Analysis in organs at risk for gynecological radiotherapy by High Dose Rate Brachytherapy using Manchester point A, ICRU 38 Report and American Braquitherapy Society recomendation

The gynecological treatment with High Dose Rate (HDR) Brachytherapy imply deliver dose to the tumor and spare the dose in organs at risk. In this work we apply the recommendations for prescribing dose given by the International Commission of Radiation Units (ICRU) reports 38, 89 and the American Bra...

Full description

Saved in:
Bibliographic Details
Main Authors: Gustavo Piriz, Yolma Banguero, Alejandro De Rosa, Carlos Vega, Aldo Quarneti
Format: Article
Language:English
Published: Brazilian Radiation Protection Society (Sociedade Brasileira de Proteção Radiológica, SBPR) 2018-05-01
Series:Brazilian Journal of Radiation Sciences
Subjects:
Online Access:https://bjrs.org.br/revista/index.php/REVISTA/article/view/434
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849318021618728960
author Gustavo Piriz
Yolma Banguero
Alejandro De Rosa
Carlos Vega
Aldo Quarneti
author_facet Gustavo Piriz
Yolma Banguero
Alejandro De Rosa
Carlos Vega
Aldo Quarneti
author_sort Gustavo Piriz
collection DOAJ
description The gynecological treatment with High Dose Rate (HDR) Brachytherapy imply deliver dose to the tumor and spare the dose in organs at risk. In this work we apply the recommendations for prescribing dose given by the International Commission of Radiation Units (ICRU) reports 38, 89 and the American Brachytherapy Society (ABS). With both schemes of optimization, recommendation of ICRU 38 or ABS with vaginal point from ICRU 89. Were analyze the dose received by the organs at risk, in this case rectum and bladder and also the irradiated volume for patients that receive HDR brachytherapy treatment. An afterloading technique is applying with a Eckert & Ziegler MultiSource® equipment using a Co-60 source, 30 patients with 4 applications with cervical cancer are planning with HDR brachytherapy. This work analyze 120 single applications with orthogonal images using the treatment planning system (TPS) HDRplus version 3.0.4 through “Auto dwell time determination” optimization method, using the recommendation for optimization dose from the ABS and vaginal point from ICRU 89 . The volume of the isodose curve of prescription is 15% less using ABS recommendation than ICRU 38. The bladder dose is 11% and rectum dose is 21% less using ABS recommendation than ICRU 38. The analysis of dose prescription using ICRU 38 and ABS recommendations in the patients analyzed shows less irradiated volume at the dose prescribed and also less mean dose in rectum and bladder of applications using ABS in contrast with ICRU 38 recommendations.
format Article
id doaj-art-0652d0bd880e4d78bc4eae3723456587
institution Kabale University
issn 2319-0612
language English
publishDate 2018-05-01
publisher Brazilian Radiation Protection Society (Sociedade Brasileira de Proteção Radiológica, SBPR)
record_format Article
series Brazilian Journal of Radiation Sciences
spelling doaj-art-0652d0bd880e4d78bc4eae37234565872025-08-20T03:51:02ZengBrazilian Radiation Protection Society (Sociedade Brasileira de Proteção Radiológica, SBPR)Brazilian Journal of Radiation Sciences2319-06122018-05-016210.15392/bjrs.v6i2.434331Analysis in organs at risk for gynecological radiotherapy by High Dose Rate Brachytherapy using Manchester point A, ICRU 38 Report and American Braquitherapy Society recomendationGustavo Piriz0Yolma Banguero1Alejandro De Rosa2Carlos Vega3Aldo Quarneti4Hospital Pereira RossellUniversidad de la RepublicaHospital Pereira RossellUniversidad de la RepúblicaHospital Pereira RossellThe gynecological treatment with High Dose Rate (HDR) Brachytherapy imply deliver dose to the tumor and spare the dose in organs at risk. In this work we apply the recommendations for prescribing dose