Multi-species prostate implant treatment plans incorporating {sup 192}Ir and {sup 125}I using a Greedy Heuristic based 3D optimization algorithm
- Department of Engineering Physics and Department of Medical Physics, University of Wisconsin-Madison, Madison, Wisconsin 53706 (United States)
The goals of interstitial implant brachytherapy include delivery of the target dose in a uniform manner while sparing sensitive structures, and minimizing the number of needles and sources. We investigated the use of a multi-species source arrangement ({sup 192}Ir with {sup 125}I) for treatment in interstitial prostate brachytherapy. The algorithm utilizes an 'adjoint ratio', which provides a means of ranking source positions and is the criterion for the Greedy Heuristic optimization. Three cases were compared, each using 0.4 mCi {sup 125}I seeds: case I is the base case using {sup 125}I alone, case II uses 0.12 mCi {sup 192}Ir seeds mixed with {sup 125}I, and case III uses 0.25 mCi {sup 192}Ir mixed with {sup 125}I. Both multi-species cases result in lower exposure of the urethra and central prostate region. Compared with the base case, the exposure to the rectum and normal tissue increases by a significant amount for case III as compared with the increase in case II, signifying the effect of slower dose falloff rate of higher energy gammas of {sup 192}Ir in the tissue. The number of seeds and needles decreases in both multi-species cases, with case III requiring fewer seeds and needles than case II. Further, the effect of {sup 192}Ir on uniformity was investigated using the 0.12 mCi {sup 192}Ir seeds in multi-species implants. An increase in uniformity was observed with an increase in the number of 0.12 mCi {sup 192}Ir seeds implanted. The effects of prostate size on the evaluation parameters for multi-species implants were investigated using 0.12 mCi {sup 192}Ir and 0.4 mCi {sup 125}I, and an acceptable treatment plan with increased uniformity was obtained.
- OSTI ID:
- 20951036
- Journal Information:
- Medical Physics, Journal Name: Medical Physics Journal Issue: 2 Vol. 34; ISSN 0094-2405; ISSN MPHYA6
- Country of Publication:
- United States
- Language:
- English
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