Major geometric variations between multiple high-dose-rate applications of brachytherapy in cancer of the cervix: frequency and types of variation.

Abstract:

PURPOSE:To evaluate major geometric variations in multiple intracavitary applications for carcinoma of the cervix. MATERIALS AND METHODS:Orthogonal radiographs were reviewed of 17 consecutive patients with carcinoma of the cervix treated with 70 applications of high-dose-rate brachytherapy. In seven patients, conscious sedation was used for all applications. In 10 patients, general anesthesia was used for the first application and conscious sedation for subsequent applications. Major geometric variation between applications in axis, length, and slippage in tandem placement and separation, packing, and slippage in colpostats placement were reviewed. A major variation was defined as more than 1.0-cm deviation. RESULTS:Major variations between applications occurred more commonly in colpostats placement than in tandem placement. For tandems, the rates of variation were 5.7% in axis, 4.3% in length, and 1.4% in slippage. For colpostats, rates of variation were 7.1% in separation, 25.7% in vaginal packing, and 7.1% in slippage. No consistent pattern of variation was found between applications except in vaginal packing. CONCLUSION:Awareness of geometric variations should improve proper placement of intracavitary applicators for brachytherapy.

journal_name

Radiology

journal_title

Radiology

authors

Kim RY,Meyer JT,Plott WE,Spencer SA,Meredith RF,Jennelle RL,Salter MM

doi

10.1148/radiology.195.2.7724760

subject

Has Abstract

pub_date

1995-05-01 00:00:00

pages

419-22

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

195

pub_type

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