Prostate volumes defined by magnetic resonance imaging and computerized tomographic scans for three-dimensional conformal radiotherapy

Mack Roach, Pamela Faillace-Akazawa, Christine Malfatti, John Holland, Hedvig Hricak

Research output: Contribution to journalArticlepeer-review

255 Scopus citations

Abstract

Purpose: To compare the prostate volumes defined on magnetic resonance imaging (MRI), and noncontrast computerized tomographic (CT) scans used for three-dimensional (3D) treatment planning. Methods and Materials: Ten patients were simulated for treatment using immobilization and a retrograde urethrogram. 3D images were used to compare prostate volumes defined by MRI (4-6 mm thick slices) and CT images (5 mm thick slices). Prostate volumes were calculated in cm3 using the Scanditronix 3D planning system. MRI/CT images were merged using bony anatomy to define the regions of discrepancy in prostate volumes. Results: The mean prostate volume was 32% larger (range - 5-63%) when defined by noncontrast CT compared to MRI. The areas of nonagreement tended to occur in four distinct regions of discrepancy: (a) the posterior portion of the prostate, (b) the posterior-inferior-apical portion of the prostate, (c) the apex due to disagreement between a urethrogram based definition and the location defined by MRI, (d) regions corresponding to the neurovascular bundle. Conclusion: There is a tendency to overestimate the prostate volume by noncontrast CT compared to MRI. Awareness of this tendency should allow us to be to more accurately define the prostate during 3-D treatment planning.

Original languageEnglish (US)
Pages (from-to)1011-1018
Number of pages8
JournalInternational Journal of Radiation Oncology Biology Physics
Volume35
Issue number5
DOIs
StatePublished - Jul 15 1996
Externally publishedYes

Keywords

  • 3D Treatment planning
  • CT
  • MRI

ASJC Scopus subject areas

  • Radiation
  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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