A mathematical approach for evaluating the influence of dose heterogeneity on TCP for prostate cancer brachytherapy treatment

Phys Med Biol. 2008 Sep 21;53(18):5045-59. doi: 10.1088/0031-9155/53/18/013. Epub 2008 Aug 22.

Abstract

The low-dose-rate brachytherapy technique has proven suitable for the management of prostate cancer. However, published data generally report the clinical outcome and the minimum peripheral dose (mPD) to the target volume and not the actual dose distribution in patients. To this end, modern guidelines recommend the use of specific dose and volume indices describing dose distribution throughout the target. The introduction of a method, based on the standard linear quadratic model and Poisson statistics, entitled the F-factor allows the TCP from different DVHs to be calculated, by using the TCP from a uniform dose distribution as the reference. The F-factor sensitivity against radiobiological parameters and influence of the DVH were evaluated. We applied the F-formula on the post-plan DVHs of 58 patients treated with (125)I permanent seed implant brachytherapy for localized prostate cancer. F shows a strong correlation with dosimetric parameters already reported as significant predictors of the biochemical outcome.

Publication types

  • Evaluation Study

MeSH terms

  • Body Burden
  • Brachytherapy / methods*
  • Computer Simulation
  • Humans
  • Male
  • Models, Biological*
  • Models, Statistical
  • Outcome Assessment, Health Care / methods*
  • Prostatic Neoplasms / radiotherapy*
  • Radiometry / mortality*
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted / methods*
  • Radiotherapy, Computer-Assisted / methods*
  • Relative Biological Effectiveness