SlideShare a Scribd company logo
1 of 86
[object Object],[object Object],[object Object],[object Object],BRACHYTHERAPY  PRINCIPLE AND METHODS
BRACHYTHERAPY  ,[object Object]
CLINICAL ADVANTAGES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LIMITATIONS & DISADVANTAGES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SELECTION CRITERIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INDICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INDICATIONS... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION Classification Schemes Positioning of Radionuclide Dose rate of irradiation Duration of irradiation Loading pattern
CLASSIFICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DOSE RATE(ICRU 38) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADVANTAGES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MDR BRACHYTHERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SOURCE LOADING TECHNIQUE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AFTER LOADING TECHNIQUE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INTERSTITIAL BRACHYTHERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INTERSTITIAL BRACHYTHERAPY… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SELECTION CRITERIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TYPES OF INTERSTITIAL IMPLANTS ACCORDING TO SIZE/LOCATION/PROXIMITY OF TUMOR TO NORMAL STRUCTURES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SYSTEMS OF IMPLANT DOSIMETRY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SYSTEMS OF IMPLANT DOSIMETRY ,[object Object],[object Object],[object Object]
RULES OF INT.IMPLANT SYSTEM PARAMETERS MANCHESTER QUIMBY PARIS COMPUTER Linear strength Variable Constant Constant Constant Source distribution Planar implant:(periphery) Area <25 cm- 2/3 Ra; 25-100 cm- ½ Ra; >100 cm- 1/3 Volume implant::Cylinder:belt-4 parts,core-2,end-1 Sphere:shell-6,core-2 Cube :each side-1,core-2  Uniform  Uniform Uniform Line sources parallel planes Uniform Line sources  Parallel or cylinderic volumes Spacing line source Constant approx. 1 cm apart from each other or from crossing ends Same as Manchester Constant, Selective Separation 8-15 mm Constant Selective Crossing needles Required to enhance dose at implant ends Same Crossing needles not used;active length 30-40% longer Crossing needles not used;active length 30-40% longer
COMPONENTS-CLASSICAL SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object]
PRINCIPLE-MANCHESTER SYSTEM FEATURES DOSE  &  DOSE RATE  6000-8000 R in 6-8 days (1000 R/day; 40 R/hr) UNIT / USE OF RADIUM mg Ra hr – defined as amount of radium to give specified dose in 1 hr DOSE SPECIFICATION CRITERA Effective minimum dose 10% above absolute  minimum dose  LINEAR ACTIVITY Variable: 0.66 and 0.33 mg RaEq/cm
QUIMBY SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARIS SYSTEM- PRINCIPLES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARIS SYSTEM FEATURES DOSE AND DOSE RATE 6000 -7000 cGy  in 3-11 days DOSE PRESCRIPTION POINT Average of the minimum doses in the region defined by the source  REFERENCE DOSE & DOSE GRADIENT 85 % of the BASAL DOSE  15 % between the Reference dose and the Basal dose RA SOURCE PLACEMENT Reference isodose volume covers the treated volume
PERMANENT IMPLANTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPUTER SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPUTER DOSIMETRY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPUTER DOSIMTERY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AP X-ray
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Moderator: Prof. S. C. Sharma As sole modality As Boost to EBRT ,[object Object],[object Object],[object Object],Close, positive or unknown margins Elderly, frail, poor health patient EIC Large breasts: unacceptable toxicity Younger patients Deep tumour in large breast Irregularly thick target vol.
