RapidArc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study
<p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods<...
Ausführliche Beschreibung
Autor*in: |
Ratib Osman [verfasserIn] Khan Haleem G [verfasserIn] Dipasquale Giovanna [verfasserIn] Cozzi Luca [verfasserIn] Wang Hui [verfasserIn] Weber Damien C [verfasserIn] Rouzaud Michel [verfasserIn] Vees Hansjoerg [verfasserIn] Zaidi Habib [verfasserIn] Miralbell Raymond [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2009 |
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Übergeordnetes Werk: |
In: Radiation Oncology - BMC, 2006, 4(2009), 1, p 34 |
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Übergeordnetes Werk: |
volume:4 ; year:2009 ; number:1, p 34 |
Links: |
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DOI / URN: |
10.1186/1748-717X-4-34 |
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Katalog-ID: |
DOAJ063180448 |
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520 | |a <p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods</p< <p<Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on <sup<18</sup<F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose < 50.4 Gy. A maximum dose (D<sub<Max</sub<) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D<sub<Max </sub<was constrained to 37 Gy. Rectal D<sub<Median </sub<was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI<sub<90</sub<) parameters.</p< <p<Results</p< <p<Tumor coverage (GTV and PTV) was improved with RA (V<sub<95% </sub<92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V<sub<95% </sub<88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V<sub<95% </sub<88.9 ± 10.5%) and better for the PTV (V<sub<95%</sub<85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI<sub<90 </sub<was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm<sup<3 </sup<*10<sup<5 </sup<for IMPT and about a factor three higher for all photon's techniques.</p< <p<Conclusion</p< <p<RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk.</p< | ||
653 | 0 | |a Medical physics. Medical radiology. Nuclear medicine | |
653 | 0 | |a Neoplasms. Tumors. Oncology. Including cancer and carcinogens | |
700 | 0 | |a Khan Haleem G |e verfasserin |4 aut | |
700 | 0 | |a Dipasquale Giovanna |e verfasserin |4 aut | |
700 | 0 | |a Cozzi Luca |e verfasserin |4 aut | |
700 | 0 | |a Wang Hui |e verfasserin |4 aut | |
700 | 0 | |a Weber Damien C |e verfasserin |4 aut | |
700 | 0 | |a Rouzaud Michel |e verfasserin |4 aut | |
700 | 0 | |a Vees Hansjoerg |e verfasserin |4 aut | |
700 | 0 | |a Zaidi Habib |e verfasserin |4 aut | |
700 | 0 | |a Miralbell Raymond |e verfasserin |4 aut | |
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10.1186/1748-717X-4-34 doi (DE-627)DOAJ063180448 (DE-599)DOAJ7ecd26572d214dacb75499a0c010591c DE-627 ger DE-627 rakwb eng R895-920 RC254-282 Ratib Osman verfasserin aut RapidArc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods</p< <p<Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on <sup<18</sup<F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose < 50.4 Gy. A maximum dose (D<sub<Max</sub<) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D<sub<Max </sub<was constrained to 37 Gy. Rectal D<sub<Median </sub<was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI<sub<90</sub<) parameters.</p< <p<Results</p< <p<Tumor coverage (GTV and PTV) was improved with RA (V<sub<95% </sub<92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V<sub<95% </sub<88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V<sub<95% </sub<88.9 ± 10.5%) and better for the PTV (V<sub<95%</sub<85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI<sub<90 </sub<was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm<sup<3 </sup<*10<sup<5 </sup<for IMPT and about a factor three higher for all photon's techniques.</p< <p<Conclusion</p< <p<RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk.</p< Medical physics. Medical radiology. Nuclear medicine Neoplasms. Tumors. Oncology. Including cancer and carcinogens Khan Haleem G verfasserin aut Dipasquale Giovanna verfasserin aut Cozzi Luca verfasserin aut Wang Hui verfasserin aut Weber Damien C verfasserin aut Rouzaud Michel verfasserin aut Vees Hansjoerg verfasserin aut Zaidi Habib verfasserin aut Miralbell Raymond verfasserin aut In Radiation Oncology BMC, 2006 4(2009), 1, p 34 (DE-627)508725739 (DE-600)2224965-5 1748717X nnns volume:4 year:2009 number:1, p 34 https://doi.org/10.1186/1748-717X-4-34 kostenfrei https://doaj.org/article/7ecd26572d214dacb75499a0c010591c kostenfrei http://www.ro-journal.com/content/4/1/34 kostenfrei https://doaj.org/toc/1748-717X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1, p 34 |
