International journal of radiation oncology, biology, physics
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Int. J. Radiat. Oncol. Biol. Phys. · Feb 1994
Comparative StudyComparison of continuous and pulsed low dose rate brachytherapy: biological equivalence in vivo.
Recent studies of human cell lines cultured in vitro and mathematical modeling of the response of acute and late responding tissues have predicted conditions for the equivalence in terms of cell killing of continuous and pulsed dose rate brachytherapy. The aim of this study was to test these predictions in vivo using an acutely responding normal tissue. ⋯ This in vivo study validates the prediction of biological equivalence between pulsed and continuous brachytherapy at a clinically relevant average dose rate and may generate further interest in this new treatment modality because of its advantages in radiation protection, dose optimization, and cost relative to standard low dose rate brachytherapy techniques.
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Int. J. Radiat. Oncol. Biol. Phys. · Feb 1994
A mono isocentric technique for breast and regional nodal therapy using dual asymmetric jaws.
Definitive radiation therapy for breast cancer with regional nodal involvement often introduces treatment of adjacent abutted regions. Many methods describe techniques to achieve an effective transverse plane match. Our facility recently adopted a matching technique using asymmetric jaws to beam-split all portals along the central axis plane. Our technique uses one isocenter to treat the opposed tangential breast fields, the supraclavicular port and the posterior axillary field. ⋯ Our treatment technique takes full advantage of dual asymmetric jaws to achieve a perfect match-line, necessitates only one isocenter and set-up point, and supplies more absorption in reference to lung and contralateral breast dose. The pure match-line is accompanied by the fact that the patient does not have to move in any direction.