Journal article
Magnetic resonance imaging (MRI) markers for MRI-guided high-dose-rate brachytherapy: novel marker-flange for cervical cancer and marker catheters for prostate cancer
International journal of radiation oncology, biology, physics, Vol.86(2), pp.387-393
06/01/2013
DOI: 10.1016/j.ijrobp.2012.12.026
PMID: 23433797
Abstract
To present a novel marker-flange, addressing source-reconstruction uncertainties due to the artifacts of a titanium intracavitary applicator used for magnetic resonance imaging (MRI)-guided high-dose-rate (HDR) brachytherapy (BT); and to evaluate 7 different MRI marker agents used for interstitial prostate BT and intracavitary gynecologic HDR BT when treatment plans are guided by MRI. Seven MRI marker agents were analyzed: saline solution, Conray-60, copper sulfate (CuSO4) (1.5 g/L), liquid vitamin E, fish oil, 1% agarose gel (1 g agarose powder per 100 mL distilled water), and a cobalt-chloride complex contrast (C4) (CoCl2/glycine = 4:1). A plastic, ring-shaped marker-flange was designed and tested on both titanium and plastic applicators. Three separate phantoms were designed to test the marker-flange, interstitial catheters for prostate BT, and intracavitary catheters for gynecologic HDR BT. T1- and T2-weighted MRI were analyzed for all markers in each phantom and quantified as percentages compared with a 3% agarose gel background. The geometric accuracy of the MR signal for the marker-flange was measured using an MRI-CT fusion. The CuSO4 and C4 markers on T1-weighted MRI and saline on T2-weighted MRI showed the highest signals. The marker-flange showed hyper-signals of >500% with CuSO4 and C4 on T1-weighted MRI and of >400% with saline on T2-weighted MRI on titanium applicators. On T1-weighted MRI, the MRI signal inaccuracies of marker-flanges were measured <2 mm, regardless of marker agents, and that of CuSO4 was 0.42 ± 0.14 mm. The use of interstitial/intracavitary markers for MRI-guided prostate/gynecologic BT was observed to be feasible, providing accurate source pathway reconstruction. The novel marker-flange can produce extremely intense, accurate signals, demonstrating its feasibility for gynecologic HDR BT.
Details
- Title: Subtitle
- Magnetic resonance imaging (MRI) markers for MRI-guided high-dose-rate brachytherapy: novel marker-flange for cervical cancer and marker catheters for prostate cancer
- Creators
- Joshua Schindel - Department of Radiation Oncology, University of Iowa, Iowa City, Iowa, USAManickam MuruganandhamF Christopher PiggeJames AndersonYusung Kim
- Resource Type
- Journal article
- Publication Details
- International journal of radiation oncology, biology, physics, Vol.86(2), pp.387-393
- Publisher
- United States
- DOI
- 10.1016/j.ijrobp.2012.12.026
- PMID
- 23433797
- ISSN
- 0360-3016
- eISSN
- 1879-355X
- Language
- English
- Date published
- 06/01/2013
- Academic Unit
- Radiology; Radiation Oncology; Chemistry
- Record Identifier
- 9983985952902771
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