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS…
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CLINICAL APPLICATIONS…
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATION – CA CX ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS… ,[object Object],Martinez Universal Perineal Interstitial Template (MUPIT ) Syed-Neblett template
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL APPLICATIONS… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INTRACAVITARY APPLICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARIS SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STOCKHOLM SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DRAWBACKS OF PARIS AND STOCKHOLM SYSTEMS ,[object Object],[object Object],[object Object]
MANCHESTER SYSTEM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POINT   A ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
LOADING OF APPLICATORS ,[object Object],[object Object],[object Object],[object Object]
LOADING PATTERN TUBE TYPE LENGTH TUBES RADIUM (mg) UNITS  (FUNDUS to CX) LOADING TUBES (mg) LARGE 6 3 35 6-4-4 15-10-10 MEDIUM 4 2 25 6-4 15-10 SMALL 2 1 20 8 20 VAGINAL OVOIDS TUBES  RADIUM (mg) UNITS LOADING TUBES(mg) LARGE 3 22.5 9 10-10-5  or  20/25 MEDIUM 2 20 8 20 SMALL 1 17.5 7 10-5-5  or  20/15
GUIDELINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INTRACAVITARY APPLICATORS ,[object Object],[object Object]
IDEAL APPLICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ICRU REPORT NO.38 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CERVICAL BRACHYTHERAPY
ABS.DOSE AT REFERENCE POINTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DOSE SCHEDULE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EXTERNAL RT WITH BRACHYTHERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POST OP/ VAULT BRACHYTHERAPY  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POST OP BRACHYTHERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SURFACE MOULDS  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INDICATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CIRCULAR MOULDS  ,[object Object],[object Object],[object Object]
SQUARE MOULDS ,[object Object],[object Object],[object Object]
RECTANGULAR MOULDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CIRCULAR MOULDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INTRALUMINAL BRACHYTHERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RADIOBIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RADIOBIOLOGY – 4 Rs ,[object Object],[object Object],[object Object],[object Object]
RADIOBIOLOGY- LDR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LDR AND HDR ,[object Object],[object Object]
RADIOACTIVE SOURCES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IDEAL RADIONUCLIDE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RADIUM 226 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RADIUM SUBSTITUTES NAME ORIGIN T 1/2 γ ENERGY-MeV β  ENERGY β  FILTRATION HVL (Pb -mm) ERC SPECI. ACTI. DECAY PRODUCT Rn 222 NATURAL 3.83 days 0.83 Stainless steel 12 10.27 Pb 206 Cs 137 FISSION 30.17 yrs 0.662 0.512 1.17 - do - 6.5 3.26 87 Ba 137 Co 60 NEUTRON  ACTIVAT. 5.26  yrs 1.17, 1.33 0.38 - do- 11 13.07 1020 Ni 60 Ir 192 -  do  - 73.8 yrs 0.136- 1.06 0.079-0.068 Platinum 4 4.69 7760 Pt 192 Tn 182 -  do -  115  yrs 0.67 - Platinum 12 6.87 - -  Au 198 - do - 2.7  days 1.088- 0.412 0.96 St. steel 3.3 2.376 - Hg 198 I 125 - do - 59.4  days 0.274, 0.314 No Titanium 0.01 10th 1.403 -  Te 125 Pd 103 -  do - 16.97 days 0.21 No Platinum 0.03 6.87 - Ru 103
Thank You

