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Intra- and interfractional movements of the BeamCath urethral catheter for image-guided radiotherapy of prostate cancer

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Title: Intra- and interfractional movements of the BeamCath urethral catheter for image-guided radiotherapy of prostate cancer
Authors: Henriette B. Honoré1, Per R. Poulsen1, and Morten Høyer2 Radiation treatment of prostate cancer is characterized by the necessity of a very high dose to the PTV region and a narrow margin to one of the risk organs, the rectum. A high geometrical precision is therefore needed. Both the prostate and the rectum have a large mobility. Daily patient positioning based on the location of the prostate itself can contribute to a significant margin reduction. Image guided prostate localization can be obtained by the BeamCath urethral catheter, which contains radiopaque fiducials for prostate visualization. In order to determine an appropriate CTV to PTV margin the position of the catheter relative to the bony anatomy and linac isocentre was investigated for repeated BeamCath sessions. Methods and Material Results Conclusions In the AP direction, which is most critical with regard to rectum sparing, the BeamCath technique allows a narrowing of the CTV to PTV margin. However, the technique seems to suffer from instabilities in the direction of the urethra. Further insight can be obtained from an analysis of the repeated CT scans where prostate and catheter movement can be separated (submitted for publication). 1 Department of Medical Physics and 2 Department of Oncology, Aarhus University Hospital, Denmark
Presenter: Honoré Henriette B. - Contact
Category: Genito Urinary
Language: English
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Date of Validation: 2007-12-25