Computed tomography-guided iodine-125 interstitial implantation as an alternative treatment option for lung cancer.

Abstract:

PURPOSE:The aim was to evaluate the safety, feasibility and efficacy of computed tomography (CT)-guided percutaneous interstitial brachytherapy using radioactive iodine-125 ( 125 I) seeds for the treatment of lung cancer. MATERIALS AND METHODS:Included in this study were 45 male and 35 female patients aged 52-85 years (mean 72-year) who were diagnosed with lung cancer. Of the 80 cases of lung cancer, 38 were pathologically confirmed as squamous cell carcinoma, 29 as adenocarcinoma, 2 as small cell lung cancer, and 11 as metastatic lung cancer. Percutaneous interstitial implantation of radioactive 125 I seeds was performed under CT guidance. The treatment planning system was used to reconstruct three-dimensional images of the tumor to determine the quantity and distribution of 125 I seeds to be implanted. Under CT guidance, 125 I seeds were embedded into the tumor, with the matched peripheral dose set at 100-130 Gy. Follow-up CT scan was done in 2-month to explore the treatment efficacy. RESULTS:The procedure was successful in all patients. No major procedure-associated death occurred. The duration of follow-up was 6-month. Complete response (CR) was seen in 38 cases (47.5%), partial response (PR) in 27 cases (33.75%), stable disease (SD) in 10 cases (12.5%), and progressive disease in 5 cases (6.25%), with a local control rate (CR + PR + SD) of 93.75%. The 2-, 4- and 6-month overall response rate (CR + PR) was 78%, 83% and 81%, respectively. CONCLUSION:Implantation of CT-guided 125 I seeds is a safe and effective alternative option for the treatment of lung cancer.

journal_name

Indian J Cancer

journal_title

Indian journal of cancer

authors

Jiang G,Li Z,Ding A,Zhou F,Jiao W,Tang D,Qiu W,Yue L,Xu W

doi

10.4103/0019-509X.151999

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

e9-12

eissn

0019-509X

issn

1998-4774

pii

IndianJournalofCancer_2014_51_6_9_151999

journal_volume

51 Suppl 2

pub_type

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