More Related Content

What's hot

Treatment verification and set up errors
Treatment verification and set up errorsTreatment verification and set up errors
Treatment verification and set up errorssailakshmi pullookkara
 
TIME DOSE & FRACTIONATION
TIME DOSE & FRACTIONATIONTIME DOSE & FRACTIONATION
TIME DOSE & FRACTIONATIONIsha Jaiswal
 
Hemi body irradiation
Hemi body irradiationHemi body irradiation
Hemi body irradiationNilesh Kucha
 
Radiotherapy lymphoma
Radiotherapy lymphoma Radiotherapy lymphoma
Radiotherapy lymphoma vrinda singla
 
physics and clinical aspects of interstitial brachytherapy
physics and clinical aspects of interstitial brachytherapyphysics and clinical aspects of interstitial brachytherapy
physics and clinical aspects of interstitial brachytherapyVIMOJ JANARDANAN NAIR
 
Conventional Brachytherapy in carcinoma cervix
Conventional Brachytherapy in carcinoma cervixConventional Brachytherapy in carcinoma cervix
Conventional Brachytherapy in carcinoma cervixIsha Jaiswal
 
Proton beam therapy
Proton beam therapyProton beam therapy
Proton beam therapydeepak2006
 
IMRT: Intensity Modulated Radiotherapy
IMRT: Intensity Modulated RadiotherapyIMRT: Intensity Modulated Radiotherapy
IMRT: Intensity Modulated RadiotherapyShatha M
 
Concept of bed in radiobiology
Concept of bed in radiobiologyConcept of bed in radiobiology
Concept of bed in radiobiologyRANJITH C P
 
Radioisotopes seminar
Radioisotopes seminarRadioisotopes seminar
Radioisotopes seminarPramod Tike
 
Principals of brachytherapy shk
Principals of brachytherapy shk Principals of brachytherapy shk
Principals of brachytherapy shk Shashank Bansal
 
Beam Directed Radiotherapy - methods and principles
Beam Directed Radiotherapy - methods and principlesBeam Directed Radiotherapy - methods and principles
Beam Directed Radiotherapy - methods and principlesSantam Chakraborty
 
LDR and HDR Brachytherapy: A Primer for non radiation oncologists
LDR and HDR Brachytherapy: A Primer for non radiation oncologistsLDR and HDR Brachytherapy: A Primer for non radiation oncologists
LDR and HDR Brachytherapy: A Primer for non radiation oncologistsSantam Chakraborty
 
radiotherapy planning of CA maxilla
radiotherapy planning of CA maxillaradiotherapy planning of CA maxilla
radiotherapy planning of CA maxillaAnil Gupta
 
The vmat vs other recent radiotherapy techniques
The vmat vs other recent radiotherapy techniquesThe vmat vs other recent radiotherapy techniques
The vmat vs other recent radiotherapy techniquesM'dee Phechudi
 

What's hot (20)

Treatment verification and set up errors
Treatment verification and set up errorsTreatment verification and set up errors
Treatment verification and set up errors
 
TIME DOSE & FRACTIONATION
TIME DOSE & FRACTIONATIONTIME DOSE & FRACTIONATION
TIME DOSE & FRACTIONATION
 
Hemi body irradiation
Hemi body irradiationHemi body irradiation
Hemi body irradiation
 
Radiotherapy lymphoma
Radiotherapy lymphoma Radiotherapy lymphoma
Radiotherapy lymphoma
 
physics and clinical aspects of interstitial brachytherapy
physics and clinical aspects of interstitial brachytherapyphysics and clinical aspects of interstitial brachytherapy
physics and clinical aspects of interstitial brachytherapy
 
Tomotherapy
TomotherapyTomotherapy
Tomotherapy
 
Conventional Brachytherapy in carcinoma cervix
Conventional Brachytherapy in carcinoma cervixConventional Brachytherapy in carcinoma cervix
Conventional Brachytherapy in carcinoma cervix
 
Proton beam therapy
Proton beam therapyProton beam therapy
Proton beam therapy
 
Dose volume histogram
Dose volume histogramDose volume histogram
Dose volume histogram
 
Icru 38
Icru   38Icru   38
Icru 38
 
Total body irradiation
Total body irradiationTotal body irradiation
Total body irradiation
 
IMRT: Intensity Modulated Radiotherapy
IMRT: Intensity Modulated RadiotherapyIMRT: Intensity Modulated Radiotherapy
IMRT: Intensity Modulated Radiotherapy
 
Concept of bed in radiobiology
Concept of bed in radiobiologyConcept of bed in radiobiology
Concept of bed in radiobiology
 
Radioisotopes seminar
Radioisotopes seminarRadioisotopes seminar
Radioisotopes seminar
 
Principals of brachytherapy shk
Principals of brachytherapy shk Principals of brachytherapy shk
Principals of brachytherapy shk
 
Helical Tomotherapy
Helical TomotherapyHelical Tomotherapy
Helical Tomotherapy
 
Beam Directed Radiotherapy - methods and principles
Beam Directed Radiotherapy - methods and principlesBeam Directed Radiotherapy - methods and principles
Beam Directed Radiotherapy - methods and principles
 
LDR and HDR Brachytherapy: A Primer for non radiation oncologists
LDR and HDR Brachytherapy: A Primer for non radiation oncologistsLDR and HDR Brachytherapy: A Primer for non radiation oncologists
LDR and HDR Brachytherapy: A Primer for non radiation oncologists
 
radiotherapy planning of CA maxilla
radiotherapy planning of CA maxillaradiotherapy planning of CA maxilla
radiotherapy planning of CA maxilla
 