spelling |
10.1186/1748-717X-4-34 doi (DE-627)DOAJ063180448 (DE-599)DOAJ7ecd26572d214dacb75499a0c010591c DE-627 ger DE-627 rakwb eng R895-920 RC254-282 Ratib Osman verfasserin aut RapidArc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods</p< <p<Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on <sup<18</sup<F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose < 50.4 Gy. A maximum dose (D<sub<Max</sub<) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D<sub<Max </sub<was constrained to 37 Gy. Rectal D<sub<Median </sub<was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI<sub<90</sub<) parameters.</p< <p<Results</p< <p<Tumor coverage (GTV and PTV) was improved with RA (V<sub<95% </sub<92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V<sub<95% </sub<88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V<sub<95% </sub<88.9 ± 10.5%) and better for the PTV (V<sub<95%</sub<85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI<sub<90 </sub<was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm<sup<3 </sup<*10<sup<5 </sup<for IMPT and about a factor three higher for all photon's techniques.</p< <p<Conclusion</p< <p<RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk.</p< Medical physics. Medical radiology. Nuclear medicine Neoplasms. Tumors. Oncology. Including cancer and carcinogens Khan Haleem G verfasserin aut Dipasquale Giovanna verfasserin aut Cozzi Luca verfasserin aut Wang Hui verfasserin aut Weber Damien C verfasserin aut Rouzaud Michel verfasserin aut Vees Hansjoerg verfasserin aut Zaidi Habib verfasserin aut Miralbell Raymond verfasserin aut In Radiation Oncology BMC, 2006 4(2009), 1, p 34 (DE-627)508725739 (DE-600)2224965-5 1748717X nnns volume:4 year:2009 number:1, p 34 https://doi.org/10.1186/1748-717X-4-34 kostenfrei https://doaj.org/article/7ecd26572d214dacb75499a0c010591c kostenfrei http://www.ro-journal.com/content/4/1/34 kostenfrei https://doaj.org/toc/1748-717X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1, p 34 |
allfields_unstemmed |
10.1186/1748-717X-4-34 doi (DE-627)DOAJ063180448 (DE-599)DOAJ7ecd26572d214dacb75499a0c010591c DE-627 ger DE-627 rakwb eng R895-920 RC254-282 Ratib Osman verfasserin aut RapidArc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods</p< <p<Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on <sup<18</sup<F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose < 50.4 Gy. A maximum dose (D<sub<Max</sub<) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D<sub<Max </sub<was constrained to 37 Gy. Rectal D<sub<Median </sub<was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI<sub<90</sub<) parameters.</p< <p<Results</p< <p<Tumor coverage (GTV and PTV) was improved with RA (V<sub<95% </sub<92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V<sub<95% </sub<88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V<sub<95% </sub<88.9 ± 10.5%) and better for the PTV (V<sub<95%</sub<85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI<sub<90 </sub<was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm<sup<3 </sup<*10<sup<5 </sup<for IMPT and about a factor three higher for all photon's techniques.</p< <p<Conclusion</p< <p<RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk.</p< Medical physics. Medical radiology. Nuclear medicine Neoplasms. Tumors. Oncology. Including cancer and carcinogens Khan Haleem G verfasserin aut Dipasquale Giovanna verfasserin aut Cozzi Luca verfasserin aut Wang Hui verfasserin aut Weber Damien C verfasserin aut Rouzaud Michel verfasserin aut Vees Hansjoerg verfasserin aut Zaidi Habib verfasserin aut Miralbell Raymond verfasserin aut In Radiation Oncology BMC, 2006 4(2009), 1, p 34 (DE-627)508725739 (DE-600)2224965-5 1748717X nnns volume:4 year:2009 number:1, p 34 https://doi.org/10.1186/1748-717X-4-34 kostenfrei https://doaj.org/article/7ecd26572d214dacb75499a0c010591c kostenfrei http://www.ro-journal.com/content/4/1/34 kostenfrei https://doaj.org/toc/1748-717X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1, p 34 |
