A NEW METHOD OF CALCULATING SOURCE NUMBER WITH CT FOR I-125 PROSTATE BRACHYTHERAPY

  • AOKI Manabu
    Division of Radiation oncology, Department of Radiology, Jikei University School of Medicine
  • TAKAGI Sayako
    Division of Radiation oncology, Department of Radiology, Jikei University School of Medicine
  • FUKUDA Ichirou
    Division of Radiation oncology, Department of Radiology, Jikei University School of Medicine
  • HONDA Chikara
    Division of Radiation oncology, Department of Radiology, Jikei University School of Medicine
  • KOBAYASHI Masao
    Division of Radiation oncology, Department of Radiology, Jikei University School of Medicine
  • OOWAKI Kazuhiko
    Division of Radiation oncology, Department of Radiology, Jikei University School of Medicine
  • KANEHIRA Chihiro
    Division of Radiation oncology, Department of Radiology, Jikei University School of Medicine

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Other Title
  • 前立腺小線源療法におけるCTを用いた新たな線源発注法

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Abstract

We treated 65 patients, from October 2003 to October 2004, with I-125 prostate brachytherapy who had prostate confined adenocarcinoma. Thirty-one patients had pre-implant CT on the day before prostate implantation. We compared pre-implant prostate volume by TRUS and CT. Eighteen patients had hormonal therapy at least 3 months before the volume study by TRUS. Average prostate volume by TRUS and CT were 23.74 (9.0-39.63) cm3, and 24.23 (9.36-41.38) cm3. The average differences of prostate volume by the two modalities in each patient were 1.26 (0.05-3.49) cm3, and the median differences were 0.99 cm3. There was no definite difference between the two modalities. The median number of seeds that were planned by TRUS volume study and CT volume study were 64 (range 46-85), and 65 (range 45-86) respectively. The average differences of the number of seeds by the two modalities in each patient was 0.6 (range 0-4). We believe the volume study by CT can be used as substitute for an ordinary volume study by TRUS.

Journal

  • The Journal of JASTRO

    The Journal of JASTRO 17 (4), 221-226, 2006

    Japanese Society for Therapeutic Radiology and Oncology

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