Dosimetry of cathetron applicators in intracavitary therapy

Theoretical computations have been done to obtain dose distributions in the paracervical and sagittal planes for various loadings of Cathetron applicators. Uterine catheters of various sizes and shapes and various loadings of ovoid catheters have been considered for the dosimetry. Experimental measurements have been made to verify the computed dose distributions. The computed dose distributions have also been compared with those of a conventional Manchester loading. Although the ratio of dose contribution to point A from vaginal sources to that from the uterine sources is found to be significantly different for Cathetron therapy from the conventional Manchester system, the isodose distributions in the paracervical plane are in good agreement. However, the differences in the isodose distributions in the sagittal plane indicates a higher dose to the rectal region for Cathetron therapy, which can be reduced by the use of rectal retractors.