Assessment of Bladder Motion for Clinical Radiotherapy Practice Using Cine–Magnetic Resonance Imaging

Purpose Organ motion is recognized as the principal source of inaccuracy in bladder radiotherapy (RT), but there is currently little information on intrafraction bladder motion. Methods and Materials We used cine–magnetic resonance imaging (cine-MRI) to study bladder motion relevant to intrafraction...

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Veröffentlicht in:International journal of radiation oncology, biology, physics biology, physics, 2009-11, Vol.75 (3), p.664-671
Hauptverfasser: McBain, Catherine A., F.R.C.R, Khoo, Vincent S., F.R.C.R, Buckley, David L., Ph.D, Sykes, Jonathan S., M.Sc, Green, Melanie M., Ph.D, Cowan, Richard A., F.R.C.R, Hutchinson, Charles E., F.R.C.R, Moore, Christopher J., Ph.D, Price, Patricia M., F.R.C.R
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container_issue 3
container_start_page 664
container_title International journal of radiation oncology, biology, physics
container_volume 75
creator McBain, Catherine A., F.R.C.R
Khoo, Vincent S., F.R.C.R
Buckley, David L., Ph.D
Sykes, Jonathan S., M.Sc
Green, Melanie M., Ph.D
Cowan, Richard A., F.R.C.R
Hutchinson, Charles E., F.R.C.R
Moore, Christopher J., Ph.D
Price, Patricia M., F.R.C.R
description Purpose Organ motion is recognized as the principal source of inaccuracy in bladder radiotherapy (RT), but there is currently little information on intrafraction bladder motion. Methods and Materials We used cine–magnetic resonance imaging (cine-MRI) to study bladder motion relevant to intrafraction RT delivery. On two occasions, a 28 minute cine-MRI sequence was acquired from 10 bladder cancer patients and 5 control participants immediately after bladder emptying, after abstinence from drinking for the preceding hour. From the resulting cine sequences, bladder motion was subjectively assessed. To quantify bladder motion, the bladder was contoured in imaging volume sets at 0, 14, and 28 min to measure changes to bladder volumes, wall displacements, and center of gravity (COG) over time. Results The dominant source of bladder motion during imaging was bladder filling (up to 101% volume increase); rectal and small bowel movements were transient, with minimal impact. Bladder volume changes were similar for all participants. However for bladder cancer patients, wall displacements were larger (up to 58 mm), less symmetrical, and more variable compared with nondiseased control bladders. Conclusions Significant and individualized intrafraction bladder wall displacements may occur during bladder RT delivery. This important source of inaccuracy should be incorporated into treatment planning and verification.
doi_str_mv 10.1016/j.ijrobp.2008.11.040
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Methods and Materials We used cine–magnetic resonance imaging (cine-MRI) to study bladder motion relevant to intrafraction RT delivery. On two occasions, a 28 minute cine-MRI sequence was acquired from 10 bladder cancer patients and 5 control participants immediately after bladder emptying, after abstinence from drinking for the preceding hour. From the resulting cine sequences, bladder motion was subjectively assessed. To quantify bladder motion, the bladder was contoured in imaging volume sets at 0, 14, and 28 min to measure changes to bladder volumes, wall displacements, and center of gravity (COG) over time. Results The dominant source of bladder motion during imaging was bladder filling (up to 101% volume increase); rectal and small bowel movements were transient, with minimal impact. Bladder volume changes were similar for all participants. However for bladder cancer patients, wall displacements were larger (up to 58 mm), less symmetrical, and more variable compared with nondiseased control bladders. Conclusions Significant and individualized intrafraction bladder wall displacements may occur during bladder RT delivery. 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Methods and Materials We used cine–magnetic resonance imaging (cine-MRI) to study bladder motion relevant to intrafraction RT delivery. On two occasions, a 28 minute cine-MRI sequence was acquired from 10 bladder cancer patients and 5 control participants immediately after bladder emptying, after abstinence from drinking for the preceding hour. From the resulting cine sequences, bladder motion was subjectively assessed. To quantify bladder motion, the bladder was contoured in imaging volume sets at 0, 14, and 28 min to measure changes to bladder volumes, wall displacements, and center of gravity (COG) over time. Results The dominant source of bladder motion during imaging was bladder filling (up to 101% volume increase); rectal and small bowel movements were transient, with minimal impact. Bladder volume changes were similar for all participants. However for bladder cancer patients, wall displacements were larger (up to 58 mm), less symmetrical, and more variable compared with nondiseased control bladders. Conclusions Significant and individualized intrafraction bladder wall displacements may occur during bladder RT delivery. 