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Tytuł:
A study about the measurement method of the homogeneity of radioactivity along an iridium-192 wire used in brachytherapy
Autorzy:
Costa, O. L.
Calvo, W. A. P.
Zeituni, C. A.
Rostelato, M. E. C. M.
Moura, J. A.
Feher, A.
Souza, C. D.
Somessari, S. L.
Powiązania:
https://bibliotekanauki.pl/articles/148238.pdf
Data publikacji:
2014
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
iridium-192
iridium wire
low dose rate brachytherapy
quality control
cancer treatment
radioactive sources production
Opis:
The Nuclear and Energy Research Institute has produced, since 1998, iridium-192 wires used in low dose rate brachytherapy. In the paper the authors studied the influence of wire profile on the homogeneity distribution of radioactivity of iridium-192 along the wire. The authors propose the improvements in the quality control procedure that will provide more accurate measurement data and suggest changes in control devices.
Źródło:
Nukleonika; 2014, 59, 1; 37-39
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
An approach to the preparation of iodine-125 seed-type sources
Autorzy:
Cieszykowska, I.
Piasecki, A.
Mielcarski, M.
Powiązania:
https://bibliotekanauki.pl/articles/148791.pdf
Data publikacji:
2005
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
iodine-125 sealed sources
seed-type sources
brachytherapy sources
Opis:
The deposition of iodine-125 on silver bars to be sealed in titanium capsules as seed-type sources for brachytherapy was studied. For this purpose, a method of internal electrolysis was applied. The cell consisted of a silver anode contained in a Pt crucible serving as cathode. The plating solution contained sodium iodide-125 and sodium hydroxide. The yield of iodine-125 deposition for carrier-containing and carrier-free electrolyte solutions was determined. The deposition on uncutted Ag wires and on those cutted into 3 mm long bars was investigated. The influence of visible light on the coating process was examined. The leachability of iodine-125 from the silver wires as well as the activity distribution on the wires was measured. The obtained results indicate that the silver wire should be first coated with iodine-125 and then cutted into 3 mm long pieces. Based on this observation, a device for a batch-type procedure of manufacturing I-125 plated silver bars was designed and made. A design for simultaneous cutting and positioning of the activity-carrying bars into the titanium capsules is presented. This arrangement has been built and tested in trials. The tests confirmed that contamination of the source capsules can be minimized. Laser weldings of the titanium capsules were performed and the cross section of the welds examined by the use of an optical microscope.
Źródło:
Nukleonika; 2005, 50, 1; 17-22
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Analiza wyników samodzielnej radioterapii chorych na raka endometrium
Radiotherapy as sole treatment of endometrial cancer. Analysis of treatment outcome
Autorzy:
Jóźwik, Piotr
Karolewski, Kazimierz
Kojs, Zbigniew
Jakubowicz, Jerzy
Blecharz, Paweł
Urbański, Krzysztof
Powiązania:
https://bibliotekanauki.pl/articles/908391.pdf
Data publikacji:
2007
Wydawca:
Medical Communications
Tematy:
brachytherapy
endometrial cancer
irradiation
radiotherapy
Opis:
Radiotherapy was used as a stand-alone therapeutic modality in 155 patients with endometrial cancer, treated at the Cracow Branch of the Center of Oncology since 1988 thru 1999. In these patients surgical excision was impossible due to far-advanced cancer (clinical stages III and IV) (n=50), severe comorbidity and poor performance status (n=105). In this patient population, 50 persons in clinical stage I received intracavitary brachytherapy, while the remaining 105 patients in clinical stages II, III and IVA received external beam irradiation followed by intracavitary brachytherapy. In the entire group (n=155), cumulative symptom-free 5 year survival rate was 51% (n=79). In relation to tumour grade, 5 year symptom- free survival rate was 70.3% in patients with well differentiated tumour, 43.5% in those with intermediate- grade tumour and only 20% in persons with poorly differentiated cancer. In patients with stage I endometrial cancer, symptom-free 5 year survival rate was 82% (n=41/50); in clinical stage II – 54.5% (30/55), in clinical stages III and IVA – 16% (8/50). Multivariate Cox analysis revealed that independent prognostic factors were clinical stage and tumour grade. Cure rates were 82%, 54.4% and 16% in clinical stages I, II and III/IVA, respectively. Symptom-free 5-year survival rates were 70.3%, 43.5% and 20% in well-differentiated, intermediate- and poorly-differentiated tumours, respectively. Severe late complications of radiotherapy (3rd and 4th degree) developed in 3.5% of patients.
W latach 1988-1999 w krakowskim Oddziale Centrum Onkologii (COOK) leczono pierwotnie napromienianiem 155 chorych na raka endometrium (RE), u których niemożliwe było wykonanie zabiegu operacyjnego z powodu zbyt dużego zaawansowania raka (stopnie III i IV) (50 chorych), ciężkich chorób towarzyszących i złego stanu sprawności (105 chorych). U 50 chorych na RE w I stopniu zaawansowania zastosowano wyłącznie brachyterapię dojamową, u pozostałych 105 (stopnie II, III i IVA) brachyterapię dojamową skojarzono z uprzednią teleradioterapią. Spośród 155 chorych badanej grupy 79 pacjentek (51%) przeżyło 5 lat bez objawów nowotworu. Pięć lat bez objawów nowotworu przeżyło 70,3% chorych na wysoko zróżnicowanego, 43,5% na średnio zróżnicowanego i 20% na nisko zróżnicowanego raka. Spośród 50 chorych na raka w I stopniu zaawansowania 5 lat bez objawów choroby przeżyło 41 (82%) pacjentów, spośród 55 chorych na raka w II stopniu zaawansowania - 30 (54,5%), a spośród 50 chorych na raka w stopniach III i IVA - tylko 8 (16%). W wielocechowej analizie Coksa niezależnymi czynnikami prognostycznymi były zaawansowanie kliniczne i stopień zróżnicowania raka. Wyleczono 82% chorych na RE w I stopniu zaawansowania, 54,5% w II stopniu i tylko 16% w stopniach III i IVA. Pięć lat bez objawów nowotworu przeżyło odpowiednio 70,3%, 43,5% i 20% chorych na wysoko, średnio i nisko zróżnicowanego raka. Odległe, ciężkie powikłania (stopnie 3. i 4.) radioterapii wystąpiły jedynie u 3,5% chorych.
