In Vivo Dosimetry During Prostate Cancer Radiotherapy

Study Overview
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Brief Summary
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The goal of this clinical research study is to learn if a rectal balloon with attached radiation detectors can be used to help researchers monitor the dose of external beam radiation that is delivered to the prostate during treatment. This may help researchers better understand the side effects of radiation therapy, such as rectal bleeding, and may lead to changes in treatment planning or treatment delivery.

Detailed Description
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As a part of your standard of care, you will have external beam radiation therapy. You will have a computerized tomography (CT) scan of the pelvis before the external beam radiation therapy. For the CT scan, you will be given an enema to empty your bowel, and you will drink about 16 to 24 ounces of water to fill your bladder A rectal balloon will then be inserted into your rectum and filled with either air or water. You will then have the CT scan. The CT scan should take about 45 minutes. If you agree to take part in this study, very thin (millimeter-sized) radiation detectors will be attached to the rectal balloon during each of two CT scans per week you will have while you are receiving radiation. You may have additional CT scans (without the detector) each week if your doctor thinks it is needed. The doses read by the radiation detectors will be compared to the doses that you were originally scheduled to receive after each radiation treatment and at the end of the study. You will be off study after your final radiation treatment using the rectal balloon. This is an investigational study. Up to 15 patients will take part in this study. All will be enrolled at MD Anderson.

Official Title
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Pilot Study to Evaluate In Vivo Plastic Scintillation Detectors for Real-Time Radiation Dosimetry During Prostate Cancer Radiotherapy

Conditions
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Prostate Disease

Intervention / Treatment
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* Device: Plastic Scintillation Detectors


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Any patients with prostate cancer who are undergoing routine radiation therapy for their prostate cancer, including post-prostatectomy patients. The selection criteria will be limited to the patient's ability to withstand insertion of a rectal balloon and his willingness to participate in the study. We will choose patients undergoing photon and proton treatments. Exclusion Criteria: N/A

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: In Vivo Dosimetry<br>Modified endorectal device capable of real-time dose measurement during prostate radiation therapy | Device: Plastic Scintillation Detectors<br>* Radiation detectors attached to rectal balloon for each CT scan done during each radiation treatment. Treatment delivery Monday through Friday for 7 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measurement of True In Vivo Radiation to Rectal Wall During Prostate Radiotherapy | Twice a week in vivo measurements of radiation dose absorbed by the rectal wall during intensity-modulated radiotherapy (IMRT) of prostate. | Twice a week for 7 week treatment. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fiber optic radiation detectors, Enhanced endorectal balloon, Radiation treatment, Radiotherapy, External beam radiation, Dosimetry