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Published on: October 9, 2020
Introducing the 3D printed Montreal Mail applicator for surface brachytherapy: A comparative study.
Jade Bernier1, Stéphanie Lassalle2, Dominique Guillet2
1Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Canada; Département de Radiologie, Radio-Oncologie et Médecine Nucléaire, Université de Montréal, Montréal, Canada.
The novel Montreal Mail 3D printed applicator offers comparable performance to existing surface brachytherapy devices. Its modular design shows potential for improving clinical efficiency in radiation therapy.
Area of Science:
- Medical Physics
- Radiotherapy Technology
- 3D Printing Applications
Background:
- Commercial surface brachytherapy applicators aid catheter placement but have room for clinical efficiency improvements.
- Novel applicator designs are needed to optimize radiation delivery and patient outcomes.
Purpose of the Study:
- Introduce the Montreal Mail, a new modular 3D printed surface brachytherapy applicator.
- Compare the performance of the Montreal Mail against two established reference devices.
Main Methods:
- The Montreal Mail comprises 3D printed chainmail, impression paste, and a silicone pad, radiologically characterized via CT.
- Performance was evaluated using an anthropomorphic hand phantom simulating Dupuytren's disease.
- Quantified source-to-skin distance and assessed dosimetric accuracy using gamma index analysis.
Main Results:
- Montreal Mail components showed radiological response comparable to human tissues.
- Source-to-skin distance variability (interquartile range) was 1.4 mm for Montreal Mail, compared to 1.8 mm (Freiburg Flap) and 0.6 mm (Nova Surface).
- All applicators achieved >96% gamma index passing rates (3%/3 mm), indicating accurate dose delivery.
Conclusions:
- The Montreal Mail demonstrates practical utility and comparable performance to reference devices in surface adhesion and dose delivery.
- Its modular, 3D printed design presents a novel approach with potential to enhance clinical efficiency in surface brachytherapy.
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