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10.1186/1748-717X-4-34 doi (DE-627)DOAJ063180448 (DE-599)DOAJ7ecd26572d214dacb75499a0c010591c DE-627 ger DE-627 rakwb eng R895-920 RC254-282 Ratib Osman verfasserin aut RapidArc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods</p< <p<Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on <sup<18</sup<F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose < 50.4 Gy. A maximum dose (D<sub<Max</sub<) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D<sub<Max </sub<was constrained to 37 Gy. Rectal D<sub<Median </sub<was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI<sub<90</sub<) parameters.</p< <p<Results</p< <p<Tumor coverage (GTV and PTV) was improved with RA (V<sub<95% </sub<92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V<sub<95% </sub<88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V<sub<95% </sub<88.9 ± 10.5%) and better for the PTV (V<sub<95%</sub<85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI<sub<90 </sub<was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm<sup<3 </sup<*10<sup<5 </sup<for IMPT and about a factor three higher for all photon's techniques.</p< <p<Conclusion</p< <p<RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk.</p< Medical physics. Medical radiology. Nuclear medicine Neoplasms. Tumors. Oncology. Including cancer and carcinogens Khan Haleem G verfasserin aut Dipasquale Giovanna verfasserin aut Cozzi Luca verfasserin aut Wang Hui verfasserin aut Weber Damien C verfasserin aut Rouzaud Michel verfasserin aut Vees Hansjoerg verfasserin aut Zaidi Habib verfasserin aut Miralbell Raymond verfasserin aut In Radiation Oncology BMC, 2006 4(2009), 1, p 34 (DE-627)508725739 (DE-600)2224965-5 1748717X nnns volume:4 year:2009 number:1, p 34 https://doi.org/10.1186/1748-717X-4-34 kostenfrei https://doaj.org/article/7ecd26572d214dacb75499a0c010591c kostenfrei http://www.ro-journal.com/content/4/1/34 kostenfrei https://doaj.org/toc/1748-717X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1, p 34 |
allfieldsSound |
10.1186/1748-717X-4-34 doi (DE-627)DOAJ063180448 (DE-599)DOAJ7ecd26572d214dacb75499a0c010591c DE-627 ger DE-627 rakwb eng R895-920 RC254-282 Ratib Osman verfasserin aut RapidArc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods</p< <p<Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on <sup<18</sup<F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose < 50.4 Gy. A maximum dose (D<sub<Max</sub<) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D<sub<Max </sub<was constrained to 37 Gy. Rectal D<sub<Median </sub<was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI<sub<90</sub<) parameters.</p< <p<Results</p< <p<Tumor coverage (GTV and PTV) was improved with RA (V<sub<95% </sub<92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V<sub<95% </sub<88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V<sub<95% </sub<88.9 ± 10.5%) and better for the PTV (V<sub<95%</sub<85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI<sub<90 </sub<was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm<sup<3 </sup<*10<sup<5 </sup<for IMPT and about a factor three higher for all photon's techniques.</p< <p<Conclusion</p< <p<RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk.</p< Medical physics. Medical radiology. Nuclear medicine Neoplasms. Tumors. Oncology. Including cancer and carcinogens Khan Haleem G verfasserin aut Dipasquale Giovanna verfasserin aut Cozzi Luca verfasserin aut Wang Hui verfasserin aut Weber Damien C verfasserin aut Rouzaud Michel verfasserin aut Vees Hansjoerg verfasserin aut Zaidi Habib verfasserin aut Miralbell Raymond verfasserin aut In Radiation Oncology BMC, 2006 4(2009), 1, p 34 (DE-627)508725739 (DE-600)2224965-5 1748717X nnns volume:4 year:2009 number:1, p 34 https://doi.org/10.1186/1748-717X-4-34 kostenfrei https://doaj.org/article/7ecd26572d214dacb75499a0c010591c kostenfrei http://www.ro-journal.com/content/4/1/34 kostenfrei https://doaj.org/toc/1748-717X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2119 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 4 2009 1, p 34 |
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Ratib Osman @@aut@@ Khan Haleem G @@aut@@ Dipasquale Giovanna @@aut@@ Cozzi Luca @@aut@@ Wang Hui @@aut@@ Weber Damien C @@aut@@ Rouzaud Michel @@aut@@ Vees Hansjoerg @@aut@@ Zaidi Habib @@aut@@ Miralbell Raymond @@aut@@ |
