title: Can a belly board reduce respiratory-induced prostate motion in the prone position?--assessed by cine-magnetic resonance imaging.
abstract: The purpose of this study is to evaluate the real-time respiratory motion of the prostate and surrounding tissues/organs in the supine and prone positions and to investigate, using cine-MRI, whether a belly board can reduce respiratory-induced motion in the prone position. Cine-MRI scans were made of 13 volunteers in the supine and prone positions on a flat board and in two different prone positions using a belly board. Images in cine mode were recorded for 20 seconds. For each session, the points of interest (POIs) were located at the apex, base, mid-anterior surface and mid-posterior surface of the prostate; the tip of the seminal vesicle; the pubic symphysis; and the sacrum. The maximum range and standard deviation (SD) of the displacement from the mean value were calculated. The SDs for each of the four different positions were compared using a paired t-test. Respiratory-induced prostate motion was significantly larger in the prone position than in the supine position. However, when a belly board was used in the prone position, motion in the prostate and surrounding tissues/organs was significantly reduced. There were no significant differences between the two different positions using a belly board in any of the POIs.
authors.affiliation: Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. nakam@radiol.med.kyushu-u.ac.jp.
authors.forename: K
authors.initials: K
authors.lastname: Terashima
authors.forename: K
authors.initials: K
authors.lastname: Nakamura
authors.forename: Y
authors.initials: Y
authors.lastname: Shioyama
authors.forename: T
authors.initials: T
authors.lastname: Sasaki
authors.forename: S
authors.initials: S
authors.lastname: Ohga
authors.forename: T
authors.initials: T
authors.lastname: Nonoshita
authors.forename: T
authors.initials: T
authors.lastname: Yoshitake
authors.forename: K
authors.initials: K
authors.lastname: Atsumi
authors.forename: K
authors.initials: K
authors.lastname: Asai
authors.forename: M
authors.initials: M
authors.lastname: Hirakawa
authors.forename: S
authors.initials: S
authors.lastname: Anai
authors.forename: H
authors.initials: H
authors.lastname: Yoshikawa
authors.forename: H
authors.initials: H
authors.lastname: Honda
mesh_terms: D000328:Adult; D000368:Aged; D059925:Anatomic Landmarks; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D008875:Middle Aged; D009068:Movement; D056888:Patient Positioning / Q000295:instrumentation*; D016684:Prone Position; D011467:Prostate; D011471:Prostatic Neoplasms / Q000532:radiotherapy*; D011631:Pubic Symphysis; D015656:Respiratory Mechanics; D012447:Sacrum; D012669:Seminal Vesicles; D016683:Supine Position