The vmat vs other recent radiotherapy techniques
The vmat vs other recent radiotherapy techniquesThe vmat vs other recent radiotherapy techniques
The vmat vs other recent radiotherapy techniques
 

Similar to Brachytherapy Final

brachytherapy class.pptx
brachytherapy class.pptxbrachytherapy class.pptx
brachytherapy class.pptxadityasingla007
 
Radiotherapy In Early Breast Cancer
Radiotherapy In Early Breast CancerRadiotherapy In Early Breast Cancer
Radiotherapy In Early Breast CancerDr.T.Sujit :-)
 
Radiotherapy in Cervical Cancers1.ppt
Radiotherapy in Cervical Cancers1.pptRadiotherapy in Cervical Cancers1.ppt
Radiotherapy in Cervical Cancers1.pptNeetumishti Chadha
 
Brachytherapy-A Brief Review with focus on Carcinoma Cervix
Brachytherapy-A Brief Review with focus on Carcinoma CervixBrachytherapy-A Brief Review with focus on Carcinoma Cervix
Brachytherapy-A Brief Review with focus on Carcinoma Cervixiosrjce
 
Evolution of Intracavitary brachytherapy for carcinoma of cervix
Evolution of Intracavitary brachytherapy for carcinoma of cervixEvolution of Intracavitary brachytherapy for carcinoma of cervix
Evolution of Intracavitary brachytherapy for carcinoma of cervixAjeet Gandhi
 
Interstitial BT Principles
Interstitial BT PrinciplesInterstitial BT Principles
Interstitial BT PrinciplesYamini Baviskar
 
Brachytherapy dosimetry systems .R
Brachytherapy dosimetry systems .RBrachytherapy dosimetry systems .R
Brachytherapy dosimetry systems .Rraazvarma
 
Systems of Brachy.ppt
Systems of Brachy.pptSystems of Brachy.ppt
Systems of Brachy.pptSheedh4
 
Electronic Brachytherapy
Electronic BrachytherapyElectronic Brachytherapy
Electronic Brachytherapybasilpaulsunny
 
BRACHYTHERAPY IN ORAL CAVITY
BRACHYTHERAPY IN ORAL CAVITYBRACHYTHERAPY IN ORAL CAVITY
BRACHYTHERAPY IN ORAL CAVITYIsha Jaiswal
 
Brachytherapy And Gyn Malignancy
Brachytherapy And Gyn MalignancyBrachytherapy And Gyn Malignancy
Brachytherapy And Gyn Malignancyfondas vakalis
 
Role of radiotherapy in oral ca ppt for csm
Role of radiotherapy in oral ca ppt for csmRole of radiotherapy in oral ca ppt for csm
Role of radiotherapy in oral ca ppt for csmsailesh kumar
 
SRS, SRT CNS Tumours
SRS, SRT CNS TumoursSRS, SRT CNS Tumours
SRS, SRT CNS TumoursNamrata Das
 
Role of Conformal Radiotherapy in HNC
Role of Conformal Radiotherapy in HNCRole of Conformal Radiotherapy in HNC
Role of Conformal Radiotherapy in HNCSasikumar Sambasivam
 
Apollo hydbd feb8 2013 (cancer ci 2013) p. mahadev md
Apollo hydbd feb8 2013 (cancer ci 2013) p. mahadev mdApollo hydbd feb8 2013 (cancer ci 2013) p. mahadev md
Apollo hydbd feb8 2013 (cancer ci 2013) p. mahadev mdDr. Vijay Anand P. Reddy
 
SRT AND SRS - Arun.pdf
SRT AND SRS - Arun.pdfSRT AND SRS - Arun.pdf
SRT AND SRS - Arun.pdfBBAdhikari
 
Head Neck Interstitial Brachy.pptx
Head Neck Interstitial Brachy.pptxHead Neck Interstitial Brachy.pptx
Head Neck Interstitial Brachy.pptxSayan Das
 
