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British Journal of Radiology (2004) 77, 129-136
© 2004 British Institute of Radiology
doi: 10.1259/bjr/37893924

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Sparing of the penile bulb and proximal penile structures with intensity-modulated radiation therapy for prostate cancer

J Kao, MD1, J Turian, MS1, A Meyers, BS1, R J Hamilton, PhD2, B Smith, MSEE1, S Vijayakumar, MD3 and A B Jani, MD, MSEE1

1 University of Chicago/University of Illinois at Chicago Department of Radiation Oncology, 5758 S. Maryland Avenue, MC 9006, Chicago, IL 60637, 2 University of Arizona, Department of Radiation Oncology, 1501 N. Campbell Avenue, Tucson, AZ 85724 and 3 University of California at Davis, Department of Radiation Oncology, 4501 X Street G126, Sacramento, CA 95817, USA



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Figure 1. 3D reconstruction of prostate and adjacent structures. Prostate (red), seminal vesicles (white), bladder (yellow), rectum (purple) and penile bulb and proximal penile tissues (blue).

 


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Figure 2. Dose volume constraints for intensity-modulated radiation therapy plans. (a) Initial (50 Gy) phase, and (b) boost (last 24 Gy) phase.

 


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Figure 3. Composite dose–volume histograms for 3D conformal radiotherapy and intensity-modulated radiation therapy plans for a representative patient.

 





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