@Article{Doyle2012,
journal="Journal of Contemporary Brachytherapy",
issn="1689-832X",
volume="4",
number="3",
year="2012",
title="Case ReportsRe-implantation of suboptimal prostate seed implantation: technique with intraoperative treatment planning",
abstract=" Purpose:  Post-implant dosimetry following prostate seed implantation (PSI) occasionally reveals suboptimal dosimetric coverage of the gland. Published reports of re-implantation techniques have focused on earlier-generation techniques, including preplanned approaches and stranded seeds. The purpose of this case report is to describe a customizable approach to perform corrective re-implantation using loose seeds and intraoperative planning technique.    Material and methods : This case report describes a 63-year-old male with favorable risk prostate adenocarcinoma receiving PSI. Thirty day post-implant dosimetric evaluation revealed suboptimal coverage of the base of the gland. Using guidance from post-implant CT-images and real-time planning, the patient received a corrective re-implantation with intraoperative planning.    Results:  Post-implant dosimetry after re-implantation procedure with intraoperative planning yielded improved target volume coverage that achieved standard dosimetric criteria.    Conclusions : Re-implantation as a salvage treatment technique after sub-optimal PSI is a valid treatment option performed with intraoperative real-time planning.",
author="Doyle, Laura
and Hesney, Adam J.
and Chapman, Katherine L.
and Liu, Haisong
and Weiner, Perry R.
and Dicker, Adam P.
and Yu, Yan
and Showalter, Timothy N.",
pages="176--181",
doi="10.5114/jcb.2012.30684",
url="http://dx.doi.org/10.5114/jcb.2012.30684"
}