Acurácia na reprodutibilidade do posicionamento diário de pacientes submetidos a radioterapia conformada (RT3D) para câncer de próstata

• Autor(a) principal: Giordani, Adelmo José [UNIFESP]
• Data de Publicação: 2010
• Outros Autores: Dias, Rodrigo Souza [UNIFESP], Segreto, Helena Regina Comodo [UNIFESP], Segreto, Roberto Araujo [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0100-39842010000400007; http://repositorio.unifesp.br/handle/11600/5862
• topic: Setup reproducibility; Prostate cancer; Conformal radiotherapy; Reprodutibilidade de posicionamento; Câncer de próstata; Radioterapia conformada

OBJECTIVE: To evaluate the reproducibility of daily patients' setup in 3D conformal radiotherapy for prostate cancer. MATERIALS AND METHODS: The present study evaluated a total of 960 radiological images (anterior and lateral views) of 120 patients submitted to conformal radiotherapy for prostate cancer with the isocentric technique. A 6 MV particle accelerator was utilized in the process. A specific protocol for prostate radiotherapy planning and treatment was applied, with the patients placed in supine position, hands on the chest and legs placed on and appropriate support. Daily, the patients were positioned according to previously made skin markings in alignment with the in-room laser. The portal images were compared with digitally reconstructed radiographies (DRR) in the Eclipse treatment planning system based on the tomographic images. Radiography was performed at the first day, and weekly afterwards until the treatment was completed. RESULTS: The following average position shifts were observed: 1.99 ± 1.25 mm craniocaudally, 1.37 ± 0.84 mm laterally, and 1.94 ± 1.10 mm anteroposteriorly. CONCLUSION: The use of specific protocols for patients' setup is feasible in the clinical practice, allowing appropriate reproducibility and quick correction of possible errors in conformal radiotherapy for prostate cancer.