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Title: Prostatic edema in {sup 125}I permanent prostate implants: Dynamical dosimetry taking volume changes into account

Abstract

The purpose of this study is to determine the impact of edema on the dose delivered to the target volume. An evaluation of the edema characteristics was first made, and then a dynamical dosimetry algorithm was developed and used to compare its results to a standard clinical (static) dosimetry. Source positions and prostate contours extracted from 66 clinical cases on images taken at different points in time (planning, implant day, post-implant evaluation) were used, via the mean interseed distance, to characterize edema [initial increase ({delta}r{sub 0}), half-life ({tau})]. An algorithm was developed to take into account the edema by summing a time series of dose-volume histograms (DVHs) with a weight based on the fraction of the dose delivered during the time interval considered. The algorithm was then used to evaluate the impact of edema on the dosimetry of permanent implants by comparing its results to those of a standard clinical dosimetry. The volumetric study yielded results as follows: the initial prostate volume increase was found to be 1.58 (ranging from 1.15 to 2.48) and the edema half-life, approximately 30 days (range: 3 to 170 days). The dosimetric differences in D{sub 90} observed between the dynamic dosimetry and the clinical onemore » for a single case were up to 15 Gy and depended on the edema half-life and the initial volume increase. The average edema half-life, 30 days, is about 3 times longer than the previously reported 9 days. Dosimetric differences up to 10% of the prescription dose are observed, which can lead to differences in the quality assertion of an implant. The study of individual patient edema resorption with time might be necessary to extract meaningful clinical correlation or biological parameters in permanent implants.« less

Authors:
; ; ; ;  [1];  [2];  [2];  [2]
  1. Departement de Physique, de Genie Physique et d'Optique, Universite Laval, Quebec, G1K 7P4 (Canada) and Centre de Recherche en Cancerologie, CHUQ-Hotel-Dieu de Quebec, Quebec, G1R 2J6 (Canada)
  2. (Canada)
Publication Date:
OSTI Identifier:
20775082
Resource Type:
Journal Article
Resource Relation:
Journal Name: Medical Physics; Journal Volume: 33; Journal Issue: 3; Other Information: DOI: 10.1118/1.2168066; (c) 2006 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ALGORITHMS; DOSIMETRY; EDEMA; HALF-LIFE; IMAGES; IODINE 125; PATIENTS; PLANNING; PROSTATE; RADIATION DOSES; RADIATION SOURCE IMPLANTS

Citation Formats

Leclerc, Ghyslain, Lavallee, Marie-Claude, Roy, Rene, Vigneault, Eric, Beaulieu, Luc, Department de Physique, de Genie Physique et d'Optique, Universite Laval, Quebec, G1K 7P4, Centre de Recherche en Cancerologie, CHUQ-Hotel-Dieu de Quebec, Quebec, G1R 2J6,, and Department de Physique, de Genie Physique et d'Optique, Universite Laval, Quebec, G1K 7P4, Canada, and Centre de Recherche en Cancerologie, CHUQ - Hotel-Dieu de Quebec, Quebec, G1R 2J6. Prostatic edema in {sup 125}I permanent prostate implants: Dynamical dosimetry taking volume changes into account. United States: N. p., 2006. Web. doi:10.1118/1.2168066.
Leclerc, Ghyslain, Lavallee, Marie-Claude, Roy, Rene, Vigneault, Eric, Beaulieu, Luc, Department de Physique, de Genie Physique et d'Optique, Universite Laval, Quebec, G1K 7P4, Centre de Recherche en Cancerologie, CHUQ-Hotel-Dieu de Quebec, Quebec, G1R 2J6,, & Department de Physique, de Genie Physique et d'Optique, Universite Laval, Quebec, G1K 7P4, Canada, and Centre de Recherche en Cancerologie, CHUQ - Hotel-Dieu de Quebec, Quebec, G1R 2J6. Prostatic edema in {sup 125}I permanent prostate implants: Dynamical dosimetry taking volume changes into account. United States. doi:10.1118/1.2168066.
Leclerc, Ghyslain, Lavallee, Marie-Claude, Roy, Rene, Vigneault, Eric, Beaulieu, Luc, Department de Physique, de Genie Physique et d'Optique, Universite Laval, Quebec, G1K 7P4, Centre de Recherche en Cancerologie, CHUQ-Hotel-Dieu de Quebec, Quebec, G1R 2J6,, and Department de Physique, de Genie Physique et d'Optique, Universite Laval, Quebec, G1K 7P4, Canada, and Centre de Recherche en Cancerologie, CHUQ - Hotel-Dieu de Quebec, Quebec, G1R 2J6. Wed . "Prostatic edema in {sup 125}I permanent prostate implants: Dynamical dosimetry taking volume changes into account". United States. doi:10.1118/1.2168066.
@article{osti_20775082,
title = {Prostatic edema in {sup 125}I permanent prostate implants: Dynamical dosimetry taking volume changes into account},
author = {Leclerc, Ghyslain and Lavallee, Marie-Claude and Roy, Rene and Vigneault, Eric and Beaulieu, Luc and Department de Physique, de Genie Physique et d'Optique, Universite Laval, Quebec, G1K 7P4 and Centre de Recherche en Cancerologie, CHUQ-Hotel-Dieu de Quebec, Quebec, G1R 2J6, and Department de Physique, de Genie Physique et d'Optique, Universite Laval, Quebec, G1K 7P4, Canada, and Centre de Recherche en Cancerologie, CHUQ - Hotel-Dieu de Quebec, Quebec, G1R 2J6},
abstractNote = {The purpose of this study is to determine the impact of edema on the dose delivered to the target volume. An evaluation of the edema characteristics was first made, and then a dynamical dosimetry algorithm was developed and used to compare its results to a standard clinical (static) dosimetry. Source positions and prostate contours extracted from 66 clinical cases on images taken at different points in time (planning, implant day, post-implant evaluation) were used, via the mean interseed distance, to characterize edema [initial increase ({delta}r{sub 0}), half-life ({tau})]. An algorithm was developed to take into account the edema by summing a time series of dose-volume histograms (DVHs) with a weight based on the fraction of the dose delivered during the time interval considered. The algorithm was then used to evaluate the impact of edema on the dosimetry of permanent implants by comparing its results to those of a standard clinical dosimetry. The volumetric study yielded results as follows: the initial prostate volume increase was found to be 1.58 (ranging from 1.15 to 2.48) and the edema half-life, approximately 30 days (range: 3 to 170 days). The dosimetric differences in D{sub 90} observed between the dynamic dosimetry and the clinical one for a single case were up to 15 Gy and depended on the edema half-life and the initial volume increase. The average edema half-life, 30 days, is about 3 times longer than the previously reported 9 days. Dosimetric differences up to 10% of the prescription dose are observed, which can lead to differences in the quality assertion of an implant. The study of individual patient edema resorption with time might be necessary to extract meaningful clinical correlation or biological parameters in permanent implants.},
doi = {10.1118/1.2168066},
journal = {Medical Physics},
number = 3,
volume = 33,
place = {United States},
year = {Wed Mar 15 00:00:00 EST 2006},
month = {Wed Mar 15 00:00:00 EST 2006}
}