CT-based optimized planning for transperineal prostate implant with customized template.

Roy, J N; Wallner, K E; Chiu-Tsao, S T; Anderson, L L; Ling, C C · Int J Radiat Oncol Biol Phys · 1991

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Abstract

A computerized planning procedure has been developed for CT-guided transperineal prostate implants. The segment for custom planning of perineal needle orientations allows placement of I-125 seeds in the entire prostate gland while avoiding the pubic bones. Least-squares optimization (LSO) is used to obtain the seed-loading pattern along the needles. The optimized seed distribution produces a better fit between treatment and target volumes than that obtained from our previous manual technique. Also, the present semi-automatic technique reduces planning time by about a factor of 10 compared to that of the manual approach.

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