given by the International Commission of Radiation Units (ICRU) reports 38, 89 and the American Brachytherapy Society (ABS). With both schemes of optimization, recommendation of ICRU 38 or ABS with vaginal point from ICRU 89. Were analyze the dose received by the organs at risk, in this case rectum and bladder and also the irradiated volume for patients that receive HDR brachytherapy treatment. An afterloading technique is applying with a Eckert & Ziegler MultiSource® equipment using a Co-60 source, 30 patients with 4 applications with cervical cancer are planning with HDR brachytherapy. This work analyze 120 single applications with orthogonal images using the treatment planning system (TPS) HDRplus version 3.0.4 through “Auto dwell time determination” optimization method, using the recommendation for optimization dose from the ABS and vaginal point from ICRU 89 . The volume of the isodose curve of prescription is 15% less using ABS recommendation than ICRU 38. The bladder dose is 11% and rectum dose is 21% less using ABS recommendation than ICRU 38. The analysis of dose prescription using ICRU 38 and ABS recommendations in the patients analyzed shows less irradiated volume at the dose prescribed and also less mean dose in rectum and bladder of applications using ABS in contrast with ICRU 38 recommendations.https://bjrs.org.br/revista/index.php/REVISTA/article/view/434icru 38brachytherapyhdr.
spellingShingle Gustavo Piriz
Yolma Banguero
Alejandro De Rosa
Carlos Vega
Aldo Quarneti
Analysis in organs at risk for gynecological radiotherapy by High Dose Rate Brachytherapy using Manchester point A, ICRU 38 Report and American Braquitherapy Society recomendation
Brazilian Journal of Radiation Sciences
icru 38
brachytherapy
hdr.
title Analysis in organs at risk for gynecological radiotherapy by High Dose Rate Brachytherapy using Manchester point A, ICRU 38 Report and American Braquitherapy Society recomendation
title_full Analysis in organs at risk for gynecological radiotherapy by High Dose Rate Brachytherapy using Manchester point A, ICRU 38 Report and American Braquitherapy Society recomendation
title_fullStr Analysis in organs at risk for gynecological radiotherapy by High Dose Rate Brachytherapy using Manchester point A, ICRU 38 Report and American Braquitherapy Society recomendation
title_full_unstemmed Analysis in organs at risk for gynecological radiotherapy by High Dose Rate Brachytherapy using Manchester point A, ICRU 38 Report and American Braquitherapy Society recomendation
title_short Analysis in organs at risk for gynecological radiotherapy by High Dose Rate Brachytherapy using Manchester point A, ICRU 38 Report and American Braquitherapy Society recomendation
title_sort analysis in organs at risk for gynecological radiotherapy by high dose rate brachytherapy using manchester point a icru 38 report and american braquitherapy society recomendation
topic icru 38
brachytherapy
hdr.
url https://bjrs.org.br/revista/index.php/REVISTA/article/view/434
work_keys_str_mv AT gustavopiriz analysisinorgansatriskforgynecologicalradiotherapybyhighdoseratebrachytherapyusingmanchesterpointaicru38reportandamericanbraquitherapysocietyrecomendation
AT yolmabanguero analysisinorgansatriskforgynecologicalradiotherapybyhighdoseratebrachytherapyusingmanchesterpointaicru38reportandamericanbraquitherapysocietyrecomendation
AT alejandroderosa analysisinorgansatriskforgynecologicalradiotherapybyhighdoseratebrachytherapyusingmanchesterpointaicru38reportandamericanbraquitherapysocietyrecomendation
AT carlosvega analysisinorgansatriskforgynecologicalradiotherapybyhighdoseratebrachytherapyusingmanchesterpointaicru38reportandamericanbraquitherapysocietyrecomendation
AT aldoquarneti analysisinorgansatriskforgynecologicalradiotherapybyhighdoseratebrachytherapyusingmanchesterpointaicru38reportandamericanbraquitherapysocietyrecomendation