Fiducial markers visibility and artefacts in prostate cancer radiotherapy multi-modality imaging

insertion of intraprostate gold fiducial markers in prostate cancer treatment

Planning target volume margins for prostate radiotherapy using daily electronic portal imaging and implanted fiducial markers

BACKGROUND Fiducial markers and daily electronic portal imaging (EPI) can reduce the risk of geographic miss in prostate cancer radiotherapy. The purpose of this study was to estimate CTV to PTV margin requirements, without and with the use of this image guidance strategy. METHODS 46 patients underwent placement of 3 radio-opaque fiducial markers prior to prostate RT. Daily pre-treatment EPIs...

Potentials of on-line repositioning based on implanted fiducial markers and electronic portal imaging in prostate cancer radiotherapy

BACKGROUND To evaluate the benefit of an on-line correction protocol based on implanted markers and weekly portal imaging in external beam radiotherapy of prostate cancer. To compare the use of bony anatomy versus implanted markers for calculation of setup-error plus/minus prostate movement. To estimate the error reduction (and the corresponding margin reduction) by reducing the total error to ...

Multi-modality nuclear medicine imaging: artefacts, pitfalls and recommendations

Multi-modality imaging is rapidly becoming an essential tool in oncology. Clinically, the best example of multimodality imaging is seen in the rapid evolution of hybrid positron emission tomography (PET)/computed tomography (CT) and single positron emission computed tomography (SPECT)/CT scanners. However, use of multi-modality imaging is prone to artefacts and pitfalls. Important artefacts tha...

Intraprostatic fiducial markers: a potential application for ultrasound-guided radiotherapy in prostate cancer

We report on a two-phase test performed to assess the ability of the ultrasound-based B-mode acquisition and targeting (BAT) trans-abdominal system to identify non-dedicated fiducial markers implanted into the prostate gland for subsequent image-guided radiotherapy.Although further investigation is warranted in order to identify the optimal echogenic marker and to define its potential use for i...