BACKGROUND The dose distribution to the rectum, delineated as solid organ, rectal wall and rectal surface, in 3D conformal (3D-CRT) and intensity-modulated radiotherapy treatment (IMRT) planning for localized prostate cancer was evaluated. MATERIALS AND METHODS In a retrospective planning study 3-field, 4-field and IMRT treatment plans were analyzed for ten patients with localized prostate ca...

Previous studies have shown that, by optimizing segment shapes and weights directly, without explicitly optimizing fluence profiles, effective IMRT plans can be generated with fewer segments. This study proposes a method of direct-aperture optimization with aperture shape constraints, which is designed to provide segmental IMRT plans using a minimum of simple, regular segments. The method uses ...

BACKGROUND During the last years, there has been a rapid adoption of intensity-modulated radiation therapy (IMRT) in patients with prostate cancer (PCa), despite the lack of randomized trials evaluating its effectiveness. The aim of our study was to evaluate the survival benefit associated with IMRT in patients with PCa. PATIENTS AND METHODS Overall, 42 483 patients with PCa treated with IMRT...

ID: 17554 Title: Dosimetric comparison of volumetric modulated arc therapy (VMAT), step and shoot and sliding window IMRT for prostate cancer 1 : Baltas D, Kolotas C, Geramani K, et al. A conformal index (COIN) to evaluate implant quality and dose specification in brachytherapy. Int J Radiat Oncol Biol Phys 40, 515-524 (1998). 2 : van’t Riet A, Mak AC, Moerland MA, et al. A conformation number ...

Introduction: Beam-angle optimization (BAO) is a computationally intensive problem for a number of reasons. First, the search space of the solutions is huge, requiring enumeration of all possible beam orientation combinations. For example, when choosing 4 angles out of 36 candidate beam angles, C36 = 58905 possible combinations exist.  Second, any change in a   beam 4 config...

BACKGROUND Most studies of men undergoing treatment for prostate cancer examine physical symptoms as predictors of Quality of Life (QOL). However, symptoms vary by treatment modality in this population, and psychosocial variables, shown to be important to QOL, have rarely been examined. Litwin noted a need for analysis of QOL data in men treated for prostate cancer with different modes of thera...

BACKGROUND The prognostic factors for the recurrence of lymph node (LN) metastasis after dose-escalated radiotherapy (RT) in prostate cancer patients have not been well investigated. We report the prognostic factors and outcomes in patients receiving salvage treatment for LN recurrence after high-dose intensity-modulated RT (IMRT). METHODS We studied a cohort of 419 patients with localized pr...

Novalis Tx ExacTrac X-ray system has the 6D adjustment ability for patient setup. Limited studies exist about the setup uncertainty with ExacTrac X-ray system for IMRT prostate treatment with fiducial markers implanted. The purpose of this study is to investigate the marker-based prostate IMRT treatment setup uncertainty using ExacTrac 6D IGRT ability for patient setup. Forty-three patients wit...

OBJECTIVE To determine the cost-effectiveness of several external beam radiation treatment modalities for the treatment of patients with localized prostate cancer. METHODS A lifetime Markov model incorporated the probabilities of experiencing treatment-related long-term toxicity or death. Toxicity probabilities were derived from published sources using meta-analytical techniques. Utilities an...

BACKGROUND To identify predictors of acute and late rectal toxicity following prostate cancer radiotherapy (RT), while integrating the potential impact of RT technique, dose escalation, and moderate hypofractionation, thus enabling us to generate a nomogram for individual prediction. METHODS In total, 972 patients underwent RT for localized prostate cancer, to a total dose of 70 Gy or 80 Gy, ...