https://scholars.lib.ntu.edu.tw/handle/123456789/485717
標題: | Set-up errors due to endorectal balloon positioning in intensity modulated radiation therapy for prostate cancer | 作者: | CHUN-WEI WANG Chong F.-C. Lai M.-K. YEONG-SHIAU PU Wu J.-K. CHIA-HSIEN CHENG |
公開日期: | 2007 | 卷: | 84 | 期: | 2 | 起(迄)頁: | 177-184 | 來源出版物: | Radiotherapy and Oncology | 摘要: | Purpose: To investigate the set-up errors and deformation associated with daily placement of endorectal balloons in prostate radiotherapy. Materials and methods: Endorectal balloons were placed daily in 20 prostate cancer patients undergoing radiotherapy. Electronic portal images (EPIs) were collected weekly from anterior-posterior (AP) and lateral views. The EPIs were compared with digitally reconstructed radiographs from computed tomography scans obtained during pretreatment period to estimate displacements. The interfraction deformation of balloon was estimated with variations in diameter in three orthogonal directions throughout the treatment course. Results: A total of 154 EPIs were evaluated. The mean displacements of balloon relative to bony landmark were 1.8 mm in superior-inferior (SI), 1.3 mm in AP, and 0.1 mm in left-right (LR) directions. The systematic errors in SI, AP, and LR directions were 3.3 mm, 4.9 mm, and 4.0 mm, respectively. The random (interfraction) displacements, relative to either bony landmarks or treatment isocenter, were larger in SI direction (4.5 mm and 4.5 mm), than in AP (3.9 mm and 4.4 mm) and LR directions (3.0 mm and 3.0 mm). The random errors of treatment isocenter to bony landmark were 2.3 mm, 3.2 mm, and 2.6 mm in SI, AP, and LR directions, respectively. Over the treatment course, balloon deformations of 2.8 mm, 2.5 mm, and 2.6 mm occurred in SI, AP, and LR directions, respectively. The coefficient of variance of deformation was 7.9%, 4.9%, and 4.9% in these directions. Conclusions: Larger interfractional displacement and the most prominent interfractional deformation of endorectal balloon were both in SI direction. ? 2007 Elsevier Ireland Ltd. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-34548140120&doi=10.1016%2fj.radonc.2007.06.009&partnerID=40&md5=76c35d6087970376790c454c043f80a7 https://scholars.lib.ntu.edu.tw/handle/123456789/485717 |
ISSN: | 0167-8140 | DOI: | 10.1016/j.radonc.2007.06.009 | SDG/關鍵字: | aged; article; balloon; cancer patient; cancer radiotherapy; clinical article; computer assisted tomography; digital radiography; electronics; endorectal balloon; human; image analysis; intensity modulated radiation therapy; male; priority journal; prostate cancer; systematic error; Aged; Humans; Male; Prostatic Neoplasms; Radiotherapy Planning, Computer-Assisted; Radiotherapy, Intensity-Modulated; Rectum; Tomography, X-Ray Computed |
顯示於: | 腫瘤醫學研究所 |
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