Dosimetric comparison of interactive planned and dynamic dose calculated prostate seed brachytherapy

To compare the dosimetrical results of an interactive planning procedure and a procedure based on dynamic dose calculation for permanent prostate brachytherapy. Between 6/2000 and 11/2005, 510 patients underwent 125I implants for T1–T2 prostate cancer. Before 4/2003, 187 patients were treated using...

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Veröffentlicht in:Radiotherapy and oncology 2006-09, Vol.80 (3), p.378-384
Hauptverfasser: Meijer, Gert J., van den Berg, Hetty A., Hurkmans, Coen W., Stijns, Pascal E., Weterings, Jan H.
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container_issue 3
container_start_page 378
container_title Radiotherapy and oncology
container_volume 80
creator Meijer, Gert J.
van den Berg, Hetty A.
Hurkmans, Coen W.
Stijns, Pascal E.
Weterings, Jan H.
description To compare the dosimetrical results of an interactive planning procedure and a procedure based on dynamic dose calculation for permanent prostate brachytherapy. Between 6/2000 and 11/2005, 510 patients underwent 125I implants for T1–T2 prostate cancer. Before 4/2003, 187 patients were treated using an interactive technique that included needle updating. After that period, 323 patients were treated with a more refined dynamic technique that included constant updating of the deposited seed position. The comparison is based on postimplant dose–volume parameters such as the V 100 and d 90 for the target, V 100 r for the rectum and d 10 u for the urethra. Furthermore, the target volume ratios ( TVR ≡ V 100 body / V 100 ) , and the homogeneity indices (HI ≡ [ V 100 − V 150]/ V 100) were calculated as additional quality parameters. The dose outside the target volume was significantly reduced, the V 100 r decreased from 1.4 cm 3 for the interactive technique to 0.6 cm 3 for the dynamic technique. Similarly the mean TVR reduced from 1.66 to 1.44. In addition, the mean V 100 increased from 92% for the interactive procedure to 95% for the dynamic procedure. More importantly, the percentage of patients with a V 100 < 80% reduced from 5% to 1%. A slight decline was observed with regard to the d 10 u (136% vs. 140%) and the HI (0.58 vs. 0.51). The dynamic implant procedure resulted in improved implants. Almost ideal dose coverage was achieved, while minimizing the dose outside the prostate.
doi_str_mv 10.1016/j.radonc.2006.07.038
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subjects 125I
Algorithms
Brachytherapy
Brachytherapy - methods
Dynamic dose calculation
Humans
Iodine Radioisotopes - therapeutic use
Male
Needles
Postimplant dosimetry
Prostate
Prostatic Neoplasms - diagnostic imaging
Prostatic Neoplasms - radiotherapy
Radiology, Interventional
Radiopharmaceuticals - therapeutic use
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted - methods
Radiotherapy, Conformal - methods
Rectum
Retrospective Studies
Tomography, X-Ray Computed
Urethra
title Dosimetric comparison of interactive planned and dynamic dose calculated prostate seed brachytherapy
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