• Title/Summary/Keyword: Intracavitary

Search Result 154, Processing Time 0.026 seconds

Intracavitary Irradiation of Locally Advanced Recurrent Adenocarcinoma of Rectum Along the Fistula Tract (누도를 따라 재발한 직장암의 강내조사)

  • Kim Kyeong Ae;Kim Sung Kyu;Shin Sei One;Kim Myung Se;Song Sun Kyuo;Shim Min Chul;Kwun Koing Bo
    • Radiation Oncology Journal
    • /
    • v.6 no.2
    • /
    • pp.289-293
    • /
    • 1988
  • Radiation therapy has been used as adjuvant therapy or primary treatment for inoperable, remnant or recurrent cancer. Many authors reported good palliation effect by external irradiation or interstitial therapy, but the report of intracavitary irradiation for recurrent, inoperable rectal cancer is very rare. We experienced a case of recurrent adenocarcinoma of rectum along fistula tract after laparotomy and postoperative radiotherapy who achieved very good palliation by intracavitary irradiation. Even though we have only good palliation without impressive survival improvement in this case, we hope that this technique may achieve good local control In other similar patients.

  • PDF

A Study on Dose Calculation in Intracavitary Radiotherapy of the Carcinoma of the Uterine Cervix with TAO Applicator (TAO Applicator를 이용한 자궁경암 강내조사시의 선양계산에 관한 고찰)

  • Kim, Chul-Soo;Kim, Jung-Jin
    • Radiation Oncology Journal
    • /
    • v.2 no.1
    • /
    • pp.101-106
    • /
    • 1984
  • Various methods are available for determination of exposure time in intracavitary radiotherapy of the carcinoma of the uterine cervix. To determine the accuracy of dose calculation with isodose curve for TAO applicator, comparison with results calculated by computer for radiotherapy treatment Planning was done in 24 procedures done in 12 consecutive patients with the carcinoma of the uterine cervix from May to December, 1983. The results are as follows: 1. The average dose rate Per hour of Point A was 87.70 rad, being 89.91 rad ana 85.49 rad in left and right, respectively. 2. The average percentage of dose rate of point A calculated by isodose curve method over that by computer was $101.28\%$ and the difference was less than $5\%$ in 17 Procedures and over $10\%$ in only 3 procedures. 3. The average percentage in case of point B was $108.67\%$. In conclusion, in most cases the difference was less than 200 rad for point A and less than 100 rad for point B during 2 courses of intracavitary radiotherapy. And so the dose rate calculation with isodose curve for TAO applicator is comparatively accurate.

  • PDF

A Case of Percutaneous Intracavitary Amphotericin B Injection for the Treatment of Hemoptysis due to Pulmonary Aspergilloma (Amphotericin B의 경피적 공동내 주입술에 의한 폐국균종 치험 1예)

  • Lim, Oi-Ja;Kim, Kook-Kyu;Kim, Hong-Suk;Kim, Byung-Ho;Kim, Myung-Jun;Woo, Jong-Gil
    • Tuberculosis and Respiratory Diseases
    • /
    • v.41 no.1
    • /
    • pp.42-46
    • /
    • 1994
  • Pulmonary Aspergillomas usually arise from proliferation of Aspergillus in preexisting parenchymal cavities.202 college students (99 men, 103 women) aged 18 to 26 years. Fasting blood samples were. The most common symptom in this disorder is hemoptysis, which may be minimal in amount or it may be massive & life threatening. The optimum therapy for pulmonary aspergilloma is controversial. The major options available include surgical resection of the lesion, a number of medical therapies, or simple observation of the patient for a time. Surgery is the most effective treatment but it is limited to some patient because most patients have underlying pulmonary disease. Thus the various form of medical therapy was available with successful result. The authors present a case of percutaneous intracavitary amphoterician B injection for the treatment of pulmonary aspergilloma & its successful effect for the repetitive hemoptysis.

  • PDF

Accuracy of Dose Estimation in High Dose Rate Intracavitary Radiotherapy of Carcinoma of the Uterine Cervix (자궁경부암 고선량율 강내치료의 치료선량 정확도에 관한 연구)

  • Huh, Seung-Jae;Ha, Sung-Whan;Chai, Kyu-Young
    • Radiation Oncology Journal
    • /
    • v.5 no.2
    • /
    • pp.137-140
    • /
    • 1987
  • In brachytherapy of uterine conical cancer using a high dose rate remote afterloading system, it is of prime importance to deliver a accurate dose in each fractionated treatment by minimizing the difference between the pre-treatment planned and post-treatment calculated doses. The post-treatment calculated point A dose was not much different from the pretreatment planned dose (500 cGy). The $average{\pm}standard$ deviation was $500\pm18cGy$ and 84 percent of 82 intracavitary radiotherapy was within the range of $500\pm25cGy$.

