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What is Brachytherapy?

There are several ways of giving can be easily shielded.
radiation dosage to a cancerous tumor. Brachytherapy can be delivered with
The most common method is to deliver the devices known as implants. These devices
required dosage from an external beam of may be in the form of needles or seeds or
radiation produced outside the body. In ribbons. Brachytherapy can be delivered
this case the source of radiation beam is with permanent or temporary implants.
located 80-100 cm from the body of the These implants might be temporary or
person receiving radiation. Sometimes permanent. Temporary implants usually
placing the source of radiation within have a longer half-life and higher
the tumor might have advantages over energies compared to the permanent
delivering radiation from an external implants. All temporary implants are
source. This method of delivering inserted into the tumor during surgery.
required radiation from an internal The duration of treatment for the
source embedded within the tumor is temporary implant is usually 1-3 days.
called brachytherapy. Interstitial low-dose rate (LDR)
If you are aware of the inverse square brachytherapy is usually used for cancers
law in physics you would know the dosage involving the mouth and oral cavity,
of radiation therapy delivery changes by pharynx. This mode of treatment is often
a great proportion depending upon the used in the treatment of sarcomas.
distance of the radiation source to the Prostate cancer treatment is the most
intended target. In brachytherapy the common form of LDR brachytherapy using
source of radiation is within the tumor seeds. Uterine cancer is the most common
volume and the proper placement of these application of intracavitary LDR
sources of radiation within the tumor is treatment. These patients are often
of crucial importance. isolated to prevent radiation exposure to
There are several radioactive isotopes nursing and other supportive staff during
used in the brachytherapy. These include the care of the person.
radium-226, cesium-137, cobalt-60, The most common uses of high-dose rate
iridium192, iodine-125, gold-198 and (HDR) brachytherapy includes treatment of
palladium-103. Radium has a longer esophageal cancer, lung cancer and
half-life compared to some of the other recently breast cancer and prostate
radioactive isotopes. In the past radium cancer. Most HDR treatments are done as
was the primary isotope used in outpatient procedures allowing the
brachytherapy, but recently radium has patients to return to home the same day
been largely replaced by cesium, gold and as treatment. Patients who are receiving
iridium, which have relatively shorter treatment for prostate cancer is an
half-life and lower energies and because exception who may remain in the hospital
of this the radiation from these isotopes for 2-3 days during the treatment.




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