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Simple immobilization for stereotactic radiotherapy aimed at pelvic metastases

Stereotactic body radiotherapy (SBRT) is increasingly applied for pelvic oligometastases of prostate cancer, and currently no simple immobilization method is available for cone beam computed tomography (CBCT)-guided treatment. We assessed patient set-up and intrafraction motion using simple immobili...

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Detalles Bibliográficos
Autores principales: Janssen, Jorinde, Brouwer, Charlotte L., Staal, Floor H.E., van Herpt, Heleen E., Both, Stefan, Langendijk, Johannes A., Aluwini, Shafak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10331836/
https://www.ncbi.nlm.nih.gov/pubmed/37435559
http://dx.doi.org/10.1016/j.phro.2023.100460
Descripción
Sumario:Stereotactic body radiotherapy (SBRT) is increasingly applied for pelvic oligometastases of prostate cancer, and currently no simple immobilization method is available for cone beam computed tomography (CBCT)-guided treatment. We assessed patient set-up and intrafraction motion using simple immobilization during CBCT-guided pelvic SBRT. Forty patients were immobilized with basic arm- head- and knee support and either a thermoplastic cushion or a foam cushion. Analysis of 454 CBCTs showed mean intrafraction translation <3.0 mm in 94% of fractions and mean intrafraction rotation <1.5° in 95% of fractions. Therefore, simple immobilization ensured stable patient positioning during CBCT-guided pelvic SBRT.