Clinical use of magnetic resonance imaging across the prostate brachytherapy workflow.

Abstract:

:MRI produces better soft tissue contrast than does ultrasonography or computed tomography for visualizing male pelvic anatomy and prostate cancer. Better visualization of the tumor and organs at risk could allow better conformation of the dose to the target volumes while at the same time minimizing the dose to critical structures and the associated toxicity. Although the use of MRI for prostate brachytherapy would theoretically result in an improved therapeutic ratio, its implementation been slow, mostly because of technical challenges. In this review, we describe the potential role of MRI at different steps in the treatment workflow for prostate brachytherapy: for patient selection, treatment planning, in the operating room, or for postimplant assessment. We further present the current clinical experience with MRI-guided prostate brachytherapy, both for permanent seed implantation and high-dose-rate brachytherapy.

journal_name

Brachytherapy

journal_title

Brachytherapy

authors

Blanchard P,Ménard C,Frank SJ

doi

10.1016/j.brachy.2016.11.012

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

734-742

issue

4

eissn

1538-4721

issn

1873-1449

pii

S1538-4721(16)30612-2

journal_volume

16

pub_type

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