Prostate immobilization using a rectal balloon

نویسندگان

  • John. E. McGary
  • Bin S. Teh
  • E. Brian Butler
  • Walter Grant
چکیده

We use a rectal balloon for prostate immobilization during intensity modulated radiotherapy (IMRT) prostate treatment. To improve the accuracy of our prostate planning target volume, we have measured prostate displacements using computed tomography (CT)-CT fusion on patients that previously received gold seed implants. The study consists of ten patients that were scanned twice per week during the course of IMRT treatment. In addition to biweekly scans, breathing studies were performed on each patient to estimate organ motion during treatment. The prostate displacement in the anterior-posterior and the lateral direction is minimal, on the order of measurement uncertainty (~1 mm). The standard deviation of the superior-inferior (SI) displacements is 1.78 mm. The breathing studies show that no organ displacement was detected during normal breathing conditions with a rectal balloon.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Impact on rectal dose from the use of a prostate immobilization and rectal localization device for patients receiving dose escalated 3D conformal radiation therapy.

PURPOSE When >25% of the rectum is irradiated to > or = 70 Gy, the risk of developing Grade 2 or higher rectal complications is significantly increased. This study evaluates the impact on dose to the rectum from the use of an intrarectal (IR) balloon device, previously shown to immobilize the prostate gland and localize the rectum, in patients receiving dose escalated 3-dimentional (3D) conform...

متن کامل

Impact of rectal balloon‐filling materials on the dosimetry of prostate and organs at risk in photon beam therapy

The use of rectal balloon in radiotherapy of prostate cancer is shown to be effective in reducing prostate motion and minimizing rectal volume, thus reducing rectal toxicity. Air-filled rectal balloon has been used most commonly, but creates dose perturbation at the air-tissue interface. In this study, we evaluate the effects of rectal balloon-filling materials on the dose distribution to the t...

متن کامل

Optimization of collimator parameters to reduce rectal dose in intensity-modulated prostate treatment planning.

The inability to avoid rectal wall irradiation has been a limiting factor in prostate cancer treatment planning. Treatment planners must not only consider the maximum dose that the rectum receives throughout a course of treatment, but also the dose that any volume of the rectum receives. As treatment planning techniques have evolved and prescription doses have escalated, limitations of rectal d...

متن کامل

Positional Reproducibility and Effects of a Rectal Balloon in Prostate Cancer Radiotherapy

Despite the increasing use of the rectal balloon in prostate cancer radiotherapy, many issues still remain to be verified objectively including its positional reproducibility and relevance to treatment morbidity. We have developed a custom rectal balloon that has a scale indicating the depth of insertion and dilates symmetrically ensuring positional reproducibility. Fifty patients with prostate...

متن کامل

Effectiveness of a novel gas‐release endorectal balloon in the removal of rectal gas for prostate proton radiation therapy

Endorectal balloons (ERBs) are routinely used in prostate proton radiation therapy to immobilize the prostate and spare the rectal wall. Rectal gas can distend the rectum and displace the prostate even in the presence of ERBs. The purpose of this work was to quantify the effects an ERB with a passive gas release conduit had on the incidence of rectal gas. Fifteen patients who were treated with ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 3  شماره 

صفحات  -

تاریخ انتشار 2002