Abstract
Purpose
The aim of this study was to improve the performance status of prostate cancer patients during high-dose-rate interstitial brachytherapy (HDR-ISBT). To this end, we have developed a new ambulatory implant technique.
Materials and methods
Ten prostate cancer patients were treated with HDR-ISBT as monotherapy from October 2003 until March 2004. We utilized a new removable template, a flexible applicator with a nonmetallic bead and button stopper, and an inner catheter connecting the applicator and the transfer tube of the brachytherapy unit. We shortened the connector end of the flexible applicator to enable the patient to sit down and walk freely during the treatment time.
Results
All 10 patients could walk without any support. No problem in the application was observed.
Conclusion
Our new ambulatory implant technique for HDR-ISBT was able to improve the performance status of prostate cancer patients.
Similar content being viewed by others
References
JF Fowler RJ Chappell MA Ritter (2002) ArticleTitleThe prospects for new treatments for prostate cancer Int J Radiat Oncol Biol Phys 52 3–5 Occurrence Handle11777616 Occurrence Handle10.1016/S0360-3016(01)02665-7
DJ Brenner AA Martinez G Edmondson C Mitchell HD Thames EP Armour (2002) ArticleTitleDirect evidence that prostate tumors show high sensitivity to fractionation (low α/β ratio), similar to late-responding normal tissue Int J Radiat Oncol Biol Phys 52 6–13 Occurrence Handle11777617 Occurrence Handle10.1016/S0360-3016(01)02664-5
Y Yoshioka T Nose K Yoshida T Inoue H Yamazaki E Tanaka et al. (2000) ArticleTitleHigh-dose-rate interstitial brachytherapy as a monotherapy for localized prostate cancer: treatment description and preliminary results of a phase I/II clinical trial Int J Radiat Oncol Biol Phys 48 675–81 Occurrence Handle11020563 Occurrence Handle1:STN:280:DC%2BD3M%2FgvFagtw%3D%3D Occurrence Handle10.1016/S0360-3016(00)00687-8
AA Martinez I Pataki G Edmondson E Sebastian D Brabbins G Gustafson (2001) ArticleTitlePhase II prospective study of the use of conformal high-dose-rate brachytherapy as monotherapy for the treatment of favorable stage prostate cancer: a feasibility report Int J Radiat Oncol Biol Phys 49 61–9 Occurrence Handle11163498 Occurrence Handle1:STN:280:DC%2BD3M7nslCktg%3D%3D Occurrence Handle10.1016/S0360-3016(00)01463-2
J Hiratsuka Y Jo K Yoshida N Nagase M Fujisawa Y Imajo (2004) ArticleTitleClinical results of combined treatment conformal high-dose-rate iridium-192 brachytherapy and external beam radiotherapy using staging lymphadenectomy for localized prostate cancer Int J Radiat Oncol Biol Phys 59 684–90 Occurrence Handle15183471 Occurrence Handle10.1016/j.ijrobp.2003.11.035
T Akimoto Y Kitamoto J Saito K Harashima H Sakurai T Nakano et al. (2002) ArticleTitleShort term results of external beam radiation therapy combined with HDR brachytherapy for prostate cancer Jpn J Clin Radiol 47 1708–14
Y Yoshioka T Nose K Yoshida RJ Oh Y Yamada E Tanaka et al. (2003) ArticleTitleHigh-dose-rate brachytherapy as monotherapy for localized prostate cancer: retrospective analysis with special focus on tolerance and chronic toxicity Int J Radiat Oncol Biol Phys 56 213–20 Occurrence Handle12694841 Occurrence Handle10.1016/S0360-3016(03)00081-6
P Nickers L Coppens M Beauduin M Darimont JD Leval JM Deneufbourg (2000) ArticleTitleFeasibility study combining low dose rate 192Ir brachytherapy and external beam radiotherapy aiming at delivering 80–85 Gy to prostatic adenocarcinoma Radiother Oncol 55 41–7 Occurrence Handle10788687 Occurrence Handle1:STN:280:DC%2BD3c3ltFaisA%3D%3D Occurrence Handle10.1016/S0167-8140(00)00142-0
K Yoshida T Nose M Koizumi M Mitomo K Nishiyama M Yoshida (2002) ArticleTitleThe usefulness of metal markers for CTV-based dose prescription in high-dose-rate interstitial brachytherapy J Jpn Soc Ther Radiol Oncol 13 253–60
SJ Damore AMN Syed AA Puthawala A Sharma (2000) ArticleTitleNeedle displacement during HDR brachytherapy in the treatment of prostate cancer Int J Radiat Oncol Biol Phys 46 1205–11 Occurrence Handle10725633 Occurrence Handle1:STN:280:DC%2BD3c7ptFOksg%3D%3D Occurrence Handle10.1016/S0360-3016(99)00477-0
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Yoshida, K., Nose, T., Shiomi, H. et al. New ambulatory implant technique of high-dose-rate interstitial brachytherapy for prostate cancer. Radiat Med 24, 595–599 (2006). https://doi.org/10.1007/s11604-007-0058-1
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s11604-007-0058-1