Magna field irradiation
Magna field irradiationMagna field irradiation
Magna field irradiationSabari Kumar
 

Similar to Brachytherapy Final (20)

brachytherapy class.pptx
brachytherapy class.pptxbrachytherapy class.pptx
brachytherapy class.pptx
 
Beam Direction
Beam DirectionBeam Direction
Beam Direction
 
Radiotherapy In Early Breast Cancer
Radiotherapy In Early Breast CancerRadiotherapy In Early Breast Cancer
Radiotherapy In Early Breast Cancer
 
Radiotherapy in Cervical Cancers1.ppt
Radiotherapy in Cervical Cancers1.pptRadiotherapy in Cervical Cancers1.ppt
Radiotherapy in Cervical Cancers1.ppt
 
Brachytherapy-A Brief Review with focus on Carcinoma Cervix
Brachytherapy-A Brief Review with focus on Carcinoma CervixBrachytherapy-A Brief Review with focus on Carcinoma Cervix
Brachytherapy-A Brief Review with focus on Carcinoma Cervix
 
Evolution of Intracavitary brachytherapy for carcinoma of cervix
Evolution of Intracavitary brachytherapy for carcinoma of cervixEvolution of Intracavitary brachytherapy for carcinoma of cervix
Evolution of Intracavitary brachytherapy for carcinoma of cervix
 
Interstitial BT Principles
Interstitial BT PrinciplesInterstitial BT Principles
Interstitial BT Principles
 
Brachytherapy dosimetry systems .R
Brachytherapy dosimetry systems .RBrachytherapy dosimetry systems .R
Brachytherapy dosimetry systems .R
 
Systems of Brachy.ppt
Systems of Brachy.pptSystems of Brachy.ppt
Systems of Brachy.ppt
 
Electronic Brachytherapy
Electronic BrachytherapyElectronic Brachytherapy
Electronic Brachytherapy
 
AI & Recent Advances in Radiation Oncology 2024
AI & Recent Advances in Radiation Oncology 2024AI & Recent Advances in Radiation Oncology 2024
AI & Recent Advances in Radiation Oncology 2024
 
BRACHYTHERAPY IN ORAL CAVITY
BRACHYTHERAPY IN ORAL CAVITYBRACHYTHERAPY IN ORAL CAVITY
BRACHYTHERAPY IN ORAL CAVITY
 
Brachytherapy And Gyn Malignancy
Brachytherapy And Gyn MalignancyBrachytherapy And Gyn Malignancy
Brachytherapy And Gyn Malignancy
 
Role of radiotherapy in oral ca ppt for csm
Role of radiotherapy in oral ca ppt for csmRole of radiotherapy in oral ca ppt for csm
Role of radiotherapy in oral ca ppt for csm
 
SRS, SRT CNS Tumours
SRS, SRT CNS TumoursSRS, SRT CNS Tumours
SRS, SRT CNS Tumours
 
Role of Conformal Radiotherapy in HNC
Role of Conformal Radiotherapy in HNCRole of Conformal Radiotherapy in HNC
Role of Conformal Radiotherapy in HNC
 
Apollo hydbd feb8 2013 (cancer ci 2013) p. mahadev md
Apollo hydbd feb8 2013 (cancer ci 2013) p. mahadev mdApollo hydbd feb8 2013 (cancer ci 2013) p. mahadev md
Apollo hydbd feb8 2013 (cancer ci 2013) p. mahadev md
 
SRT AND SRS - Arun.pdf
SRT AND SRS - Arun.pdfSRT AND SRS - Arun.pdf
SRT AND SRS - Arun.pdf
 
Head Neck Interstitial Brachy.pptx
Head Neck Interstitial Brachy.pptxHead Neck Interstitial Brachy.pptx
Head Neck Interstitial Brachy.pptx
 
Magna field irradiation
Magna field irradiationMagna field irradiation
Magna field irradiation
 