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R895-920 RC254-282 RapidArc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study |
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rapidarc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study |
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RapidArc, intensity modulated photon and proton techniques for recurrent prostate cancer in previously irradiated patients: a treatment planning comparison study |
abstract |
<p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods</p< <p<Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on <sup<18</sup<F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose < 50.4 Gy. A maximum dose (D<sub<Max</sub<) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D<sub<Max </sub<was constrained to 37 Gy. Rectal D<sub<Median </sub<was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI<sub<90</sub<) parameters.</p< <p<Results</p< <p<Tumor coverage (GTV and PTV) was improved with RA (V<sub<95% </sub<92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V<sub<95% </sub<88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V<sub<95% </sub<88.9 ± 10.5%) and better for the PTV (V<sub<95%</sub<85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI<sub<90 </sub<was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm<sup<3 </sup<*10<sup<5 </sup<for IMPT and about a factor three higher for all photon's techniques.</p< <p<Conclusion</p< <p<RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk.</p< |
abstractGer |
<p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods</p< <p<Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on <sup<18</sup<F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose < 50.4 Gy. A maximum dose (D<sub<Max</sub<) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D<sub<Max </sub<was constrained to 37 Gy. Rectal D<sub<Median </sub<was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI<sub<90</sub<) parameters.</p< <p<Results</p< <p<Tumor coverage (GTV and PTV) was improved with RA (V<sub<95% </sub<92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V<sub<95% </sub<88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V<sub<95% </sub<88.9 ± 10.5%) and better for the PTV (V<sub<95%</sub<85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI<sub<90 </sub<was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm<sup<3 </sup<*10<sup<5 </sup<for IMPT and about a factor three higher for all photon's techniques.</p< <p<Conclusion</p< <p<RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk.</p< |
abstract_unstemmed |
<p<Abstract</p< <p<Background</p< <p<A study was performed comparing volumetric modulated arcs (RA) and intensity modulation (with photons, IMRT, or protons, IMPT) radiation therapy (RT) for patients with recurrent prostate cancer after RT.</p< <p<Methods</p< <p<Plans for RA, IMRT and IMPT were optimized for 7 patients. Prescribed dose was 56 Gy in 14 fractions. The recurrent gross tumor volume (GTV) was defined on <sup<18</sup<F-fluorocholine PET/CT scans. Plans aimed to cover at least 95% of the planning target volume with a dose < 50.4 Gy. A maximum dose (D<sub<Max</sub<) of 61.6 Gy was allowed to 5% of the GTV. For the urethra, D<sub<Max </sub<was constrained to 37 Gy. Rectal D<sub<Median </sub<was < 17 Gy. Results were analyzed using Dose-Volume Histogram and conformity index (CI<sub<90</sub<) parameters.</p< <p<Results</p< <p<Tumor coverage (GTV and PTV) was improved with RA (V<sub<95% </sub<92.6 ± 7.9 and 83.7 ± 3.3%), when compared to IMRT (V<sub<95% </sub<88.6 ± 10.8 and 77.2 ± 2.2%). The corresponding values for IMPT were intermediate for the GTV (V<sub<95% </sub<88.9 ± 10.5%) and better for the PTV (V<sub<95%</sub<85.6 ± 5.0%). The percentages of rectal and urethral volumes receiving intermediate doses (35 Gy) were significantly decreased with RA (5.1 ± 3.0 and 38.0 ± 25.3%) and IMPT (3.9 ± 2.7 and 25.1 ± 21.1%), when compared to IMRT (9.8 ± 5.3 and 60.7 ± 41.7%). CI<sub<90 </sub<was 1.3 ± 0.1 for photons and 1.6 ± 0.2 for protons. Integral Dose was 1.1 ± 0.5 Gy*cm<sup<3 </sup<*10<sup<5 </sup<for IMPT and about a factor three higher for all photon's techniques.</p< <p<Conclusion</p< <p<RA and IMPT showed improvements in conformal avoidance relative to fixed beam IMRT for 7 patients with recurrent prostate cancer. IMPT showed further sparing of organs at risk.</p< |
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