TCRT February 2007

category image Volume 6
No. 1 (p 1-56)
February 2007
ISSN 1533-0338

Breast Skin Doses From Brachytherapy Using MammoSite® HDR, Intensity Modulated Radiation Therapy, and Tangential Fields Techniques (p. 17-22)

Skin doses from brachytherapy using MammoSite® HDR, Intensity Modulated Radiation Therapy (IMRT), and conventional tangential fields techniques were compared. For each treatment technique, skin doses were measured using paired thermoluminescent dosimeters placed on the patient?s skin: (i) directly above the balloon catheter during MammoSite® HDR brachytherapy treatments and (ii) 4 cm inside the treatment borders during the IMRT and conventional breast treatments. The mean dose measured was about 58% of the prescription dose for the patients treated using the MammoSite® technique. On the other hand, for patients treated with IMRT and tangential fields, the mean dose was found to be about 69% and 71% of the corresponding prescription dose. This study suggests that in breast cancer radiation treatments the MammoSite® HDR technique reduces skin doses compared to IMRT and tangential field techniques.

PACS numbers: 87.53.Jw, 87.53.Xd, 87.66.Sq
Keywords: Breast cancer; Skin dose; MammoSite®; IMRT; and Conventional.

Raj N Selvaraj, M.S.1,*
Ajay Bhatnagar, M.D.1
Sushil Beriwal, M.D.1
M. Saiful Huq, Ph.D.1
Dwight E. Heron, M.D.1
Debbie Sonnik, C.M.D.1
Edward Brandner, Ph.D.1
Robert Surgent, M.S.1
Robert Mogus, M.P.M.1
Melvin Deutsch, M.D.1
Kristina Gerszten, M.D.1
Andrew Wu, Ph.D.2
Shalom Kalnicki, M.D.3
Ning J. Yue, Ph.D.4
Cheng B. Saw, Ph.D.1

1Department of Radiation Oncology
University of Pittsburgh Cancer Institute
Pittsburgh, PA, USA
2Department of Radiologic Sciences
Thomas Jefferson University
Philadelphia, PA, USA
3Einstein-Montefiore Hospital
Montefiore Medical Center
Department of Radiation Oncology
Bronx, NY, USA
4Department of Radiation Oncology
The Cancer Institute of New Jersey
New Brunswick, NJ, USA
*selvarajrn@upmc.edu

Presented in part of the 90th Scientific Assembly and Annual Meeting of The Radiological Society of North America, Chicago, IL, December 2004.

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