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Imaging modalities for brachy planning

TRUS

Imaging modality for intraoperative prostate brachytherapy

Prostate, rectum, urethra probe: OK

Imaging reconstruction accuracy is favored by the motorized

probe

Needle and catheter visualization

Adapted from L. Beaulieu ABP ESTRO 2016

No clear seed & spacing visualization

No electronic density for dose calculation (issue in low

energy)

Needle & Cath Tips difficult

Probe motion inducing organ motion or deformation ?

?