PMID- 17056194 OWN - NLM STAT- MEDLINE DCOM- 20070111 LR - 20161124 IS - 0360-3016 (Print) IS - 0360-3016 (Linking) VI - 66 IP - 5 DP - 2006 Dec 1 TI - Ultrasound-based image guided radiotherapy for prostate cancer: comparison of cross-modality and intramodality methods for daily localization during external beam radiotherapy. PG - 1562-7 AB - PURPOSE: To compare two different ultrasound-based verification systems for prostate alignment during daily external beam radiation therapy (EBRT) for localized prostate cancer. METHODS AND MATERIALS: Prostate displacements were measured prospectively in 40 patients undergoing daily EBRT. Comparison was made between a system based on the cross-modality verification method (CMVM), which uses two different imaging modalities to assess organ motion, and a system based on the intramodality verification method (IMVM), which uses only one imaging modality for such assessment. A total of 217 CMVM and 217 IMVM displacements were collected within a minute of each other. In 10 patients, IMVM displacements were also compared with those measured by sequential CT scans. RESULTS: Analysis in the paired CMVM and IMVM displacements shows a significant mean difference of 0.9 +/- 3.3 mm in the lateral and 6.0 +/- 5.1 mm in the superoinferior directions (p < 0.0001), whereas no significant difference was detected in the anteroposterior direction between the two methods. Comparison of the computed tomography scan and IMVM measured displacements shows no significant difference between the two methods, with mean values of 0.2 +/- 1.7 mm in the lateral, -0.3 +/- 1.6 mm in the anteroposterior, and 0.1 +/- 1.4 mm in the superoinferior directions. CONCLUSIONS: A significant systematic difference exists between cross-modality and intramodality methods when assessing prostate alignment during daily EBRT. Because displacements assessed by IMVM are consistent with those assessed by computed tomography scan, a more accurate prostate alignment appears to be obtained when the IMVM method is used. FAU - Cury, Fabio L B AU - Cury FL AD - Department of Oncology, Division of Radiation Oncology, McGill University, Montreal, Quebec, Canada. FAU - Shenouda, George AU - Shenouda G FAU - Souhami, Luis AU - Souhami L FAU - Duclos, Marie AU - Duclos M FAU - Faria, Sergio L AU - Faria SL FAU - David, Marc AU - David M FAU - Verhaegen, Frank AU - Verhaegen F FAU - Corns, Robert AU - Corns R FAU - Falco, Tony AU - Falco T LA - eng PT - Comparative Study PT - Journal Article DEP - 20061023 PL - United States TA - Int J Radiat Oncol Biol Phys JT - International journal of radiation oncology, biology, physics JID - 7603616 SB - IM MH - Humans MH - Male MH - Movement MH - Prospective Studies MH - Prostate/*diagnostic imaging MH - Prostatic Neoplasms/*diagnostic imaging/*radiotherapy MH - Tomography, X-Ray Computed MH - Ultrasonography, Interventional/*methods EDAT- 2006/10/24 09:00 MHDA- 2007/01/12 09:00 CRDT- 2006/10/24 09:00 PHST- 2006/03/27 00:00 [received] PHST- 2006/07/12 00:00 [revised] PHST- 2006/07/19 00:00 [accepted] PHST- 2006/10/24 09:00 [pubmed] PHST- 2007/01/12 09:00 [medline] PHST- 2006/10/24 09:00 [entrez] AID - S0360-3016(06)02778-7 [pii] AID - 10.1016/j.ijrobp.2006.07.1375 [doi] PST - ppublish SO - Int J Radiat Oncol Biol Phys. 2006 Dec 1;66(5):1562-7. doi: 10.1016/j.ijrobp.2006.07.1375. Epub 2006 Oct 23.