Set-up errors due to endorectal balloon positioning in intensity modulated radiation therapy for prostate cancer
Journal
Radiotherapy and Oncology
Journal Volume
84
Journal Issue
2
Pages
177-184
Date Issued
2007
Author(s)
Abstract
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.
SDGs
Other Subjects
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
Type
journal article