Are you concerned about fiducials shifting within the prostate during prostate IMRT?
If so, how should one approach it?
Answer from: Radiation Oncologist at Academic Institution
I think that it is important to consider what type of on-board imaging is being utilized. If it is a CBCT, then there will be additional information that can be interrogated when determining how to adjust shifts. If it is a fiducial match protocol, then I think that it is important to ke...
Comments
Radiation Oncologist I favor the use of fiducial seeds if possible sinc...
Answer from: Radiation Oncologist at Academic Institution
There have been studies on this subject published >10 years ago. The bottom line is that movement of prostatic fiducial markers should be none to minimal (i.e., not clinically significant) through the course of treatment.We do get CBCT's once per week in intact cases, on top of daily kVs to local...
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Radiation Oncologist at Northeast Alabama Regional Medical Center Stanley, great paper about the seed markers and it...
Answer from: Radiation Oncologist at Community Practice
I began doing routine fiducial placement and daily kV IGRT around 2004. I essentially switched from non-IGRT to IGRT "overnight" once I had the opportunity to start using and working with an IGRT system (at that time, it was Exactrac, and was the only way to do stereoscopic kV X-ray IGRT in 2004; no...
I favor the use of fiducial seeds if possible sinc...