Technical Aspects of Bladder Dosimetry in Intracavitary Irradiation of Carcinoma of the Cervix

  • A. J. Subandono Tjokrowardojo
  • A. G. Visser
Part of the Medical Radiology book series (MEDRAD)


In the treatment of the carcinoma of the cervix, high dose rate afterloading (HDR-AL) brachytherapy was started in Rotterdam in 1978. From the viewpoint of dosimetry high dose rate applications are preferable because the short application times allow for complete fixation of the applicator in combination with immobilization through spinal or epidural anesthesia. Stable geometrical conditions are obtained. Direct measurements in the bladder appear very difficult to realize. The main problem is to ensure that the probe is positioned at the area of the bladder base where late radiation reactions occur most frequently.


Lateral Radiograph Foley Catheter Median Plane High Dose Rate Bladder Base 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Chassagne D, Horiot JC (1977) Prépositions pour une définition commune des points de références en curiethérapie gynécologique. J Radiol Electrol 58: 371–373PubMedGoogle Scholar
  2. Joslin CAF, Smith CW, Mallik A (1972) The treatment of cervix cancer using high activity 60 Co sources. Br J Radiol 45: 257–270PubMedCrossRefGoogle Scholar
  3. Kuipers TJ (1982) Stereo X-ray photogrammetry applied for prevention of sigmoid-colon damage caused by radiation from intrauterine sources. Int J Radiat Oncol Biol Phys 5: 1011–1017Google Scholar
  4. Kuipers TJ, Visser AG (1986) Technical aspects of bladder dosimetry in intracavitary irradiation of cervix carcinoma. Radiother Oncol 7: 7–12PubMedCrossRefGoogle Scholar
  5. Wilkinson J, Moore CJ, Notly M, Hunter RD (1983) The use of the Selectron afterloading equipment of simulate and extend the Manchester system for intracavitary therapy of the cervix uteri. Br J Radiol 56: 409–414PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • A. J. Subandono Tjokrowardojo
    • 1
  • A. G. Visser
    • 1
  1. 1.Daniel den Hoed Cancer Center and Rotterdam Radio-Therapeutic InstituteRotterdamThe Netherlands

Personalised recommendations