Measurements and clinical consequences of prostate motion during a radiotherapy fraction
Nederveen, Aart J.; Heide, Uulke A. van der; Dehnad, Homan; Moorselaar, R. Jeroen A. van; Hofman, Pieter; Lagendijk, Jan J.W., E-mail: a.j.nederveen@radth.ruu.nl2002
AbstractAbstract
[en] Purpose: Here we study the magnitude of prostate motion during the delivery of a radiotherapy fraction. These motions have clinical consequences for on-line position verification and the choice of margins around the target volume. Methods and Materials: We studied the motion of the prostate for 10 patients during 251 radiotherapy treatment fractions by assessing the position of implanted gold markers. Gold markers of 1 mm diameter and 5 mm length were implanted in the prostate before the start of the radiotherapy. We obtained movies during each fraction using an a-Si flat-panel imager. The markers could be detected in separate frames using a marker extraction kernel. Results: Marker displacements as large as 9.5 mm were detected in one fraction. The motion of the prostate is greatest in the caudal-cranial and the anterior-posterior directions. Within a time window of 2 to 3 min, deviations from the initial marker position, averaged over all patients, are 0.3±0.5 mm and -0.4±0.7 mm in the anterior-posterior and caudal-cranial directions, respectively. Conclusions: It appeared that on average, the intrafraction prostate motions did not result in margins larger than 1 mm, provided that the position verification is performed at time intervals of 2 to 3 min. Only for some patients performing more frequent position verification or adding extra margins of 2 to 3 mm is required to account for intrafraction prostate motions
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S0360301601028231; Copyright (c) 2002 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: International Atomic Energy Agency (IAEA)
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Journal Article
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International Journal of Radiation Oncology, Biology and Physics; ISSN 0360-3016; ; CODEN IOBPD3; v. 53(1); p. 206-214
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