Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 24 · Issue 4 · 2009 pp. 166–171

Evaluation of the conformal radiotherapy techniques in prostate cancer

Aydın ÇAKIR, Fulya AĞAOĞLU, Bilgehan ŞAHİN, Murat OKUTAN, Yavuz DİZDAR, Emin DARENDELİLER
1 İstanbul Üniversitesi Onkoloji Enstitüsü, İstanbul
Published: 2009 Pubmed: 88440 Article ID: 735
Abstract
OBJECTIVES

We aimed to determine the optimal radiotherapy technique
enabling the most homogenous dose distribution for Clinic
Target Volume (CTV) and Planned Target Volume (PTV) and
providing conformal avoidance of Organs at Risk (OAR).


METHODS

CTV, PTV, and OAR were outlined by utilization of Sim-Pro
(CMS-USA) using 5 mm slice spaced computed tomography
scans. For each patient, individual 4, 5, 6, and 7 field plans,
with 18 MV photons, were assessed with XiO (CMS-USA)
3D planning workstation.


RESULTS

In comparing the different techniques, the greatest rectal
sparing was achieved with the 5 field plan (Rectal:
5F V25%=59.90±6.8 Gy, 4F V25%=62.30±10.3 Gy, 6F
V25%=69.36±5.7 Gy, 7F V25%=61.32±7.3 Gy).


CONCLUSION

While all the techniques achieved the goal of optimal homogeneity
of CTV-PTV, 4F provided the lowest femoral doses.
The greatest rectal sparing was achieved with 5 field conformal
technique.

Keywords: Dose-volume histogram; conformal radiotherapy; prostate cancer; treatment planning

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