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histology</topic><topic>Reproducibility of Results</topic><topic>THERAPY</topic><topic>Tumor Burden</topic><topic>Urinary Bladder - anatomy &amp; histology</topic><topic>Urinary Bladder Neoplasms - pathology</topic><topic>Urinary Bladder Neoplasms - radiotherapy</topic><topic>URINARY TRACT</topic><topic>Urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McBain, Catherine A., F.R.C.R</creatorcontrib><creatorcontrib>Khoo, Vincent S., F.R.C.R</creatorcontrib><creatorcontrib>Buckley, David L., Ph.D</creatorcontrib><creatorcontrib>Sykes, Jonathan S., M.Sc</creatorcontrib><creatorcontrib>Green, Melanie M., Ph.D</creatorcontrib><creatorcontrib>Cowan, Richard A., F.R.C.R</creatorcontrib><creatorcontrib>Hutchinson, Charles E., F.R.C.R</creatorcontrib><creatorcontrib>Moore, Christopher J., Ph.D</creatorcontrib><creatorcontrib>Price, Patricia M., F.R.C.R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>International journal of radiation oncology, biology, physics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McBain, Catherine A., F.R.C.R</au><au>Khoo, Vincent S., F.R.C.R</au><au>Buckley, David L., Ph.D</au><au>Sykes, Jonathan S., M.Sc</au><au>Green, Melanie M., Ph.D</au><au>Cowan, Richard A., F.R.C.R</au><au>Hutchinson, Charles E., F.R.C.R</au><au>Moore, Christopher J., Ph.D</au><au>Price, Patricia M., F.R.C.R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of Bladder Motion for Clinical Radiotherapy Practice Using Cine–Magnetic Resonance Imaging</atitle><jtitle>International journal of radiation oncology, biology, physics</jtitle><addtitle>Int J Radiat Oncol Biol Phys</addtitle><date>2009-11-01</date><risdate>2009</risdate><volume>75</volume><issue>3</issue><spage>664</spage><epage>671</epage><pages>664-671</pages><issn>0360-3016</issn><eissn>1879-355X</eissn><abstract>Purpose Organ motion is recognized as the principal source of inaccuracy in bladder radiotherapy (RT), but there is currently little information on intrafraction bladder motion. Methods and Materials We used cine–magnetic resonance imaging (cine-MRI) to study bladder motion relevant to intrafraction RT delivery. On two occasions, a 28 minute cine-MRI sequence was acquired from 10 bladder cancer patients and 5 control participants immediately after bladder emptying, after abstinence from drinking for the preceding hour. From the resulting cine sequences, bladder motion was subjectively assessed. To quantify bladder motion, the bladder was contoured in imaging volume sets at 0, 14, and 28 min to measure changes to bladder volumes, wall displacements, and center of gravity (COG) over time. Results The dominant source of bladder motion during imaging was bladder filling (up to 101% volume increase); rectal and small bowel movements were transient, with minimal impact. Bladder volume changes were similar for all participants. However for bladder cancer patients, wall displacements were larger (up to 58 mm), less symmetrical, and more variable compared with nondiseased control bladders. Conclusions Significant and individualized intrafraction bladder wall displacements may occur during bladder RT delivery. This important source of inaccuracy should be incorporated into treatment planning and verification.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19473781</pmid><doi>10.1016/j.ijrobp.2008.11.040</doi><tpages>8</tpages></addata></record>
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subjects Aged
BLADDER
Bladder cancer
BODY
Case-Control Studies
Cine-MRI
DIAGNOSTIC TECHNIQUES
DISEASES
Dose Fractionation
Female
Hematology, Oncology and Palliative Medicine
Humans
Intestine, Small - anatomy & histology
Intrafraction motion
Magnetic Resonance Imaging, Cine
Male
MEDICINE
Middle Aged
MOTION
Movement
NEOPLASMS
NMR IMAGING
NUCLEAR MEDICINE
Organ Size
ORGANS
Prospective Studies
RADIOLOGY
RADIOLOGY AND NUCLEAR MEDICINE
RADIOTHERAPY
Rectum - anatomy & histology
Reproducibility of Results
THERAPY
Tumor Burden
Urinary Bladder - anatomy & histology
Urinary Bladder Neoplasms - pathology
Urinary Bladder Neoplasms - radiotherapy
URINARY TRACT
Urine
title Assessment of Bladder Motion for Clinical Radiotherapy Practice Using Cine–Magnetic Resonance Imaging
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