Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 28 · Issue 1 · 2013 pp. 023–035

Repositining of prostate cancer patients, using implanted gold seeds into prostate and electronic portal imaging device

Nedret COŞKUN2
1 Ege Üniversitesi Tıp Fakültesi Hastanesi, Radyasyon Onkolojisi Anabilim Dalı, İzmir
2 Manisa Devlet Hastanesi, Radyasyon Onkolojisi Anabilim Dalı, Manisa
Published: 2013 Article ID: 852
Abstract
OBJECTIVES

To investigate the feasibility of target focused treatment and
it's advantages on standard treatment position verifying tecniques
using gold markers and electronic portal imaging device
(EPID).


METHODS

Marker placed 10 patient's films were taken, transferred to
planning system and distance between markers was measured.
Port images were taken by EPID and Template Matching option
was used for matching ports with digitally reconstructed
radiograph. The distance between markers and the changes
were determined with analytic process. Systematical and random
set-up errors were determined.


RESULTS

No important changes on marker positions and no radiation
toxicity was observed. Verifying the treatment positions according
to markers in terms of position correction gain was
better compared to verifying according to bone anatomy
(p<0.05). Target focused position verifying was the best way
for reducing both systematical and random set-up errors.


CONCLUSION

The decrease in standard deviation of systematical and random
errors provides statistically meaningful decrease in minimum
PTV margins.

Keywords: Gold marker; a-Si EPID; elektronic portal imaging; setup errors

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