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Development of a tracking error prediction system for the CyberKnife Synchrony Respiratory Tracking System with use of support vector regression

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Abstract

Purpose

The accuracy of the CyberKnife Synchrony Respiratory Tracking System is dependent on the breathing pattern of a patient. Therefore, the tracking error in each patient must be determined. Support vector regression (SVR) can be used to easily identify the tracking error in each patient. This study aimed to develop a system with SVR that can predict tracking error according to a patient’s respiratory waveform.

Methods

Datasets of the respiratory waveforms of 93 patients were obtained. The feature variables were variation in respiration amplitude, tumor velocity, and phase shift between tumor and the chest wall, and the target variable was tracking error. A learning model was evaluated with tenfold cross-validation. We documented the difference between the predicted and actual tracking errors and assessed the correlation coefficient and coefficient of determination.

Results

The average difference and maximum difference between the actual and predicted tracking errors were 0.57 ± 0.63 mm and 2.1 mm, respectively. The correlation coefficient and coefficient of determination were 0.86 and 0.74, respectively.

Conclusion

We developed a system for obtaining tracking error by using SVR. The accuracy of such a system is clinically useful. Moreover, the system can easily evaluate tracking error.

Graphical abstract

We developed a system that can be used to predict the tracking error of SRTS in the CyberKnife Robotic Radiosurgery System using machine learning. The feature variables were the breathing parameters, and the target variable was the tracking error. We used support vector regression algorithm.

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Acknowledgements

The authors would like to thank MARUZEN-YUSHODO Co. Ltd. (https://kw.maruzen.co.jp/kousei-honyaku/) for the English language editing.

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Authors and Affiliations

  1. Department Radiotherapy Quality Management, Yokohama CyberKnife Center, Ichizawa-cho 574-1, Asahi-ku, Yokohama, 241-0014, Japan

    Kohei Okawa & Mitsuhiro Inoue

  2. Graduate School of Comprehensive Human Science, University of Tsukuba, Ibaraki, 305-8577, Japan

    Kohei Okawa

  3. Proton Medical Research Center, University of Tsukuba Hospital, Ibaraki, 305-8576, Japan

    Takeji Sakae

  4. Faculty of Medicine, University of Tsukuba, Ibaraki, 305-8577, Japan

    Takeji Sakae

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  1. Kohei Okawa
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Correspondence to Kohei Okawa.

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Okawa, K., Inoue, M. & Sakae, T. Development of a tracking error prediction system for the CyberKnife Synchrony Respiratory Tracking System with use of support vector regression. Med Biol Eng Comput 59, 2409–2418 (2021). https://doi.org/10.1007/s11517-021-02445-4

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