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Conclusions

3D

imaging modalities are

essential

for modern brachytherapy.

Most convenient: contouring, catheter reconstruction and

calculation on the

same image set

. Registration (moreover

non-rigid one) must be carefully evaluated.

CT

is the most available. Caution: the limited

resolution

along

the scan axis. Scout views can help with it.

TRUS

is mostly used in intraoperative prostate. Caution: needle

tip

definition. “Free length” can help with it.

MRI

T2 has excellent soft tissue definition. Caution:

distortion

.

Phantoms and CT patient data can verify it.

Society Recommendations

are available to perform QA/QC

of all these image modalities.

TPS applicators

libraries and special markers

can help in

reconstruction to be less sensitive to image resolution and cath.

visibility.