low-Resource Centers. International Journal of Radiation Oncology*Biology*Physics, v. 108, n. 3, p. e388, nov. 2020.
Pedersen, A. N. et al. Breathing adapted radiotherapy of breast cancer: Reduction of cardiac and pulmonary doses using voluntary inspiration breath-hold. Radiotherapy and Oncology, v. 72, n. 1, p. 53–60, jul. 2004.
Ranjbar, M. et al. A novel deformable lung phantom with programably variable external and internal correlation. Medical Physics, v. 46, n. 5, p. 1995–2005, 1 maio 2019.
Reitz, D. et al. Stability and reproducibility of 6013 deep inspiration breath-holds in left-sided breast cancer. Radiation Oncology, v. 15, n. 1, p. 121, 24 dez. 2020.
Shirato, H. et al. Intrafractional Tumor Motion: Lung and Liver. Seminars in Radiation Oncology, v. 14, n. 1, p. 10–18, 2004.
Smyth, L. M. et al. The cardiac dose-sparing benefits of deep inspiration breath-hold in left breast irradiation: A systematic review. Journal of Medical Radiation Sciences, v. 62, n. 1, p. 66–73, 1 mar. 2015.
Stevens, C. W. et al. RESPIRATORY-DRIVEN LUNG TUMOR MOTION IS INDEPENDENT OF TUMOR SIZE, TUMOR LOCATION, AND PULMONARY FUNCTION. 2001.
Tracker COMMUNITY. Tracker Video Analysis and Modeling Tool. Disponível em: <https://physlets.org/tracker/>. Acesso em: 27 maio. 2024.
Wolf, J. et al. Deep inspiration breath-hold radiation therapy in left-sided breast cancer patients: a single-institution retrospective dosimetric analysis of organs at risk doses. Strahlentherapie und Onkologie, v. 199, n. 4, p. 379–388, 1 abr. 2023.
Xin, X. et al. Retrospective Study on Left-Sided Breast Radiotherapy: Dosimetric Results and Correlation with Physical Factors for Free Breathing and Breath Hold Irradiation Techniques. Technology in Cancer Research and Treatment, v. 20, 2021.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista Interdisciplinar de Pesquisa em Engenharia

This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Given the public access policy of the journal, the use of the published texts is free, with the obligation of recognizing the original authorship and the first publication in this journal. The authors of the published contributions are entirely and exclusively responsible for their contents.
1. The authors authorize the publication of the article in this journal.
2. The authors guarantee that the contribution is original, and take full responsibility for its content in case of impugnation by third parties.
3. The authors guarantee that the contribution is not under evaluation in another journal.
4. The authors keep the copyright and convey to the journal the right of first publication, the work being licensed under a Creative Commons Attribution License-BY.
5. The authors are allowed and stimulated to publicize and distribute their work on-line after the publication in the journal.
6. The authors of the approved works authorize the journal to distribute their content, after publication, for reproduction in content indexes, virtual libraries and similars.
7. The editors reserve the right to make adjustments to the text and to adequate the article to the editorial rules of the journal.







