Utility of an initial adaptive bladder volume control with ultrasonography for proton-beam irradiation for prostate cancer
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  • 作者:Shigeyuki Takamatsu (1)
    Kazutaka Yamamoto (2)
    Mariko Kawamura (3)
    Yoshitaka Sato (2)
    Satoko Asahi (4)
    Tamaki Kondou (5)
    Yuuji Tameshige (2)
    Yoshikazu Maeda (2)
    Makoto Sasaki (2)
    Tomoyasu Kumano (1)
    Toshifumi Gabata (6)
  • 关键词:Adaptive bladder volume control ; Ultrasonography ; Prostate cancer ; Proton ; beam therapy
  • 刊名:Japanese Journal of Radiology
  • 出版年:2014
  • 出版时间:October 2014
  • 年:2014
  • 卷:32
  • 期:10
  • 页码:618-622
  • 全文大小:632 KB
  • 参考文献:1. Nihei K, Ogino T, Onozawa M, Murayama S, Fuji H, Murakami M, et al. Multi-institutional Phase II study of proton beam therapy for organ-confined prostate cancer focusing on the incidence of late rectal toxicities. Int J Radiat Oncol Biol Phys. 2011;81:390-. CrossRef
    2. Mendenhall NP, Li Z, Hoppe BS, Marcus RB Jr, Mendenhall WM, Nichols RC, et al. Early outcomes from three prospective trials of image-guided proton therapy for prostate cancer. Int J Radiat Oncol Biol Phys. 2012;82:213-1. CrossRef
    3. Lebesque JV, Bruce AM, Kroes AP, Touw A, Shouman RT, van Herk M. Variation in volumes, dose-volume histograms, and estimated normal tissue complication probabilities of rectum and bladder during conformal radiotherapy of T3 prostate cancer. Int J Radiat Oncol Biol Phys. 1995;33:1109-9. CrossRef
    4. Melian E, Mageras GS, Fuks Z, Leibel SA, Niehaus A, Lorant H, et al. Variation in prostate position quantitation and implications for three-dimensional conformal treatment planning. Int J Radiat Oncol Biol Phys. 1997;38:73-1. CrossRef
    5. Roeske JC, Forman JD, Mesina CF, He T, Pelizzari CA, Fontenla E, et al. Evaluation of changes in the size and location of the prostate, seminal vesicles, bladder, and rectum during a course of external beam radiation therapy. Int J Radiat Oncol Biol Phys. 1995;33:1321-. CrossRef
    6. Fiorino C, Foppiano F, Franzone P, Broggi S, Castellone P, Marcenaro M, et al. Rectal and bladder motion during conformal radiotherapy after radical prostatectomy. Radiother Oncol. 2005;74:187-5. CrossRef
    7. Stam MR, van Lin EN, van der Vight LP, Kaanders JH, Visser AG. Bladder filling variation during radiation treatment of prostate cancer: can the use of a bladder ultrasound scanner and biofeedback optimize bladder filling? Int J Radiat Oncol Biol Phys. 2006;65:371-. CrossRef
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  • 作者单位:Shigeyuki Takamatsu (1)
    Kazutaka Yamamoto (2)
    Mariko Kawamura (3)
    Yoshitaka Sato (2)
    Satoko Asahi (4)
    Tamaki Kondou (5)
    Yuuji Tameshige (2)
    Yoshikazu Maeda (2)
    Makoto Sasaki (2)
    Tomoyasu Kumano (1)
    Toshifumi Gabata (6)

    1. Department of Radiotherapy, Graduate School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8640, Japan
    2. Proton Therapy Center, Fukui Prefectural Hospital, 2-8-1 Yotsui, Fukui, Fukui, 910-8526, Japan
    3. Department of Radiology, Graduate School of Medicine, Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan
    4. Department of Radiology, University of Fukui, 23-3 Matsuokashimoaizuki, Eiheiji-cho, Yoshida-Gun, Fukui, 910-1193, Japan
    5. Department of Diagnostic and Therapeutic Radiology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa, 920-0923, Japan
    6. Department of Radiology, Graduate School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8640, Japan
  • ISSN:1867-108X
文摘
Purpose Our purpose was to evaluate the utility of time-fixed bladder volume control and adaptive bladder volume control with ultrasonography (US). Materials and methods Seventy-five patients with prostate cancer treated with proton-beam therapy were enrolled. Treatment plans were created using computed tomography (CT) images obtained 60?min after urination with usual water intake. Just before each irradiation, bladder volume was measured with US at the directed urine collection time. Bladder volume was calculated according to orthogonal diameters. A bladder volume of Results In total, 1,439 US confirmations (51?%) in 2,821 fractions were obtained and analyzed. A collapsed bladder was observed 152 of 1,439 times (11?%) in total, and the percentages of collapsed bladders from the first to fifth irradiations were 32?%, 18?%, 16?%, 12?%, and 7?%, respectively. Conclusion Time-fixed bladder control is associated with a risk of bladder volume insufficiency. Adaptive bladder volume control with initial US feedback could decrease the risk of bladder volume insufficiency.

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