Seminal vesicle interfraction displacement and margins in image guided radiotherapy for prostate cancer

Radiation Oncology

Farshad Foroudi³  Gillian Duchesne³  Jessica Thomas¹  Kellie Knight⁴  Jim Cramb²  Tomas Kron²  Annette Haworth²  Alison Stillie¹  Roxby Paul²  Suki Gill¹  Daisy Mak¹ 

[1] Radiation Oncology Division, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett Street, East Melbourne, VIC, 8006, Australia;Physical Sciences Department, Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia;Department of Pathology, The University of Melbourne, East Melbourne, VIC, Australia;Radiation Therapy Services, Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia

关键词: Radiotherapy;    Prostate cancer;    Margins;    Interfraction displacement;    Seminal vesicle;   

Others  :  1155410
DOI  :  10.1186/1748-717X-7-139

 received in 2012-03-06, accepted in 2012-08-04,  发布年份 2012

【 摘 要 】

Background

To analyze interfraction motion of seminal vesicles (SV), and its motion relative to rectal and bladder filling.

Methods and Materials

SV and prostate were contoured on 771 daily computed tomography “on rails” scans from 24 prostate cancer patients undergoing radiotherapy. Random and systematic errors for SV centroid displacement were measured relative to the prostate centroid. Margins required for complete geometric coverage of SV were determined using isotropic expansion of reference contours. SV motion relative to rectum and bladder was determined.

Results

Systematic error for the SV was 1.9 mm left-right (LR), 2.9 mm anterior-posterior (AP) and 3.6 mm superior-inferior (SI). Random error was 1.4 mm (LR), 2.7 mm (AP) and 2.1 mm (SI). 10 mm margins covered the entire left SV and right SV on at least 90% of fractions in 50% and 33% of patients and 15 mm margins covered 88% and 79% respectively. SV AP movement correlated with movement of the most posterior point of the bladder (mean R² = 0.46, SD = 0.24) and rectal area (mean R² = 0.38, SD = 0.21).

Conclusions

Considerable interfraction displacement of SV was observed in this cohort of patients. Bladder and rectal parameters correlated with SV movement.

【 授权许可】

   
2012 Mak et al.; licensee BioMed Central Ltd.

【 图 表 】

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