External Beam RT for Prostate Cancer - ASTRO

More documents

Recommendations

Info

Patient alignment at PTC-H • Daily yorthogonal g kV images g to align bony anatomy with reference DRR’s using 2-D matching X-ray tubes Image receptors Positioning Image Analysis System, ‘PIAS’ Hitachi
Take home points • Higher radiation doses yield higher PSA control rates • Do not use too tight of a margin • Proactively position the patient and target – Mi Minimize i i iinter- t and diintra-fraction t f ti variation i ti • Opposed lateral beams are relatively <strong>for</strong>giving • Do not treat more of seminal vesicles than needed
Page 1 and 2:
External Beam RT for Prostate Cance
Page 3 and 4:
Learning Objectives • Understand
Page 5 and 6:
2010 AJCC Staging/Prognostic GROUPS
Page 7 and 8:
Dose-escalation Dose escalation w/
Page 9 and 10:
Systematic errors are clinically re
Page 11 and 12:
• Impact of rectal distention may
Page 13 and 14:
• Rectum • Bladder l dd • Fem
Page 15 and 16:
Urogenital diaghragm insertion into
Page 18 and 19:
Rectum and Bladder • Want to cont
Page 20 and 21:
IGRT PTV: VOLUMETRICALLY expand CTV
Page 22 and 23:
8 angles for virtually any anatomy
Page 24 and 25:
OAR and Objectives External Ring 2
Page 26 and 27:
DVH Plan Evaluation: Clinical Const
Page 28 and 29:
Sagittal g dose distribution
Page 30 and 31:
VMAT for prostate • Similar to IM
Page 32 and 33:
VMAT
Page 34 and 35:
Rails “in” in and patient cente
Page 36 and 37:
K. Pulliam et al. Phy Med Biol 56 (
Page 38 and 39:
Reducing PTV through IGRT (Image Gu
Page 40 and 41: Ultrasound is reasonably accurate.
Page 42 and 43: Fiducial markers
Page 44 and 45: Fiducials: MV vs vs. KV imaging •
Page 46 and 47: AP kV radiograph (>300 lb pt) Thank
Page 48 and 49: Alternative markers Ca ++ vs. Carbo
Page 50 and 51: • Better dose delivery => Better
Page 52 and 53: Intra-fraction Intra fraction varia
Page 54 and 55: Fiducials vs. MRI Maximum prostate
Page 56 and 57: Larger margin needed to cover SV’
Page 58: What we don’t like to see
Page 62 and 63: May need to re-define “adequate
Page 65 and 66: Is there a way to increase therapeu
Page 67 and 68: Combined RT + HT • Intermediate r
Page 69 and 70: Axial Sagittal Coronal Pre-HT volum
Page 71: Decreasing “systematic” setup e
Page 74 and 75: Range depends on radiologic path le
Page 76: • Immobilization and reproducible
Page 79 and 80: Fiducial marker Fiducial marker
Page 81 and 82: All 3 large fiducials to 3000 HU No
Page 83 and 84: Carbon-coated Carbon coated Zr0 on
Page 85 and 86: Planning parameters • Right & lef
Page 87 and 88: • LM = setup uncertainty + penumb
Page 89: Rectal DVH V70=10%
show all

External Beam RT for Prostate Cancer - ASTRO

Create successful ePaper yourself

Delete template?

Save as template?