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Brachytherapy renaissance

D R Goffinet, A Martinez, D Pooler

    Frontiers of Radiation Therapy and Oncology
    |January 1, 1980
    PubMed
    Summary
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    Brachytherapy has seen a resurgence due to new isotopes like Iridium-192 and Iodine-125, improved dosimetry, and refined techniques. This review details brachytherapy methods and outcomes for breast, prostate, and head and neck cancers.

    Area of Science:

    • Oncology
    • Radiation Oncology
    • Medical Physics

    Background:

    • Brachytherapy has experienced a significant revival over the past two decades.
    • Advancements include new isotopes for interstitial implants and sophisticated dosimetry.
    • Refined implantation techniques have also played a crucial role in this renaissance.

    Purpose of the Study:

    • To present detailed brachytherapy implantation techniques and outcomes.
    • Focus on the three most commonly treated carcinomas: breast, prostate, and head and neck.
    • To describe other anatomical sites amenable to interstitial irradiation.

    Main Methods:

    • Review of brachytherapy techniques and outcomes at Stanford Medical Center.
    • Utilizes removable (Iridium-192) and permanent (Iodine-125) interstitial implants.

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  • Incorporates computerized dosimetry and refined implantation procedures.
  • Main Results:

    • Detailed presentation of brachytherapy techniques for breast, prostate, and head and neck cancers.
    • Outcomes data for these commonly implanted carcinomas are discussed.
    • Exploration of brachytherapy applications in other anatomical locations.

    Conclusions:

    • Brachytherapy has been revitalized by technological and technical advancements.
    • The described techniques and results offer valuable insights for oncologists and radiation physicists.
    • Interstitial brachytherapy remains an effective treatment modality for various cancers.