RESUMEN
BACKGROUND: Prostate brachytherapy consists in placing radioactive seeds for tumour destruction under transrectal ultrasound imaging (TRUS) control. It requires prostate delineation from the images for dose planning. Because ultrasound imaging is patient- and operator-dependent, we have proposed to fuse MRI data to TRUS data to make image processing more reliable. The technical accuracy of this approach has already been evaluated. METHODS: We present work in progress concerning the evaluation of the approach from the dosimetry viewpoint. The objective is to determine what impact this system may have on the treatment of the patient. Dose planning is performed from initial TRUS prostate contours and evaluated on contours modified by data fusion. RESULTS: For the eight patients included, we demonstrate that TRUS prostate volume is most often underestimated and that dose is overestimated in a correlated way. However, dose constraints are still verified for those eight patients. CONCLUSIONS: This confirms our initial hypothesis.
Asunto(s)
Braquiterapia/métodos , Imagen por Resonancia Magnética/métodos , Neoplasias de la Próstata/diagnóstico , Neoplasias de la Próstata/radioterapia , Radioterapia Asistida por Computador/métodos , Ultrasonografía/métodos , Braquiterapia/instrumentación , Humanos , Imagen por Resonancia Magnética/instrumentación , Masculino , Fantasmas de Imagen , Implantación de Prótesis/métodos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Técnica de Sustracción , Ultrasonografía/instrumentaciónRESUMEN
An intracranial glioma, presenting with clinical signs and symptoms, as well as angiographic evidence of a meningioma, is presented. The computerized axial tomogram was the only diagnostic study that suggested the presence of a glioma.
