This paper presents an efficient and stable algorithm to intra-operative planning for prostate brachytherapy. As a heuristic approach, the algorithm selects one seed at a step and iterates until predefined prostate vo...This paper presents an efficient and stable algorithm to intra-operative planning for prostate brachytherapy. As a heuristic approach, the algorithm selects one seed at a step and iterates until predefined prostate volume is covered by prescribed dose. For each step, potential seeds are evaluated according to the ability to irradiate the target while sparing adjacent organs at risk. And its influence on dose homogeneity is also taken into account. Furthermore, a flexible mechanism is adopted to limit the number of used needles. The mechanism selects acceptable sub-optimal seed in existing needles instead of optimal seed that requires adding a new needle. The efficacy of algorithm is evaluated on five clinical cases. Compared with state-of-the-art methods,this algorithm is efficient and stable without the trial and error process of determining various parameters. These advantages make the algorithm suitable for intra-operative real-time treatment planning.展开更多
Prostatic brachytherapy with permanent seed implants is a recent and safe radiation therapy technique associated with radiation-induced digestive disease.Argon plasma coagulation procedure is a validated modality in t...Prostatic brachytherapy with permanent seed implants is a recent and safe radiation therapy technique associated with radiation-induced digestive disease.Argon plasma coagulation procedure is a validated modality in the management of haemorrhagic radiation proctitis,which is known to occasionally induce chronic rectal ulcers.We report here an original case report of an acute painful rectal ulcer as a consequence of the combination of shortterm therapy with non-steroidal anti-inflammatory drugs therapy,prostatic brachytherapy with malposition of seed implants and argon plasma coagulation procedure in a patient with haemorrhagic radiation proctitis.The description of this clinical observation is essential to recommend the discontinuation of non-steroidal anti-inflammatory drugs therapy and the control of the position of seed implants in case of prostatic brachytherapy before argon plasma coagulation for radiation-induced proctitis.展开更多
文摘This paper presents an efficient and stable algorithm to intra-operative planning for prostate brachytherapy. As a heuristic approach, the algorithm selects one seed at a step and iterates until predefined prostate volume is covered by prescribed dose. For each step, potential seeds are evaluated according to the ability to irradiate the target while sparing adjacent organs at risk. And its influence on dose homogeneity is also taken into account. Furthermore, a flexible mechanism is adopted to limit the number of used needles. The mechanism selects acceptable sub-optimal seed in existing needles instead of optimal seed that requires adding a new needle. The efficacy of algorithm is evaluated on five clinical cases. Compared with state-of-the-art methods,this algorithm is efficient and stable without the trial and error process of determining various parameters. These advantages make the algorithm suitable for intra-operative real-time treatment planning.
文摘Prostatic brachytherapy with permanent seed implants is a recent and safe radiation therapy technique associated with radiation-induced digestive disease.Argon plasma coagulation procedure is a validated modality in the management of haemorrhagic radiation proctitis,which is known to occasionally induce chronic rectal ulcers.We report here an original case report of an acute painful rectal ulcer as a consequence of the combination of shortterm therapy with non-steroidal anti-inflammatory drugs therapy,prostatic brachytherapy with malposition of seed implants and argon plasma coagulation procedure in a patient with haemorrhagic radiation proctitis.The description of this clinical observation is essential to recommend the discontinuation of non-steroidal anti-inflammatory drugs therapy and the control of the position of seed implants in case of prostatic brachytherapy before argon plasma coagulation for radiation-induced proctitis.
