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Brachytherapy
This document discusses brachytherapy, which is a type of radiation therapy where radioactive sources are placed inside or next to the area requiring treatment. It provides graphs showing trends in cancer cases in Jordan from 1980-2011, with the top ten cancers being lung cancer in males and breast cancer in females. It describes different methods of brachytherapy delivery including external beam radiation, intracavitary brachytherapy using an afterloader, prostate brachytherapy using ultrasound guidance, and gynecological template brachytherapy. Images show examples of brachytherapy applicators and planning as well as outcomes in patients treated for conditions such as facial nerve tumors and prostate cancer.
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Brachytherapy
- 1. Brachytherapy Dioloma 25/12/2014 Dr Belal ElHawwari Consultant Radiation Clinical Oncologist
- 2. 285 450 550 769 1126 1396 3302 3354 3380 3142 3362 3412 3430 3478 3591 3678 4198 4332 4606 4798 4849 4675 0 1000 2000 3000 4000 5000 6000 1980 1983 1986 1989 1992 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Noofcases Year Trendof Cancer 1980-2011 Hospital-Based Basheer Hospital Population-Based Registry
- 3. Top Ten Cancers–Males 2011 12.7 12.5 7.8 7.7 5.8 5.5 4.9 3.7 3.6 3.2
- 4. 37.7 9.8 5.8 5.6 4.0 4.0 2.82.7 2.1 2.1 0 100 200 300 400 500 600 700 800 900 1000 Top Ten Cancers –Females 2011
- 5. 0 10000 20000 30000 40000 50000 60000 Total Males Females 100% 49 % 51 % Total Registered Cancer Cases 1996-2010 (Jordanian) N= 55000
- 6. External photon beam Standardfield AP/PA Standard field Rt & L:t Lat Extended field AP/PA Small field AP/PA Linear Accelerator
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- 9. High dose intracavitarybrachytherapy Afterloder HDR microselectron (Ir 192)
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- 16. PROSTATE IG-HDR BRACHYTHERAPY TRUSreal-time needle position determination with “Swift” 2D 3D
- 18. Gynecological Template Brachytherapy ProceduralAids TRUS Cystoscopy Tandem seeds Fluoro jdemanes@cetmc.com
- 19. Scan Based Dosimetry 3Dimensional Treatment Planning CTV (Physician) clinical & radiographic correlations PTV (Dosimetry) conform isodose to target minimize normal tissue doses jdemanes@cetmc.co
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- 24. Excellent function offacial nerve
- 25. FIBROSARCOMA 4ta recurtrence Peri-operative5 years later
- 26. Prostatic rhabdo, 14months
- 29. During last HDRfraction
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