title: Three-dimensional image-based high-dose-rate interstitial brachytherapy for mobile tongue cancer.
abstract: To investigate the influence of a 3D image-based treatment-planning method for high-dose-rate interstitial brachytherapy (HDR-ISBT) for mobile tongue cancer, we analyzed dose-volume histogram results for the clinical target volume (CTV) and the mandible. Between October 2010 and November 2011, one and four patients having T2 and T3 tumors, respectively, were treated with HDR-ISBT. Multiplane implantation using 9-15 treatment applicators was performed. Lugol's iodine staining, metal markers, ultrasonography, and magnetic resonance imaging were used to identify the contours of the gross tumor volume (defined as the CTV). The results of the image-based treatment plan were compared with those of the conventional simulated plan on the basis of a reference point 5 mm from the applicator position. The mean D90(CTV) and V100(CTV) were 112% of the prescribed dose (PD) and 98.1%PD, respectively, for the image-based plan, and 113%PD and 97.2%PD, respectively, for the conventional plan. The median CTVref/Vref was 0.23 for the image-based plan and 0.16 for the conventional plan (P = 0.01). The mean D0.1 cm(3) (mandible), D1 cm(3) (mandible), and D2 cm(3) (mandible) were 80.1%PD, 62.5%PD, and 55.7%PD, respectively, for the image-based plan, and 109.1%PD (P = 0.02), 82.4%PD (P = 0.005), and 74%PD (P = 0.004), respectively, for the conventional plan). Image-based treatment planning may achieve high-conformity radiotherapy for the CTV and decrease irradiated doses to the mandible.
authors.affiliation: Department of Radiology, Osaka Medical College, 2-7, Daigaku-machi, Takatsuki, Osaka 569-8686, Japan.
authors.forename: Ken
authors.initials: K
authors.lastname: Yoshida
authors.forename: Tadashi
authors.initials: T
authors.lastname: Takenaka
authors.forename: Hironori
authors.initials: H
authors.lastname: Akiyama
authors.forename: Hideya
authors.initials: H
authors.lastname: Yamazaki
authors.forename: Mineo
authors.initials: M
authors.lastname: Yoshida
authors.forename: Koji
authors.initials: K
authors.lastname: Masui
authors.forename: Tadayuki
authors.initials: T
authors.lastname: Kotsuma
authors.forename: Sungjae
authors.initials: S
authors.lastname: Baek
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Uesugi
authors.forename: Taiju
authors.initials: T
authors.lastname: Shimbo
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Yoshikawa
authors.forename: Takumi
authors.initials: T
authors.lastname: Arika
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Koretsune
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Yoshioka
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Narumi
authors.forename: Eiichi
authors.initials: E
authors.lastname: Tanaka
mesh_terms: D000328:Adult; D000368:Aged; D001918:Brachytherapy / Q000379:methods*; D019583:Dose Fractionation, Radiation; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011879:Radiotherapy Dosage; D061089:Radiotherapy, Image-Guided / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014062:Tongue Neoplasms / Q000000981:diagnostic imaging* / Q000532:radiotherapy*; D016896:Treatment Outcome
keywords: dose–volume histogram; high-dose-rate interstitial brachytherapy; image-based plan; mobile tongue cancer