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Developement of a noble technique in external-beam radiation therapy

Research Project

Project/Area Number 24591838
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Radiation science
Research InstitutionKyoto University

Principal Investigator

MIZOWAKI TAKASHI  京都大学, 医学(系)研究科(研究院), 准教授 (90314210)

Co-Investigator(Kenkyū-buntansha) NORIHISA Yoshiki  京都大学, 大学院医学研究科, 助教 (90456898)
INOKUCHI Haruo  京都大学, 大学院医学研究科, 助教 (60648880)
Research Collaborator IKEDA Itaru  
NAKAMURA Kiyonao  
YAMADA Masahiro  
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2013: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords放射線治療 / 前立腺癌 / 寡分割照射 / 強度変調放射線治療 / 定位照射 / 定位放射線照射 / 画像誘導放射線治療 / 動体追尾照射
Outline of Final Research Achievements

We performed a clinical study: "assessment of the intrafractional internal prostate motions during external beam radiation therapy (C594)". We found that baseline drift significantly affected on the actually delivered dose distribution, while respiration-induced movement had much smaller impacts. In addition, Adding a 7 mm margin is adequate to conpensate the effects of intrafractional movements, including baseline drifts, of the prostate. We also concluded that 54 Gy in 15 fractions is the most adequate schedule for hypofractional approach to the prostate cancer, if both LQ and LQL models were taken into consideration. Base on the finding, we established and conducted a pilot clininal study for the evaluation of the safty of hypofractional stereotactic intensity-modulated radiation therapy (C751). As of the end of March 2015, 17 cases out of 25 patients required in this study had been registered.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (33 results)

All 2015 2014 2013 2012

All Journal Article (5 results) (of which Peer Reviewed: 3 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (27 results) (of which Invited: 13 results) Book (1 results)

  • [Journal Article] Impact of intrafractional prostate motion on simultaneous boost intensity-modulated radiotherapy to the prostate: A simulation study based on intrafractional motion in the prone position2015

    • Author(s)
      Ikeda I, Mizowaki T, Ono T, Yamada M, Nakamura M, Monzen H, Yano S, Hiraoka M
    • Journal Title

      Medical Dosimetry

      Volume: 未定 Issue: 4 Pages: 325-32

    • DOI

      10.1016/j.meddos.2015.04.003

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 強度変調放射線治療(IMRT)2015

    • Author(s)
      溝脇 尚志
    • Journal Title

      Prostate Journal

      Volume: 未定

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Assessment of interfractional prostate motion in patients immobilized in the prone position using a thermoplastic shell.2014

    • Author(s)
      Ikeda I, Mizowaki T, Sawada Y, Nakata M, Norihisa Y, Ogura M, Hiraoka M.
    • Journal Title

      J Radiat Res

      Volume: 55 Issue: 1 Pages: 168-174

    • DOI

      10.1093/jrr/rrt089

    • NAID

      120005373208

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Long-term outcomes of dynamic conformal arc irradiation combined with neoadjuvant hormonal therapy in Japanese patients with T1c-T2N0M0 prostate cancer: case series study.2014

    • Author(s)
      Ikeda I, Mizowaki T, Norihisa Y, Takayama K, Kamba T, Inoue T, Nakamura E, Kamoto T, Ogawa O, Hiraoka M.
    • Journal Title

      Jpn J Clin Oncol

      Volume: 44 Issue: 2 Pages: 180-185

    • DOI

      10.1093/jjco/hyt197

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 強度変調放射線治療(IMRT)2013

    • Author(s)
      溝脇尚志
    • Journal Title

      Prostate Cancer Front Line

      Volume: 2(3) Pages: 2-7

    • Related Report
      2013 Research-status Report
  • [Presentation] Intensity-modulated radiation therapy for prostate cancer: current status and perspectives in Japan2015

    • Author(s)
      Takashi Mizowaki
    • Organizer
      15th International Congress of Radiation Research
    • Place of Presentation
      Kyoto International Conference Center
    • Year and Date
      2015-05-25 – 2015-05-29
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] X線外部照射療法:最新の知見2015

    • Author(s)
      溝脇尚志
    • Organizer
      第15回泌尿器腫瘍放射線治療研究会
    • Place of Presentation
      ナレッジキャピタルカンファレンスセンター大阪
    • Year and Date
      2015-03-26
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 高リスク前立腺癌に対する外部照射療法における全骨盤照射の意義2014

    • Author(s)
      溝脇尚志、井口治男、中村清直、神波大己、井上貴博、山崎俊成、小林 恭、小川 修、平岡真寛
    • Organizer
      第30回前立腺シンポジウム
    • Place of Presentation
      東京コンファレンスセンター・品川
    • Year and Date
      2014-12-13 – 2014-12-14
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Vero 4DRTとNovalisでの前立腺癌IMRTにおける急性期有害事象の比較検討2014

