Adaptive planning and delivery of high dose rate brachytherapy
An adaptive, treatment planning technique used in medical instrumentation to address issues such as prostate swelling, patient or catheter movement
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[0014] In accordance with the present principles, systems and methods are provided for automatic positioning of medical instruments, such as catheters or needles, in ultrasound (US) that take into account currently unattended, potentially occurring variables. According to a particularly useful embodiment, adaptive planning is employed for high dose rate (HDR) prostate brachytherapy. Since the radiative sources are sequentially introduced into the catheters, adjustments to the plan are possible before the sources are inserted into each catheter. Changes in prostate volume, prostate or catheter position, and other influences (movement, etc.) can be considered before or during tissue irradiation. This in turn can improve the consistency of dose coverage and increase the quality of treatment. An image-based registration method is employed to register the position of the catheter in an image coordinate system (eg, an ultrasound coordinate system).
[0015] High dose rate (HDR) br...
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