Magnetic resonance imaging-guided radiotherapy for intermediate- and high-risk prostate cancer: Trade-off between planning target volume margin and online plan adaption

Magnetic resonance-guided radiotherapy with daily plan adaptation for intermediate- and high-risk prostate cancer is time and labor intensive. Fifty adapted plans with 3 mm planning target volume (PTV)-margin were compared with non-adapted plans using 3 or 5 mm margins. Adequate (V95% ≥ 95%) prostat...

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Main Authors: Shyama U. Tetar, Anna M.E. Bruynzeel, Lisa Verweij, Omar Bohoudi, Berend J. Slotman, Tezontl Rosario, Miguel A. Palacios, Frank J. Lagerwaard
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Physics and Imaging in Radiation Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405631622000616
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author Shyama U. Tetar
Anna M.E. Bruynzeel
Lisa Verweij
Omar Bohoudi
Berend J. Slotman
Tezontl Rosario
Miguel A. Palacios
Frank J. Lagerwaard
author_facet Shyama U. Tetar
Anna M.E. Bruynzeel
Lisa Verweij
Omar Bohoudi
Berend J. Slotman
Tezontl Rosario
Miguel A. Palacios
Frank J. Lagerwaard
author_sort Shyama U. Tetar
collection DOAJ
description Magnetic resonance-guided radiotherapy with daily plan adaptation for intermediate- and high-risk prostate cancer is time and labor intensive. Fifty adapted plans with 3 mm planning target volume (PTV)-margin were compared with non-adapted plans using 3 or 5 mm margins. Adequate (V95% ≥ 95%) prostate coverage was achieved in 49 fractions with 5 mm PTV without plan adaptation, however, coverage of the seminal vesicles (SV) was insufficient in 15 of 50 fractions. There was no insufficient coverage for prostate and SV using plan adaptation with 3 mm. Hence, daily adaptation is recommended to obtain adequate SV-coverage when using 3 mm PTV.
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spelling doaj.art-59caafc3f34d4dc28ac77cecf5f3f5922022-12-22T01:50:11ZengElsevierPhysics and Imaging in Radiation Oncology2405-63162022-07-01239296Magnetic resonance imaging-guided radiotherapy for intermediate- and high-risk prostate cancer: Trade-off between planning target volume margin and online plan adaptionShyama U. Tetar0Anna M.E. Bruynzeel1Lisa Verweij2Omar Bohoudi3Berend J. Slotman4Tezontl Rosario5Miguel A. Palacios6Frank J. Lagerwaard7Department of Radiation Oncology, Amsterdam University Medical Centers, Location VUmc, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDepartment of Radiation Oncology, Amsterdam University Medical Centers, Location VUmc, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDepartment of Radiation Oncology, Amsterdam University Medical Centers, Location VUmc, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDepartment of Radiation Oncology, Amsterdam University Medical Centers, Location VUmc, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDepartment of Radiation Oncology, Amsterdam University Medical Centers, Location VUmc, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDepartment of Radiation Oncology, Amsterdam University Medical Centers, Location VUmc, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsDepartment of Radiation Oncology, Amsterdam University Medical Centers, Location VUmc, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsCorresponding author at: Amsterdam UMC, location VUmc, Postbox 7057, 1007 MB Amsterdam, The Netherlands.; Department of Radiation Oncology, Amsterdam University Medical Centers, Location VUmc, de Boelelaan 1117, 1081 HV Amsterdam, The NetherlandsMagnetic resonance-guided radiotherapy with daily plan adaptation for intermediate- and high-risk prostate cancer is time and labor intensive. Fifty adapted plans with 3 mm planning target volume (PTV)-margin were compared with non-adapted plans using 3 or 5 mm margins. Adequate (V95% ≥ 95%) prostate coverage was achieved in 49 fractions with 5 mm PTV without plan adaptation, however, coverage of the seminal vesicles (SV) was insufficient in 15 of 50 fractions. There was no insufficient coverage for prostate and SV using plan adaptation with 3 mm. Hence, daily adaptation is recommended to obtain adequate SV-coverage when using 3 mm PTV.http://www.sciencedirect.com/science/article/pii/S2405631622000616Prostate cancerSeminal vesiclesMR-guided radiotherapyInterfraction motionPlan adaptationDosimetry
spellingShingle Shyama U. Tetar
Anna M.E. Bruynzeel
Lisa Verweij
Omar Bohoudi
Berend J. Slotman
Tezontl Rosario
Miguel A. Palacios
Frank J. Lagerwaard
Magnetic resonance imaging-guided radiotherapy for intermediate- and high-risk prostate cancer: Trade-off between planning target volume margin and online plan adaption
Physics and Imaging in Radiation Oncology
Prostate cancer
Seminal vesicles
MR-guided radiotherapy
Interfraction motion
Plan adaptation
Dosimetry
title Magnetic resonance imaging-guided radiotherapy for intermediate- and high-risk prostate cancer: Trade-off between planning target volume margin and online plan adaption
title_full Magnetic resonance imaging-guided radiotherapy for intermediate- and high-risk prostate cancer: Trade-off between planning target volume margin and online plan adaption
title_fullStr Magnetic resonance imaging-guided radiotherapy for intermediate- and high-risk prostate cancer: Trade-off between planning target volume margin and online plan adaption
title_full_unstemmed Magnetic resonance imaging-guided radiotherapy for intermediate- and high-risk prostate cancer: Trade-off between planning target volume margin and online plan adaption
title_short Magnetic resonance imaging-guided radiotherapy for intermediate- and high-risk prostate cancer: Trade-off between planning target volume margin and online plan adaption
title_sort magnetic resonance imaging guided radiotherapy for intermediate and high risk prostate cancer trade off between planning target volume margin and online plan adaption
topic Prostate cancer
Seminal vesicles
MR-guided radiotherapy
Interfraction motion
Plan adaptation
Dosimetry
url http://www.sciencedirect.com/science/article/pii/S2405631622000616
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