    • Author(s)
      中村清直、溝脇尚志、井口治男、池田格、井上貴博、神波大己、小川修、平岡真寛
    • Organizer
      日本放射線腫瘍学会第27回学術大会
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2014-12-11 – 2014-12-13
    • Related Report
      2014 Annual Research Report
  • [Presentation] X線外部照射療法2014

    • Author(s)
      溝脇尚志
    • Organizer
      第10回泌尿器腫瘍放射線研究会
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2014-08-30
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 限局期前立腺癌に対する78Gy高線量強度変調放射線治療における晩期障害の長期観察2014

    • Author(s)
      井口治男、溝脇尚志、高山賢二、則久佳毅、池田格、小林恭、神波大己、井上貴博、小川修、平岡真寛
    • Organizer
      第52回日本癌治療学会学術集会
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2014-08-28 – 2014-08-30
    • Related Report
      2014 Annual Research Report
  • [Presentation] 強度変調放射線治療2014

    • Author(s)
      溝脇尚志
    • Organizer
      第43回放射線による制癌シンポジウム
    • Place of Presentation
      メルパルク京都
    • Year and Date
      2014-07-11
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Long-term outcome of high-dose IMRT with neoadjuvant hormonal therapy under early salvage policy for localized prostate cancer2014

    • Author(s)
      Takashi Mizowaki, Kenji Takayama, Yoshiki Norihisa, Itaru Ikeda,Tomomi Kamba, Toshiyuki Kamoto, Takahiro Inoue,Eijiro Nakamura, Osamu Ogawa and Masahiro Hiraoka
    • Organizer
      73rd Annual Meeting of the Japan Radiological Society
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2014-04-11 – 2014-04-14
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Long-term outcome of IMRT with neoadjuvant hormonal therapy under early salvage policy for T3-4N0M0 prostate cancer.2014

    • Author(s)
      Mizowaki T, Takayama K, Norihisa Y, Ikeda I, Kamba T, Kamoto T, Inoue T, Nakamura E, Ogawa O, Hiraoka M
    • Organizer
      ESTRO 33
    • Place of Presentation
      Vienna, Austria
    • Related Report
      2013 Research-status Report
  • [Presentation] B期前立腺癌に対するネオアジュバント内分泌療法併用高線量IMRTの長期治療成績.2014

    • Author(s)
      溝脇尚志, 高山賢二, 則久佳毅, 井口治男, 池田格, 神波大己, 賀本敏行, 井上貴博, 小川修, 平岡真寛
    • Organizer
      第27回日本高精度放射線外部照射研究
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] Long-term outcome of high-dose IMRT with neoadjuvant hormonal therapy under early salvage policy for localized prostate cancer.2014

    • Author(s)
      Mizowaki T, Takayama K, Norihisa Y, Ikeda I, Kamba T, Kamoto T, Inoue T, Nakamura E, Ogawa O, Hiraoka M
    • Organizer
      第73回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Relationship Between Intra-fraction Prostate Motion And Rectal Dilatation.2014

    • Author(s)
      Ikeda I, Mizowaki T, Nakamura M, Yano S, Yamada M, Inokuchi H, Norihisa Y, Hiraoka M
    • Organizer
      2nd International Symposium of Training Plan for Oncology Professionals
    • Place of Presentation
      Osaka, Japan
    • Related Report
      2013 Research-status Report
  • [Presentation] Guidelines of prostate cancer in Japan.2013

    • Author(s)
      Mizowaki T
    • Organizer
      5th China-Japan-Korea Trilateral Symposium on Radiation Oncology
    • Place of Presentation
      Chengdu, China
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Vero4DRT(MHI-TM2000)を用いた動体追尾照射におけるマージン設定2013

    • Author(s)
      溝脇尚志, 松尾幸憲, 植木奈美, 中村晶, 飯塚裕介, 中村光宏, 石原佳知, 宮部結城, 秋元麻未, 椋本宜学, 平岡真寛
    • Organizer
      日本放射線腫瘍学会第26回学術大会
    • Place of Presentation
      青森
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] C期前立腺癌に対するネオアジュバント内分泌療法併用高線量IMRTの長期治療成績2013

    • Author(s)
      溝脇尚志, 高山賢二, 則久佳毅, 井口治男, 池田格, 神波大己, 賀本敏行, 井上貴博, 小川修, 平岡真寛
    • Organizer
      日本放射線腫瘍学会第26回学術大会
    • Place of Presentation
      青森
    • Related Report
      2013 Research-status Report
  • [Presentation] C期前立腺癌に対するネオアジュバント内分泌療法併用高線量IMRTの長期治療成績2013

