Cone Beam CT for Daily Image Guidance - Prostate Cancer
Study Details
Study Description
Brief Summary
Conformal dose escalated radiation therapy (CRT) is standard treatment for patients with low and intermediate risk prostate cancer. CRT requires accurate daily localization of the prostate prior to treatment to correct for prostate motion and set-up errors. Cone beam computed tomography (CT) can accurately localize fiducial markers within the prostate. Cone Beam CT also provides important information on daily position of organs within the pelvis. This study aims to assess the feasibility of cone beam CT for daily localization of the prostate as well as document changes in size and location of pelvic organs during an entire course of CRT.
Condition or Disease | Intervention/Treatment | Phase |
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|
Phase 2 |
Study Design
Outcome Measures
Primary Outcome Measures
- To evaluate the feasibility of cone beam CT for daily on-line image guidance in patients receiving conformal radiation therapy for prostate cancer. []
Secondary Outcome Measures
- To measure the amount of interfraction movement of the prostate and seminal vesicles with current bowel regimen of daily milk of magnesia. []
- To measure the amount of interfraction movement and deformity of the rectum and bladder with current bowel regimen of daily milk of magnesia. []
- To develop a technique for delivery of radiation therapy that reduces normal tissue toxicity, based on rectal and bladder avoidance models. []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Diagnosis of adenocarcinoma of the prostate
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Patient undergoing dose escalated conformal external beam radiation therapy
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Low or intermediate risk prognostic factors (PSA 20 or less, Gleason score <8, Clinical T category <T3, Clinical N category 0 or X, M category 0 or X
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Age 18 years or older
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ECOG performance status 0 or 1
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Informed consent
Exclusion Criteria:
- Inflammatory bowel disease or collagen vascular disease
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Princess Margaret Hospital | Toronto | Ontario | Canada | M5G 2M9 |
Sponsors and Collaborators
- University Health Network, Toronto
- Princess Margaret Hospital, Canada
Investigators
- Principal Investigator: Charles Catton, MD, Princess Margaret Hospital, Canada
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- UHN REB 05-0037-C