Fluoroscopic visualization of the prostatc urethra to guide transperineal prostate implantation Journal Article


Authors: Wallner, K.; Roy, J.; Zelefsky, M.; Fuks, Z.; Harrison, L.
Article Title: Fluoroscopic visualization of the prostatc urethra to guide transperineal prostate implantation
Abstract: Purpose: To decribe a novel way to assure proper needle positioning within the prostate during transperineal implantation, using the urethra as the primary radiographic landmark. Methods and Materials: Preoperative computerized tomography (CT) images through the prostate are used to plan optimal transperineal needle-seed placement. When performing the procedure, a Foley catheter, with radio-opaque wire is used to visualize the prostatic urethra fluoroscopically in anterior-posterior and lateral projections. Proper needle placement is determined by their position relative to the urethra. Results: Sixty patients have been implanted with this method at Memorial Sloan-Kettering Cancer Center from 1990-1992. Conclusion: The method described here is an improvement over previously described CT-based techniques. It could be used to supplement or replace ultrasound imaging. © 1994.
Keywords: controlled study; major clinical study; clinical trial; cancer radiotherapy; computer assisted tomography; controlled clinical trial; tomography, x-ray computed; diagnostic imaging; prostatic neoplasms; prostate; iodine 125; contrast enhancement; carcinoma; catheterization; regional perfusion; brachytherapy; urethra; computed tomography; prostate carcinoma; fluoroscopy; perineum; interstitial radiation; humans; human; male; priority journal; article; meglumine diatrizoate plus sodium diatrizoate
Journal Title: International Journal of Radiation Oncology, Biology, Physics
Volume: 29
Issue: 4
ISSN: 0360-3016
Publisher: Elsevier Inc.  
Date Published: 1994-07-01
Start Page: 863
End Page: 867
Language: English
DOI: 10.1016/0360-3016(94)90577-0
PROVIDER: scopus
PUBMED: 8040035
DOI/URL:
Notes: Export Date: 14 January 2019 -- Article -- Source: Scopus
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MSK Authors
  1. Zvi Fuks
    427 Fuks
  2. Michael J Zelefsky
    754 Zelefsky
  3. Louis B Harrison
    123 Harrison
  4. Kent E. Wallner
    48 Wallner
  5. Jitendra N. Roy
    18 Roy