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AAPM Task Group 128: Quality assurance tests for prostate brachytherapy
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guided prostate brachytherapy has gained wide acceptance as a primary treatment tool
for prostate cancer, quality
assurance of the ultrasound guidance system has received very little attention. Task
Group 128 of the American Association of Physicists in Medicine was created to address
assurance requirements specific to transrectal ultrasound used for guidance of
prostate brachytherapy. Accurate imaging guidance and dosimetry calculation depend
upon the quality and accuracy of the ultrasound
image. Therefore, a robust quality assurance program for the ultrasound system is essential.
A brief review of prostate brachytherapy and ultrasound physics is provided, followed by a
recommendation for elements to be included in a comprehensive test phantom. Specific test
recommendations are presented, covering grayscale visibility, depth of penetration, axial
and lateral resolution, distance measurement, area measurement, volume measurement, needle
template/electronic grid alignment, and geometric consistency with the treatment planning
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