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A novel technique with a flexible applicator for MRI-based brachytherapy of cervical cancer
Ist Teil von
European journal of gynaecological oncology, 2004, Vol.25 (3), p.347
Ort / Verlag
Italy
Erscheinungsjahr
2004
Quelle
MEDLINE
Beschreibungen/Notizen
To introduce a novel technique for magnetic resonance (MR)-based 3-dimensional planned high-dose rate intracervical brachytherapy (BT).
During 2002, 16 patients received external beam radiotherapy and BT as part of radiochemotherapy for cervical cancer. A special adjustable applicator device was designed and used for BT. The isodose distribution was calculated from MR images with the applicator in place.
The planning target volume coverage was adequate and the radiation burden on the organs at risk was within acceptable limits. Complete regression was achieved in two patients (12.5%), and partial regression in ten (62.5%) patients. The overall response rate for the complex treatment was 93.75%. In three cases the disease was considered to be stable.
The MR-compatible, flexible applicator allows safe and reproducible cervical radiotherapy with no added discomfort or hazard for the patient.