Recently uploaded

❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...Sheetaleventcompany
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Sheetaleventcompany
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...TanyaAhuja34
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Sheetaleventcompany
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Sheetaleventcompany
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Sheetaleventcompany
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...amritaverma53
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...GENUINE ESCORT AGENCY
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Sheetaleventcompany
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Sheetaleventcompany
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Sheetaleventcompany
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan 087776558899
 

Recently uploaded (20)

❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
 

Brachytherapy Final

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. CLASSIFICATION Classification Schemes Positioning of Radionuclide Dose rate of irradiation Duration of irradiation Loading pattern
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22. RULES OF INT.IMPLANT SYSTEM PARAMETERS MANCHESTER QUIMBY PARIS COMPUTER Linear strength Variable Constant Constant Constant Source distribution Planar implant:(periphery) Area <25 cm- 2/3 Ra; 25-100 cm- ½ Ra; >100 cm- 1/3 Volume implant::Cylinder:belt-4 parts,core-2,end-1 Sphere:shell-6,core-2 Cube :each side-1,core-2 Uniform Uniform Uniform Line sources parallel planes Uniform Line sources Parallel or cylinderic volumes Spacing line source Constant approx. 1 cm apart from each other or from crossing ends Same as Manchester Constant, Selective Separation 8-15 mm Constant Selective Crossing needles Required to enhance dose at implant ends Same Crossing needles not used;active length 30-40% longer Crossing needles not used;active length 30-40% longer
  • 23.
  • 24. PRINCIPLE-MANCHESTER SYSTEM FEATURES DOSE & DOSE RATE 6000-8000 R in 6-8 days (1000 R/day; 40 R/hr) UNIT / USE OF RADIUM mg Ra hr – defined as amount of radium to give specified dose in 1 hr DOSE SPECIFICATION CRITERA Effective minimum dose 10% above absolute minimum dose LINEAR ACTIVITY Variable: 0.66 and 0.33 mg RaEq/cm
  • 25.
  • 26.
  • 27. PARIS SYSTEM FEATURES DOSE AND DOSE RATE 6000 -7000 cGy in 3-11 days DOSE PRESCRIPTION POINT Average of the minimum doses in the region defined by the source REFERENCE DOSE & DOSE GRADIENT 85 % of the BASAL DOSE 15 % between the Reference dose and the Basal dose RA SOURCE PLACEMENT Reference isodose volume covers the treated volume
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.  
  • 58.
  • 59. LOADING PATTERN TUBE TYPE LENGTH TUBES RADIUM (mg) UNITS (FUNDUS to CX) LOADING TUBES (mg) LARGE 6 3 35 6-4-4 15-10-10 MEDIUM 4 2 25 6-4 15-10 SMALL 2 1 20 8 20 VAGINAL OVOIDS TUBES RADIUM (mg) UNITS LOADING TUBES(mg) LARGE 3 22.5 9 10-10-5 or 20/25 MEDIUM 2 20 8 20 SMALL 1 17.5 7 10-5-5 or 20/15
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78.
  • 79.
  • 80.
  • 81.
  • 82.
  • 83.
  • 84.
  • 85. RADIUM SUBSTITUTES NAME ORIGIN T 1/2 γ ENERGY-MeV β ENERGY β FILTRATION HVL (Pb -mm) ERC SPECI. ACTI. DECAY PRODUCT Rn 222 NATURAL 3.83 days 0.83 Stainless steel 12 10.27 Pb 206 Cs 137 FISSION 30.17 yrs 0.662 0.512 1.17 - do - 6.5 3.26 87 Ba 137 Co 60 NEUTRON ACTIVAT. 5.26 yrs 1.17, 1.33 0.38 - do- 11 13.07 1020 Ni 60 Ir 192 - do - 73.8 yrs 0.136- 1.06 0.079-0.068 Platinum 4 4.69 7760 Pt 192 Tn 182 - do - 115 yrs 0.67 - Platinum 12 6.87 - - Au 198 - do - 2.7 days 1.088- 0.412 0.96 St. steel 3.3 2.376 - Hg 198 I 125 - do - 59.4 days 0.274, 0.314 No Titanium 0.01 10th 1.403 - Te 125 Pd 103 - do - 16.97 days 0.21 No Platinum 0.03 6.87 - Ru 103