ESTRO ACROP consensus guideline on the use of image guided radiation therapy for localized prostate cancer

•The purpose of the paper is to aid radiotherapy professionals in the design of IGRT protocols, as well as in the selection of corresponding PTV margins.•Consensus recommendations are made for methods and procedures for image-guided radiotherapy.•Based on the identified literature, discussions, emai...

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Bibliographic Details
Published in:Radiotherapy and oncology 2019-12, Vol.141, p.5-13
Main Authors: Ghadjar, Pirus, Fiorino, Claudio, Munck af Rosenschöld, Per, Pinkawa, Michael, Zilli, Thomas, van der Heide, Uulke A.
Format: Article
Language:English
Subjects:
Consensus
Consensus guideline
Electromagnetic Fields
Humans
IGRT
Magnetic Resonance Imaging - methods
Male
Movement
prostate
Prostate - diagnostic imaging
Prostate - physiopathology
Prostatic Neoplasms - diagnostic imaging
Prostatic Neoplasms - radiotherapy
Radiography - methods
Radiotherapy, Image-Guided - methods
Radiotherapy, Image-Guided - standards
Seminal Vesicles - diagnostic imaging
Seminal Vesicles - physiopathology
Tomography, X-Ray Computed - methods
Ultrasonography - methods
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Summary:•The purpose of the paper is to aid radiotherapy professionals in the design of IGRT protocols, as well as in the selection of corresponding PTV margins.•Consensus recommendations are made for methods and procedures for image-guided radiotherapy.•Based on the identified literature, discussions, emails and live meetings, consensus recommendations for target margins were made. Use of image-guided radiation therapy (IGRT) helps to account for daily prostate position changes during radiation therapy for prostate cancer. However, guidelines for the use of IGRT are scarce. An ESTRO panel consisting of leading radiation oncologists and medical physicists was assembled to review the literature and formulate a consensus guideline of methods and procedure for IGRT in prostate cases. Advanced methods and procedures are also described which the committee judged relevant to further improve clinical practice. Moreover, ranges for margins for the three most popular IGRT scenarios have been suggested as examples.
ISSN:0167-8140
1879-0887
DOI:10.1016/j.radonc.2019.08.027