Document Detail


Evaluation of interobserver differences in postimplant dosimetry following prostate brachytherapy and the efficacy of CT/MRI fusion imaging.
MedLine Citation:
PMID:  19943144     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Interobserver differences in postimplant dosimetry based on computed tomography (CT) and CT/magnetic resonance imaging (MRI) fusion images were assessed to evaluate the efficacy of the fusion image. In addition, the part of the prostate contour responsible for the interobserver differences in CT was identified. MATERIALS AND METHODS: In June 2008, 1-month postimplant CT data from two patients who underwent (125)I prostate brachytherapy were sent to 90 institutions for postimplant dosimetry. Subsequently, MRI data from the same patients were sent for fusion-based postimplant dosimetry. The variance of the difference between MRIbased D90 and CT-based or fusion-based D90 was compared. Prostate volume on CT was plotted on the y-axis against the position of the most cranial and caudal slices in the prostate contour delineated at each institution to analyze interobserver differences. RESULTS: The prostate volume from CT was significantly greater than from the CT/MRI fusion image (P = 0.0014). Fusion-based variance was significantly greater than CT-based variance (P < 0.01). CT-based postimplant dosimetry showed that 88%-96% of the institutions had an apical and basal position within a range of 5 mm. CONCLUSION: There were marked interobserver differences in CT/MRI fusion-based postimplant dosimetry.
Authors:
Manabu Aoki; Atsunori Yorozu; Takushi Dokiya
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-11-27
Journal Detail:
Title:  Japanese journal of radiology     Volume:  27     ISSN:  1867-108X     ISO Abbreviation:  Jpn J Radiol     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-27     Completed Date:  2010-02-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101490689     Medline TA:  Jpn J Radiol     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  342-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-Ku, Tokyo, 105-8461, Japan. maoki@jikei.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Brachytherapy / methods*
Humans
Iodine Radioisotopes / therapeutic use
Magnetic Resonance Imaging / methods*
Male
Observer Variation
Prostate / pathology*,  radiography*
Prostatic Neoplasms / pathology*,  radiography*,  radiotherapy
Radiography, Interventional / methods
Radiometry / methods
Radiotherapy Dosage
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Iodine Radioisotopes

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