Intensity Modulated Radiation Treatment of Prostate Cancer Guided by High Field MR Spectroscopic Imaging

Abstract

With the development of computer controlled multileaf collimators, IMRT now provides unprecedented means for us to deliver 3D-dose distributions with subcentimeter resolution. Simultaneously, MRSI is capable of noninvasively providing critically needed 3D metabolic and physiological information. Together with anatomical CT or MRI images, functional imaging affords valuable 4D data (3D structural plus 1D metabolic). A timely issue is how to integrate the metabolic/functional data into IMRT treatment planning to improve clinical prostate cancer management. Toward establishing biologically conformal radiation therapy for prostate treatment, we have carried out a series of studies and developments and have successfully accomplished a number of important milestones of the proposed project These include (i) implemented 3T prostate MRSI technique with J-resolved pulse sequence; (ii) developed a robust image registration procedure to map endorectal coil-based MRSI data onto treatment planning CT/MRI images; (iii) performed experimental validation of the image registration tools; (iv) designed and fabricated MRSI quality assurance phantom; and (v) improved currently available inverse planning algorithm for MRSI-guided prostate IMRT. Integration and further refinement of the above tools are still underway. It is expected these tools will greatly facilitate the imaging, planning, delivery, and quality assurance of MRSI-guided prostate treatment.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 2004
Accession Number
ADA428422

Entities

People

  • Lei Xing

Organizations

  • Stanford University

Tags

Communities of Interest

  • Energy and Power Technologies

DTIC Thesaurus Topics

  • Accuracy
  • Algorithms
  • Computers
  • Diagnostic Imaging
  • Genetic Algorithms
  • Health Services
  • Image Registration
  • Imaging Techniques
  • Magnetic Resonance
  • Medical Personnel
  • Neoplasms
  • Prostate Cancer
  • Radiation
  • Radiation Oncology
  • Salivary Glands
  • Three Dimensional
  • Two Dimensional

Fields of Study

  • Medicine
  • Physics

Readers

  • Medical Imaging.