Intensity modulated high-dose-rate brachytherapy boost complementary to external beam radiation for intermediate- and high-risk localized prostate cancer patients--how we do it in Lübeck/Germany.
The Kiel University technique of intensity modulated brachytherapy boost implantations complementary to external beam radiation used in the treatment of prostate cancer patients was improved by involving real-time three-dimensional transrectal ultrasound analysis of the prostate gland both before implantation and after the implantation but before capture of the transrectal ultrasound images for real-time dynamic treatment planning. Implantation technique, treatment planning procedure, and dose delivery are described as practiced at the University Hospital Schleswig-Holstein Campus Lübeck, Germany.
Kovács
György
G
Department of Interdisciplinary Brachytherapy, University Hospital Schleswig-Holstein Campus Lübeck, Lübeck, Germany. gyoergy.kovacs@uk-sh.de
Melchert
Corinna
C
Sommerauer
Martin
M
Walden
Oliver
O
D001918:Brachytherapy / Q000295:instrumentation / Q000379:methods*; D004307:Dose-Response Relationship, Radiation; D005858:Germany; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000532:radiotherapy*; D011868:Radioisotopes / Q000627:therapeutic use; D011879:Radiotherapy Dosage; D050397:Radiotherapy, Intensity-Modulated / Q000295:instrumentation / Q000379:methods*; D012307:Risk Factors; D047368:Tumor Burden / Q000528:radiation effects; D014463:Ultrasonography; D036761:Ultrasound, High-Intensity Focused, Transrectal / Q000295:instrumentation / Q000379:methods
D011868:Radioisotopes