You need JavaScript to view this

Rectal dose during radiotherapy: how much is too much?

Abstract

Full text: The clinical intent of radiotherapy for prostate cancer is to deposit high radiation dose to the prostate and as low as possible to healthy tissue. The rectum is one adjacent structure that is very sensitive to side effects including rectal bleeding, stricture, and ulceration. The dose that the rectum receives is often difficult to predict because its position and size will differ on each treatment day from the original planning CT images. The aim of this work is to use current measured values from the literature on rectal wall motion to mathematically model the dynamic rectal wall. The model is used with a pre calculated dose distribution to evaluate the difference between planned anticipated and actually delivered rectal radiation doses. The dose delivered will depend on the status of the rectum in the preliminary planning CT scan. Deviations from the planned dose were larger if the rectum was empty in the planning CT scan ({delta}D = {+-} 25%) than if it was full ({delta}D = {+-} 15%). If the planning CT scan demonstrated the rectum in the mean treatment position the dose variation is reduced ({delta}D = {+-} 10%). These results support the conclusion that care should be  More>>
Authors:
Booth, J; [1]  Adelaide University, (Australia). Physics and Mathematical Physics]
  1. Royal Prince Alfred Hospital, (Australia). Radiation Oncology
Publication Date:
Jul 01, 2002
Product Type:
Conference
Resource Relation:
Conference: 15. Biennial Congress of the Australian Institute of Physics. Physics and industry working together, Sydney, NSW (Australia), 8-11 Jul 2002; Other Information: PBD: 2002; Related Information: In: 15th Biennial Congress of the Australian Institute of Physics incorporating Australian Conference of Optical Fibre Technology (ACOFT) and Australian Optical Society (AOS). Handbook and abstracts, 235 pages.
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOLOGICAL RADIATION EFFECTS; CAT SCANNING; DOSE-RESPONSE RELATIONSHIPS; MOTION; NEOPLASMS; PLANNING; PROSTATE; RADIATION DOSE DISTRIBUTIONS; RADIATION DOSES; RADIOTHERAPY; RECTUM
OSTI ID:
20619866
Research Organizations:
Australian Institute of Physics (Australia)
Country of Origin:
Australia
Language:
English
Other Identifying Numbers:
TRN: AU0524544063516
Availability:
Available in abstract form only, full text entered in this record
Submitting Site:
INIS
Size:
page(s) 144
Announcement Date:
Aug 28, 2005

Citation Formats

Booth, J, and Adelaide University, (Australia). Physics and Mathematical Physics]. Rectal dose during radiotherapy: how much is too much?. Australia: N. p., 2002. Web.
Booth, J, & Adelaide University, (Australia). Physics and Mathematical Physics]. Rectal dose during radiotherapy: how much is too much?. Australia.
Booth, J, and Adelaide University, (Australia). Physics and Mathematical Physics]. 2002. "Rectal dose during radiotherapy: how much is too much?" Australia.
@misc{etde_20619866,
title = {Rectal dose during radiotherapy: how much is too much?}
author = {Booth, J, and Adelaide University, (Australia). Physics and Mathematical Physics]}
abstractNote = {Full text: The clinical intent of radiotherapy for prostate cancer is to deposit high radiation dose to the prostate and as low as possible to healthy tissue. The rectum is one adjacent structure that is very sensitive to side effects including rectal bleeding, stricture, and ulceration. The dose that the rectum receives is often difficult to predict because its position and size will differ on each treatment day from the original planning CT images. The aim of this work is to use current measured values from the literature on rectal wall motion to mathematically model the dynamic rectal wall. The model is used with a pre calculated dose distribution to evaluate the difference between planned anticipated and actually delivered rectal radiation doses. The dose delivered will depend on the status of the rectum in the preliminary planning CT scan. Deviations from the planned dose were larger if the rectum was empty in the planning CT scan ({delta}D = {+-} 25%) than if it was full ({delta}D = {+-} 15%). If the planning CT scan demonstrated the rectum in the mean treatment position the dose variation is reduced ({delta}D = {+-} 10%). These results support the conclusion that care should be taken to plan treatments using CT images that contain reproducible information.}
place = {Australia}
year = {2002}
month = {Jul}
}