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A UK wide study of current prostate planning practice.

Timothy Taylor1, Neil Richmond2

  • 1Department of Medical Physics & Bioengineering, Royal United Hospitals Bath NHS Foundation Trust, Combe Park, Bath, BA1 3NG.

The British Journal of Radiology
|April 9, 2020
PubMed
Summary

This UK-wide study assessed prostate radiotherapy planning, finding 17 methods used. It enables departments to benchmark their planning target volume (PTV) strategies and organ-at-risk doses against peers.

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Area of Science:

  • Radiotherapy Physics
  • Radiation Oncology
  • Medical Imaging

Background:

  • Prostate cancer treatment relies heavily on precise radiotherapy planning.
  • Variations in clinical practice can impact treatment efficacy and toxicity.
  • A standardized assessment of current UK prostate planning practices is needed.

Purpose of the Study:

  • To conduct a non-judgmental evaluation of prostate radiotherapy planning across UK departments.
  • To identify and analyze the diversity of planning target volume (PTV) delineation and margin strategies.
  • To establish a benchmark for current UK prostate planning practices.

Main Methods:

  • 102 treatment plans from 48 UK radiotherapy departments were submitted.
  • A single anonymized CT dataset with outlined organs was provided.
  • Participants created PTVs and treatment plans based on local protocols, aiming for 60 Gy in 20 fractions.

Main Results:

  • Seventeen distinct PTV creation methodologies were identified.
  • The CHHIP trial protocol for margin growing was followed in nearly two-thirds of submissions.
  • Positive correlations were observed between PTV volume and doses to the bladder and rectum.

Conclusions:

  • A national radiotherapy planning study using a single dataset is feasible.
  • This study provides a valuable opportunity for UK departments to self-assess and benchmark their prostate planning.
  • It highlights the diversity in planning practices and potential areas for standardization.