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Internal Immobilization: From Rectal Balloon to Hyaluronic Acid

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Radiotherapy in Prostate Cancer

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

Within the last decades, numerous adoptions in prostate cancer radiotherapy were implemented. Advanced techniques such as image-guided radiotherapy and (volumetric) intensity-modulated radiotherapy (VMAT/IMRT) allowed to escalate dose resulting in local doses applied of ~80 Gy and more. However, dose escalation is limited by toxicity of normal tissues, especially anorectal toxicity and as a consequence various efforts to protect the rectum such as the use of an endorectal balloon or injection/insertion of a rectal spacer (hyaluronic acid, gel, biodegradable balloon) are performed.

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Authors and Affiliations

  1. Klinik für Strahlentherapie, MUW Wien, Allgemeines Krankenhaus, Währinger Gürtel 18–20, Wien 1090, Austria

    Gregor Goldner

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  1. Gregor Goldner
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Correspondence to Gregor Goldner .

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Editors and Affiliations

  1. Department of Radiation Oncology, Krankenhaus der Barmherzigen, Schwestern Linz, Johannes Kepler University, Linz, Austria

    Hans Geinitz

  2. University of California, San Francisco Department of Radiation Oncology, San Francisco, California, USA

    Mack Roach III

  3. The Institute of Cancer Research Sutton, Sutton Surrey, United Kingdom

    Nicholas van As

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© 2013 Springer-Verlag Berlin Heidelberg

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Goldner, G. (2013). Internal Immobilization: From Rectal Balloon to Hyaluronic Acid. In: Geinitz, H., Roach III, M., van As, N. (eds) Radiotherapy in Prostate Cancer. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2013_917

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  • DOI: https://doi.org/10.1007/174_2013_917

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-37098-4

  • Online ISBN: 978-3-642-37099-1

  • eBook Packages: MedicineMedicine (R0)

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