  • PDF

Two Cases of Nasopharyngeal Carcinoma Treated with Co-60 HDR ICR (강내 조사를 이용한 비인강압 치험2예)

  • Shin, Sei-One;Kang, Cheol-Hoon;Kim, Sung-Kyu;Kim, Myung-Se
    • Journal of Yeungnam Medical Science
    • /
    • v.7 no.1
    • /
    • pp.197-201
    • /
    • 1990
  • The primary treatment modality of malignant tumors of the nasopharynx is radiation therapy owing to its inaccessibility to surgical intervention. Over the last two decades there were many changes in techniques of delivery, which include the use of higher doses of radiotherapy, the use of wide radiation field, including the elective radiation of the whole neck, the combined use of brachy- and teletherapy, and the use of split-course therapy. In spite of these advances local and regional recurrences remain the major cause of death. As a boost therapy after external irradiation, high-dose-rate intracavitary irradiation using remote control afterloading system(RALS) was used in two patients. Our results were satisfactory, however, this procedure should only be performed by those who have developed enough expertise in the use of intracavitary techniques for the treatment of nasopharyngeal cancer and have a supportive team including a physicist, dosimetrist, nurse, and trained technologist.

  • PDF

Synthetic Computed Tomography Generation while Preserving Metallic Markers for Three-Dimensional Intracavitary Radiotherapy: Preliminary Study

  • Jin, Hyeongmin;Kang, Seonghee;Kang, Hyun-Cheol;Choi, Chang Heon
    • Progress in Medical Physics
    • /
    • v.32 no.4
    • /
    • pp.172-178
    • /
    • 2021
  • Purpose: This study aimed to develop a deep learning architecture combining two task models to generate synthetic computed tomography (sCT) images from low-tesla magnetic resonance (MR) images to improve metallic marker visibility. Methods: Twenty-three patients with cervical cancer treated with intracavitary radiotherapy (ICR) were retrospectively enrolled, and images were acquired using both a computed tomography (CT) scanner and a low-tesla MR machine. The CT images were aligned to the corresponding MR images using a deformable registration, and the metallic dummy source markers were delineated using threshold-based segmentation followed by manual modification. The deformed CT (dCT), MR, and segmentation mask pairs were used for training and testing. The sCT generation model has a cascaded three-dimensional (3D) U-Net-based architecture that converts MR images to CT images and segments the metallic marker. The performance of the model was evaluated with intensity-based comparison metrics. Results: The proposed model with segmentation loss outperformed the 3D U-Net in terms of errors between the sCT and dCT. The structural similarity score difference was not significant. Conclusions: Our study shows the two-task-based deep learning models for generating the sCT images using low-tesla MR images for 3D ICR. This approach will be useful to the MR-only workflow in high-dose-rate brachytherapy.

A Comparision of Mghr Prescription to Doses at Ponts A and B in Intracavitary Radiotherapy of Cervix Cancer (자궁경구암(子宮頸口癌) 강내조사치료시(腔內照射治療時) A점(點) B점(點) 선량계산방법(線量計算方法)과 mghr 단위(單位) 방법(方法)의 비교(比較))

  • Park, Charn-Il;Ha, Sung-Whan;Kang, Wee-Saing
    • Journal of Radiation Protection and Research
    • /
    • v.6 no.1
    • /
    • pp.31-33
    • /
    • 1981
  • The 42 patients with carcinoma of the cervix, performed intracavitary radiotherapy, were analysed the doses at points A and B comparing to the mghr prescription. The doses at points A and B were calculated by PC-12 computer planning system. Correlation coefficienty between doses at points A and B and the mghr prescription are 0.82 (p<0.001) and 0.90 (p<0.001) respectively. The slope of the point A line is 0.70 and the slope of the point B is 0.21. Therefore, the dose at point A is approximately 3/4 the mghr prescription and the dose at point B is approximately 1/4 the mghr precription.

  • PDF