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

Brachytherapy. 2007 Apr-Jun;6(2):142-8. doi: 10.1016/j.brachy.2007.02.062.

Abstract

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.

MeSH terms

  • Brachytherapy / instrumentation
  • Brachytherapy / methods*
  • Dose-Response Relationship, Radiation
  • Germany
  • Humans
  • Image Processing, Computer-Assisted
  • Male
  • Prostatic Neoplasms / diagnostic imaging
  • Prostatic Neoplasms / pathology*
  • Prostatic Neoplasms / radiotherapy*
  • Radioisotopes / therapeutic use
  • Radiotherapy Dosage
  • Radiotherapy, Intensity-Modulated / instrumentation
  • Radiotherapy, Intensity-Modulated / methods*
  • Risk Factors
  • Tumor Burden / radiation effects
  • Ultrasonography
  • Ultrasound, High-Intensity Focused, Transrectal / instrumentation
  • Ultrasound, High-Intensity Focused, Transrectal / methods

Substances

  • Radioisotopes