RapidArc radiotherapy planning for prostate cancer: Single-arc and double-arc techniques vs. intensity-modulated radiotherapy

Lee, Michael C.H.; Hung, Wai-Man; Yau, Tsz-Kok; Lee, Anne W.M.

doi:10.1016/J.MEDDOS.2011.01.005

Title: RapidArc radiotherapy planning for prostate cancer: Single-arc and double-arc techniques vs. intensity-modulated radiotherapy

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Abstract

RapidArc is a novel technique using arc radiotherapy aiming to achieve intensity-modulated radiotherapy (IMRT)-quality radiotherapy plans with shorter treatment time. This study compared the dosimetric quality and treatment efficiency of single-arc (SA) vs. double-arc (DA) and IMRT in the treatment of prostate cancer. Fourteen patients were included in the analysis. The planning target volume (PTV), which contained the prostate gland and proximal seminal vesicles, received 76 Gy in 38 fractions. Seven-field IMRT, SA, and DA plans were generated for each patient. Dosimetric quality in terms of the minimum PTV dose, PTV hotspot, inhomogeneity, and conformity index; and sparing of rectum, bladder, and femoral heads as measured by V70, V-40, and V20 (% of volume receiving >70 Gy, 40 Gy, and 20 Gy, respectively), treatment efficiency as assessed by monitor units (MU) and treatment time were compared. All plan objectives were met satisfactorily by all techniques. DA achieved the best dosimetric quality with the highest minimum PTV dose, lowest hotspot, and the best homogeneity and conformity. It was also more efficient than IMRT. SA achieved the highest treatment efficiency with the lowest MU and shortest treatment time. The mean treatment time for a 2-Gy fraction was 4.80 min, 2.78 min, andmore »« less

Authors:

Lee, Michael C.H.; Hung, Wai-Man; Yau, Tsz-Kok; Lee, Anne W.M. ^[1]

Department of Clinical Oncology, Pamela Youde Nethersole Eastern Hospital, Hong Kong (Hong Kong)

Publication Date:: Sun Apr 01 00:00:00 EDT 2012

OSTI Identifier:: 22130385

Resource Type:: Journal Article

Journal Name:: Medical Dosimetry

Additional Journal Information:: Journal Volume: 37; Journal Issue: 1; Other Information: Copyright (c) 2012 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved.; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0958-3947

Country of Publication:: United States

Language:: English

Subject:: 61 RADIATION PROTECTION AND DOSIMETRY; BLADDER; DOSIMETRY; EFFICIENCY; HEAD; NEOPLASMS; PATIENTS; PLANNING; PROSTATE; RADIATION DOSES; RADIATION MONITORS; RADIOTHERAPY; RECTUM

Citation Formats


                    Sze, Henry C.K., E-mail: szeck@ha.org.hk, Lee, Michael C.H., Hung, Wai-Man, Yau, Tsz-Kok, and Lee, Anne W.M. RapidArc radiotherapy planning for prostate cancer: Single-arc and double-arc techniques vs. intensity-modulated radiotherapy.  United States: N. p., 2012. 
        Web.  doi:10.1016/J.MEDDOS.2011.01.005.

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                    Sze, Henry C.K., E-mail: szeck@ha.org.hk, Lee, Michael C.H., Hung, Wai-Man, Yau, Tsz-Kok, & Lee, Anne W.M. RapidArc radiotherapy planning for prostate cancer: Single-arc and double-arc techniques vs. intensity-modulated radiotherapy.  United States.  https://doi.org/10.1016/J.MEDDOS.2011.01.005

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                    Sze, Henry C.K., E-mail: szeck@ha.org.hk, Lee, Michael C.H., Hung, Wai-Man, Yau, Tsz-Kok, and Lee, Anne W.M. 2012.  
        "RapidArc radiotherapy planning for prostate cancer: Single-arc and double-arc techniques vs. intensity-modulated radiotherapy".  United States.  https://doi.org/10.1016/J.MEDDOS.2011.01.005.

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@article{osti_22130385,

  title        = {RapidArc radiotherapy planning for prostate cancer: Single-arc and double-arc techniques vs. intensity-modulated radiotherapy},

  author       = {Sze, Henry C.K., E-mail: szeck@ha.org.hk and Lee, Michael C.H. and Hung, Wai-Man and Yau, Tsz-Kok and Lee, Anne W.M.},

  abstractNote = {RapidArc is a novel technique using arc radiotherapy aiming to achieve intensity-modulated radiotherapy (IMRT)-quality radiotherapy plans with shorter treatment time. This study compared the dosimetric quality and treatment efficiency of single-arc (SA) vs. double-arc (DA) and IMRT in the treatment of prostate cancer. Fourteen patients were included in the analysis. The planning target volume (PTV), which contained the prostate gland and proximal seminal vesicles, received 76 Gy in 38 fractions. Seven-field IMRT, SA, and DA plans were generated for each patient. Dosimetric quality in terms of the minimum PTV dose, PTV hotspot, inhomogeneity, and conformity index; and sparing of rectum, bladder, and femoral heads as measured by V70, V-40, and V20 (% of volume receiving >70 Gy, 40 Gy, and 20 Gy, respectively), treatment efficiency as assessed by monitor units (MU) and treatment time were compared. All plan objectives were met satisfactorily by all techniques. DA achieved the best dosimetric quality with the highest minimum PTV dose, lowest hotspot, and the best homogeneity and conformity. It was also more efficient than IMRT. SA achieved the highest treatment efficiency with the lowest MU and shortest treatment time. The mean treatment time for a 2-Gy fraction was 4.80 min, 2.78 min, and 1.30 min for IMRT, DA, and SA, respectively. However, SA also resulted in the highest rectal dose. DA could improve target volume coverage and reduce treatment time and MU while maintaining equivalent normal tissue sparing when compared with IMRT. SA achieved the greatest treatment efficiency but with the highest rectal dose, which was nonetheless within tolerable limits. For busy units with high patient throughput, SA could be an acceptable option.},

  doi          = {10.1016/J.MEDDOS.2011.01.005},

  url          = {https://www.osti.gov/biblio/22130385},
  journal      = {Medical Dosimetry},

  issn         = {0958-3947},

  number       = 1,

  volume       = 37,

  place        = {United States},

  year         = {Sun Apr 01 00:00:00 EDT 2012},

  month        = {Sun Apr 01 00:00:00 EDT 2012}

}

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