91?cm3 (range -8.04 to 5.07?cm3). Mean difference between Boolean and MIP was 18.92?cm3 (range -2.24 to 44.34?cm3). Mean maximum displacement of mid-kidney was 0.28?cm anteriorly (range 0 to 1.0?cm), 0.22?cm posteriorly (range 0.1 to 0.4?cm), 0.28?cm medially (range 0.1

to 0.5?cm) and 0.27?cm laterally (range 0.1 to 0.5?cm). Mean maximum excursion of superior pole was 0.31?cm anteriorly (range 0.2 to 0.5?cm), 0.29?cm posteriorly (range 0.2 to 0.5?cm) and 1.23?cm craniocaudally (range of 0.6 to 2.7?cm). Mean maximum excursion of inferior pole was 0.52?cm anteriorly (range 0.2 to 0.9?cm), 0.23?cm posteriorly (range 0.1 to 0.4?cm) and 0.67?cm craniocaudally (range of 0.3 to 1.8?cm).\n\nConclusion The current study using 4D-CT has shown that the derived MIP is a good surrogate for the evaluation of three-dimensional

H 89 kidney displacement, and that the volume of the AS is not largely different from the average volume for individual phases. The 4D-CT is useful for the creation of individual patient internal target volume or planning organ at risk volume when kidney motion impacts on radiotherapy planning.”
“INTRODUCTION: In our study, the efficiency and reliability of lidocaine (1 cc/1%) application during transrectal ultrasound-guided (TRUS) prostate biopsy to levatores prostate was studied. Levatores prostate was visualized on a cadaver dissection previously. AZD8055 mw PATIENTS AND METHODS: Eighty outpatients with lower urinary tract complaints or were suspected clinically to have prostate cancer were submitted to TRUS-guided prostate biopsy. The ages of outpatients were ranging from 45 to 81. Patients were randomized in 2 groups: Group-I, with 40 patients submitted to local anesthesia by periprostatic injection of 1 cc 1% lidocaine before biopsy; and group-II, with 40 controls

the biopsy was performed without local anesthesia. The anatomical region for anesthesia was determined via dissection. The name of this anatomical region is levatores prostatae and it has got high nerve density. The buy BIIB057 process was explained to the patients and their approvals were obtained. Levatores prostatae was detected with TRUS before biopsy. Pain; related to digital rectal examination (DRE), probe insertion or biopsy, was scored via visual analog scale (VAS). The patients were evaluated about side effects of lidocaine and early and late complications of biopsy as well. RESULTS: Both groups were similar in terms of mean age, PSA levels, prostate volume and VAS scores (p bigger than 0.05). As for VAS score, on the group submitted to anesthesia was determined 2.34 +/- 1.08, while for VAS score on the group submitted conventional biopsy was determined 5.8 +/- 1.6. Between two groups, there was a statistical difference in terms of VSA score (p smaller than 0.05); but there was no statistical difference about early and late complications of biopsy.