System for prostate brachytherapy and biopsy in a standard 1.5 T MRI scanner

被引:103
作者
Susil, RC
Camphausen, K
Choyke, P
McVeigh, ER
Gustafson, GS
Ning, H
Miller, RW
Atalar, E
Coleman, CN
Ménard, C
机构
[1] NCI, Radiat Oncol Branch, NIH, DHHS, Bethesda, MD 20892 USA
[2] Johns Hopkins Univ, Sch Med, Dept Biomed Engn, Baltimore, MD 21205 USA
[3] DHHS, Dept Radiol, Ctr Clin, NIH, Bethesda, MD USA
[4] NHLBI, Cardiac Energet Lab, NIH, DHHS, Bethesda, MD USA
[5] William Beaumont Hosp, Dept Radiat Oncol, Royal Oak, MI USA
[6] Johns Hopkins Univ, Sch Med, Dept Radiol, Baltimore, MD 21205 USA
[7] Bilkent Univ, Dept Elect & Elect Engn, TR-06533 Ankara, Turkey
关键词
MRI; brachytherapy; prostate; prostatic neoplasms; biopsy; interventional MRI;
D O I
10.1002/mrm.20138
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A technique for transperineal high-dose-rate (HDR) prostate brachytherapy and needle biopsy in a standard 1.5 T MRI scanner is demonstrated. In each of eight procedures (in four patients with intermediate to high risk localized prostate cancer), four MRI-guided transperineal prostate biopsies were obtained followed by placement of 14-15 hollow transperineal catheters for HDR brachytherapy. Mean needle-placement accuracy was 2.1 mm, 95% of needle-placement errors were less than 4.0 mm, and the maximum needle-placement error was 4.4 mm. In addition to guiding the placement of biopsy needles and brachytherapy catheters, MR images were also used for brachytherapy treatment planning and optimization. Because 1.5 T MR images are directly acquired during the interventional procedure, dependence on deformable registration is reduced and online image quality is maximized. (C) Published 2004 Wiley-Liss, Inc(dagger).
引用
收藏
页码:683 / 687
页数:5
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