《放射治疗学》双语课件8What Is Brachy.pdf

《放射治疗学》双语课件8What Is Brachy.pdf

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What is What is brachytherapy? brachytherapy? Definition Definition • Greek word brachio = short • Greek word brachio = short • A method of treatment in which • A method of treatment in which sealed radioactive sources are sealed radioactive sources are used to deliver radiation at a used to deliver radiation at a short distance from the target short distance from the target volume volume 3D conformal brachytherapy using 3D conformal brachytherapy using a stepping source and dose a stepping source and dose optimization for the target and optimization for the target and critical structures critical structures Intensity Modulated Brachytherapy (IMBT) True or False?? True or False?? Seeds HDR compete with external beam RT (e.g. for prostate patients)? FALSE! FALSE! Seeds HDR Brachy compete Seeds HDR Brachy compete with SURGERY! with SURGERY! They provide a “Gateway” to They provide a “Gateway” to external beam RT. external beam RT. Some notes on prostate Some notes on prostate treatments treatments Seed Patients: ~40% receive external beam RT (Typically, all mid and high risk patients.) HDR Patients: 100% receive external beam RT (Think of HDR as a highly conformal ‘boost’.) The convenience and acceptance of seeds is moving patients from radical surgery ‘toward’ some form of RT. This is good for Varian. Why Brachytherapy? Why Brachythera

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