Intensity-modulated radiation therapy (IMRT) provides the protection of the normal organs and a precise treatment plan through its optimization process. However, the final dose-volume histogram (DVH) obtained by this technique differs from the optimal DVH, owing to optimization convergence errors. Herein, intermediate dose calculation was applied to IMRT plans during the optimization process to...

BMI: Body Mass Index; RT: Radiation Therapy; EBRT: External Beam Radiation Therapy; BT: Brachytherapy; IGRT: Image Guided Radiation Therapy; BCR: Biochemical Recurrence; OS: Overall Survival; ADT: Androgen Deprivation Therapy; IMRT: Intensity Modulated Radiation Therapy; PCS: Physical Component Scale; EPIC: Expanded Prostate Cancer Index Composite Scoring System; SF-12: Short Form Health Survey...

PURPOSE To compare the acute intestinal toxicity of whole pelvic (WP) and small field (SF) intensity-modulated radiotherapy (IMRT) for prostate cancer using dosimetric and metabolic parameters as well as clinical findings. METHODS Patients who received IMRT in either a definitive or postoperative setting were prospectively enrolled. Target volume and organs at risk including intestinal cavity...

Objective. As recent participants in an integrated prostate cancer (PCa) care center, we sought to evaluate whether financial investment in an intensity-modulated radiation therapy (IMRT) center resulted in an increased utilization of radiation therapy in our patients with newly diagnosed PCa. Materials & Methods. Following institutional review board approval, we retrospectively reviewed the re...

BACKGROUND Recent studies have suggested differing toxicity patterns for patients with prostate cancer who receive treatment with 3-dimensional conformal radiotherapy (3DCRT), intensity-modulated radiotherapy (IMRT), or proton beam therapy (PBT). METHODS The authors reviewed patient-reported outcomes data collected prospectively using validated instruments that assessed bowel and urinary qual...

RaySearch RayStation Fallback (FB) planning module can generate an equivalent backup radiotherapy treatment plan facilitating treatment on other linear accelerators. FB plans were generated from the RayStation FB module by simulating the original plan target and organ at risk (OAR) dose distribution and delivered in various backup linear accelerators. In this study, helical tomotherapy (HT) bac...

The purpose of this study was to test the superiority of a soft tissue-based setup using cone-beam computed tomography (CBCT) to a bony structure-based setup using the ExacTrac system in intensity-modulated radiotherapy (IMRT) for prostate cancer. We studied 20 patients with localized prostate cancer who received IMRT between November 2010 and February 2012. After the initial setup, the pelvic ...

We present a spatiotemporally integrated formulation of the optimal fractionation problem using the standard log-linear-quadratic survival model. Our objective is to choose a fluencemap and a number of fractions so as to maximize the biological effect of tumor dose averaged over its voxels subject to maximum dose, mean dose, and dose-volume constraints for various normal tissues. Constrains are...

PURPOSE To assess the clinical efficacy and toxicity of whole pelvic intensity-modulated radiotherapy (WP-IMRT) for high-risk prostate cancer. MATERIALS AND METHODS Patients with high-risk prostate cancer treated between 2008 and 2013 were reviewed. The study included patients who had undergone WP-IMRT with image guidance using electronic portal imaging devices and/or cone-beam computed tomog...

BACKGROUND The optimal field size of salvage radiotherapy (SRT) for biochemical recurrence, particularly for patients with high-risk prostate cancer, remains undefined. This retrospective analysis was performed to investigate oncological outcomes as well as treatment-related toxicity following salvage intensity-modulated radiotherapy (IMRT) to the whole pelvis and to compare the results with ot...