1. Bladder surface dose modeling in prostate cancer radiotherapy: An analysis of motion‐induced variations and the cumulative dose across the treatment
- Author
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Minsong Cao, Yi Lao, Amar U. Kishan, Yalin Wang, Yingli Yang, Ke Sheng, and Wensha Yang
- Subjects
Male ,Cumulative dose ,business.industry ,Radiotherapy Planning, Computer-Assisted ,medicine.medical_treatment ,Urinary Bladder ,Prostatic Neoplasms ,Radiotherapy Dosage ,General Medicine ,medicine.disease ,Article ,Dose surface histogram ,Radiation therapy ,Surface mapping ,Prostate cancer ,Planned Dose ,Intrafraction motion ,medicine ,Humans ,Radiotherapy, Intensity-Modulated ,business ,Nuclear medicine ,Radiotherapy, Image-Guided - Abstract
PURPOSES: To introduce a novel surface-based dose mapping method to improve quantitative bladder dosimetric assessment in prostate cancer (PC) radiotherapy. METHODS: Based on the planning and daily pre and post-fraction MRIs of 12 PC patients, bladder surface models (SM) were generated on manually delineated contours and regionally aligned via surface-based registration. Subsequently, bladder surface dose models (SDM) were created using face-wise dose sampling. To determine the bladder intrafractional and interfractional motion and dose variation, we performed a pose analysis between pre and post-fraction bladder SMs, as well as surface mapping for fractional SMs. Discrepancies between the received dose, accumulated from daily SDMs, and the planned dose were then assessed on the corresponding SDMs. Complementary to the surface dose mapping, dose-surface-histograms (DSHs) based comparisons were also performed. RESULTS: The intra-fraction pose analysis revealed a significant (p
- Published
- 2021