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Title: Comparison of testicular dose delivered by intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) in patients with prostate cancer

Abstract

A small decrease in testosterone level has been documented after prostate irradiation, possibly owing to the incidental dose to the testes. Testicular doses from prostate external beam radiation plans with either intensity-modulated radiation therapy (IMRT) or volumetric-modulated arc therapy (VMAT) were calculated to investigate any difference. Testicles were contoured for 16 patients being treated for localized prostate cancer. For each patient, 2 plans were created: 1 with IMRT and 1 with VMAT. No specific attempt was made to reduce testicular dose. Minimum, maximum, and mean doses to the testicles were recorded for each plan. Of the 16 patients, 4 received a total dose of 7800 cGy to the prostate alone, 7 received 8000 cGy to the prostate alone, and 5 received 8000 cGy to the prostate and pelvic lymph nodes. The mean (range) of testicular dose with an IMRT plan was 54.7 cGy (21.1 to 91.9) and 59.0 cGy (25.1 to 93.4) with a VMAT plan. In 12 cases, the mean VMAT dose was higher than the mean IMRT dose, with a mean difference of 4.3 cGy (p = 0.019). There was a small but statistically significant increase in mean testicular dose delivered by VMAT compared with IMRT. Despite this,more » it unlikely that there is a clinically meaningful difference in testicular doses from either modality.« less

Authors:
 [1];  [2]; ;  [1];  [3]; ;  [4]; ;  [1];  [1]
  1. Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, PA (United States)
  2. Department of Biostatistics, Fox Chase Cancer Center, Philadelphia, PA (United States)
  3. Department of Radiation Oncology, Stanford University, Stanford, CA (United States)
  4. Department of Urologic Oncology, Fox Chase Cancer Center, Philadelphia, PA (United States)
Publication Date:
OSTI Identifier:
22462436
Resource Type:
Journal Article
Journal Name:
Medical Dosimetry
Additional Journal Information:
Journal Volume: 40; Journal Issue: 3; Other Information: Copyright (c) 2015 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; BEAMS; COMPARATIVE EVALUATIONS; IRRADIATION; LYMPH NODES; NEOPLASMS; PATIENTS; PROSTATE; RADIATION DOSES; RADIOTHERAPY; TESTES; TESTOSTERONE

Citation Formats

Martin, Jeffrey M., Handorf, Elizabeth A., Price, Robert A., Cherian, George, Buyyounouski, Mark K., Chen, David Y., Kutikov, Alexander, Johnson, Matthew E., Ma, Chung-Ming Charlie, and Horwitz, Eric M., E-mail: eric.horwitz@fccc.edu. Comparison of testicular dose delivered by intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) in patients with prostate cancer. United States: N. p., 2015. Web. doi:10.1016/J.MEDDOS.2014.11.003.
Martin, Jeffrey M., Handorf, Elizabeth A., Price, Robert A., Cherian, George, Buyyounouski, Mark K., Chen, David Y., Kutikov, Alexander, Johnson, Matthew E., Ma, Chung-Ming Charlie, & Horwitz, Eric M., E-mail: eric.horwitz@fccc.edu. Comparison of testicular dose delivered by intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) in patients with prostate cancer. United States. doi:10.1016/J.MEDDOS.2014.11.003.
Martin, Jeffrey M., Handorf, Elizabeth A., Price, Robert A., Cherian, George, Buyyounouski, Mark K., Chen, David Y., Kutikov, Alexander, Johnson, Matthew E., Ma, Chung-Ming Charlie, and Horwitz, Eric M., E-mail: eric.horwitz@fccc.edu. Thu . "Comparison of testicular dose delivered by intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) in patients with prostate cancer". United States. doi:10.1016/J.MEDDOS.2014.11.003.
@article{osti_22462436,
title = {Comparison of testicular dose delivered by intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) in patients with prostate cancer},
author = {Martin, Jeffrey M. and Handorf, Elizabeth A. and Price, Robert A. and Cherian, George and Buyyounouski, Mark K. and Chen, David Y. and Kutikov, Alexander and Johnson, Matthew E. and Ma, Chung-Ming Charlie and Horwitz, Eric M., E-mail: eric.horwitz@fccc.edu},
abstractNote = {A small decrease in testosterone level has been documented after prostate irradiation, possibly owing to the incidental dose to the testes. Testicular doses from prostate external beam radiation plans with either intensity-modulated radiation therapy (IMRT) or volumetric-modulated arc therapy (VMAT) were calculated to investigate any difference. Testicles were contoured for 16 patients being treated for localized prostate cancer. For each patient, 2 plans were created: 1 with IMRT and 1 with VMAT. No specific attempt was made to reduce testicular dose. Minimum, maximum, and mean doses to the testicles were recorded for each plan. Of the 16 patients, 4 received a total dose of 7800 cGy to the prostate alone, 7 received 8000 cGy to the prostate alone, and 5 received 8000 cGy to the prostate and pelvic lymph nodes. The mean (range) of testicular dose with an IMRT plan was 54.7 cGy (21.1 to 91.9) and 59.0 cGy (25.1 to 93.4) with a VMAT plan. In 12 cases, the mean VMAT dose was higher than the mean IMRT dose, with a mean difference of 4.3 cGy (p = 0.019). There was a small but statistically significant increase in mean testicular dose delivered by VMAT compared with IMRT. Despite this, it unlikely that there is a clinically meaningful difference in testicular doses from either modality.},
doi = {10.1016/J.MEDDOS.2014.11.003},
journal = {Medical Dosimetry},
issn = {0958-3947},
number = 3,
volume = 40,
place = {United States},
year = {2015},
month = {10}
}