    • Author(s)
      溝脇尚志, 高山賢二, 則久佳毅, 井口治男, 池田格, 神波大己, 賀本敏行, 中村英二郎, 井上貴博, 清水洋祐, 小川修, 平岡真寛
    • Organizer
      第51回日本癌治療学会学術集会
    • Place of Presentation
      京都
    • Related Report
      2013 Research-status Report
  • [Presentation] 限局性前立腺癌に対する早期救済ポリシー下でのネオアジュバント内分泌療法併用高線量IMRTの長期治療成績2013

    • Author(s)
      溝脇尚志, 井口治男, 池田格, 中村京平, 神波大己, 井上貴博, 山崎俊成, 小林恭, 小川修, 平岡真寛
    • Organizer
      第29回前立腺シンポジウム
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Relationship Between Intra-fraction Prostate Motion And Rectal Dilatation.2013

    • Author(s)
      Ikeda I, Mizowaki T, Nakamura M, Yano S, Yamada M, Inokuchi H, Norihisa Y, Hiraoka M
    • Organizer
      ASTRO 55
    • Place of Presentation
      Atlanta, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] 前立腺癌腹臥位シェル固定下IMRTにおける呼吸性移動の影響2013

    • Author(s)
      池田格,溝脇尚志,小野智博,門前一,中村京平,中村光宏,矢野慎輔,井口治男,平岡真寛
    • Organizer
      日本放射線腫瘍学会第26回学術大会
    • Place of Presentation
      青森
    • Related Report
      2013 Research-status Report
  • [Presentation] Impact of MLC leaf width on incidence of the late rectal bleeding after intensity-modulated radiotherapy for localized prostate carcinoma.2013

    • Author(s)
      H. Inokuchi, T. Mizowaki, Y. Norihisa, K. Takayama, I. Ikeda, M. Hiraoka
    • Organizer
      ASTRO 55
    • Place of Presentation
      Atlanta, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] 前立腺強度変調放射線治療における標準化と個別化2013

    • Author(s)
      溝脇尚志
    • Organizer
      第26回日本高精度放射線外部照射研究会
    • Place of Presentation
      京都テルサ
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 救済放射線療法2013

    • Author(s)
      溝脇尚志
    • Organizer
      第15回前立腺癌臨床課題研究会
    • Place of Presentation
      東京パレスホテル
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Interim Outcomes of a High-dose Whole Pelvic IMRT for Very High-risk Group of Patients With Locally Advanced Prostate Cancer.2012

    • Author(s)
      T. Mizowaki, Y. Norihisa, M. Ogura, K. Takayama, T. Kamba, T. Inoue, Y. Shimizu, T. Kamoto, O. Ogawa, M. Hiraoka
    • Organizer
      ASTRO 54th Annual Meeting
    • Place of Presentation
      Boston, MA, USA
    • Related Report
      2012 Research-status Report
  • [Presentation] 超高リスク局所進展前立腺癌に対する高線量全骨盤IMRTの初期治療成績2012

    • Author(s)
      溝脇尚志, 則久佳毅, 高山賢二, 神波大己, 井上貴博, 中村英二郎, 賀本敏行, 小川修, 平岡真寛
    • Organizer
      第8回泌尿器腫瘍放射線研究会
    • Place of Presentation
      パシフィコ横浜
    • Related Report
      2012 Research-status Report
  • [Presentation] 腹臥位シェル固定下でのintra-fractional prostate motionの検討2012

    • Author(s)
      池田格, 溝脇尚志, 中村光宏, 矢野慎輔, 井口治男, 則久佳毅, 平岡真寛
    • Organizer
      日本放射線腫瘍学会第25回学術大会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2012 Research-status Report
  • [Presentation] IMRTのピットフォール(前立腺癌を中心に)2012

    • Author(s)
      則久佳毅
    • Organizer
      第25回日本高精度放射線外部照射研究会
    • Place of Presentation
      広島国際会議場
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 限局期前立腺癌IMRTにおいてMLC幅が晩期直腸出血に与える影響2012

    • Author(s)
      井口治男,, 溝脇尚志, 高山賢二, 則久佳毅, 池田格, 平岡真寛
    • Organizer
      日本放射線腫瘍学会第25回学術大会
    • Place of Presentation
      東京国際フォーラム
    • Related Report
      2012 Research-status Report
  • [Book] Intensity-Modulated Radiation Therapy - Clinical Evidence and Techniques2015

    • Author(s)
      Editors: Yasumasa Nishimura,Ritsuko Komaki
    • Publisher
      Springer
    • Related Report
      2014 Annual Research Report

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Published: 2013-05-31   Modified: 2019-07-29  

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