Źródło:
Ginekologia Onkologiczna; 2007, 5, 3; 151-158
1731-5379
Pojawia się w:
Ginekologia Onkologiczna
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Brachyterapia o wysokiej mocy dawki u chorych na raka szyjki macicy
High dose rate brachytherapy in cervical cancer: an update
Autorzy:
Żółciak-Siwińska, Agnieszka
Jońska-Gmyrek, Joanna
Staniaszek, Jagna
Kawczyńska, Maryla
Kulik, Anna
Powiązania:
https://bibliotekanauki.pl/articles/1031065.pdf
Data publikacji:
2011
Wydawca:
Medical Communications
Tematy:
3D planning
HDR brachytherapy
allogeneic hematopoietic stem cell transplantation
brachyterapia HDR
cervical cancer
computed tomographye treatment
extracorporeal photopheresis
mesenchymal stem cells
planowanie trójwymiarowe (3D)
principles of treatment
rak szyjki macicy
tomografia komputerowa
zasady leczenia
Opis:
Selection of optimal treatment modality in a patient with cervical cancer depends on FIGO clinical stage. At stages IB2-IVA, the cornerstone of treatment is radiochemotherapy. As first step, patients undergo irradiation from external fields combined with chemotherapy (cisplatin, 40 mg/m2, QW). Brachytherapy is used as second-line treatment – an essential component thereof – enabling delivery of high dose of radiation to both genital organs and tumor. Quality of this treatment directly correlates with local control of the disease, long-term overall survival and quality of life of patients after completion of therapy. The paper presents current principles of high dose rate (HDR) brachytherapy in cervical cancer patients. Discussed are principles of two-dimensional (2D) planning, used to date in about 50% of brachytherapy centers worldwide, as well as three-dimensional (3D) magnetic resonance (MR)-based planning. As availability of MR in ours and many other oncology centers is limited, a computed tomography-based modification of gynecologic recommendations GIN GEC ESTRO has been suggested. Therapeutic areas are defined: high-risk clinical target volume (HR CTV) and intermediate risk clinical target volume (IR CTV) which may be safely contoured based on clinical exam and CT study, when no MRI is available. Acceptable doses for critical organs are listed. Based on own experience, indications and limitations for use of intraparenchymal (interstitial) and intracavitary applications were developed.
Wybór metody leczenia chorych na raka szyjki macicy jest uzależniony od stopnia zaawansowania, ocenionego według klasyfikacji FIGO (International Federation of Gynecology and Obstetrics). Zasadniczą metodą leczenia chorych na raka szyjki macicy w stopniach zaawansowania IB2-IVA jest radiochemioterapia. W pierwszym etapie przeprowadzane jest napromienianie z pól zewnętrznych wraz z chemioterapią z zastosowaniem cisplatyny w dawce 40 mg/m2, raz w tygodniu. W kolejnym etapie leczenia stosuje się brachyterapię. Brachyterapia jest istotną częścią leczenia, umożliwiającą podanie wysokiej dawki na narząd rodny wraz z guzem, a jakość tego leczenia ma wpływ na kontrolę miejscową nowotworu (LC), przeżycia odległe (OS), jak również na jakość życia chorych po zakończeniu terapii. W pracy przedstawiono zasady obowiązujące współcześnie podczas leczenia brachyterapią o wysokiej mocy dawki (high dose rate brachytherapy, HDR) u chorych na raka szyjki macicy. Opisano zasady planowania w systemie dwuwymiarowym (2D), stosowanym do dzisiaj mniej więcej w połowie ośrodków brachyterapii na świecie, oraz planowania w systemie trójwymiarowym (3D) na podstawie rezonansu magnetycznego (MR). Ponieważ dostępność MR w naszym i wielu ośrodkach onkologicznych jest utrudniona, zaproponowano modyfikację rekomendacji GIN (Gynaecological) GEC ESTRO dla potrzeb planowania, opierając się na tomografii komputerowej. Zdefiniowano obszary terapeutyczne: HR CTV (high-risk clinical target volume), IR CTV (intermediate risk clinical target volume), jakie można bezpiecznie konturować, opierając się na badaniu klinicznym i TK, przy braku MR. Opisano dopuszczalne dawki dla narządów krytycznych. Na podstawie własnych doświadczeń opracowano wskazania i ograniczenia w zastosowaniu aplikacji śródtkankowych i śródjamowych.
Źródło:
Current Gynecologic Oncology; 2011, 9, 4; 264-271
2451-0750
Pojawia się w:
Current Gynecologic Oncology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Design and fabrication of 125I seeds for brachytherapy using capillary-based microfluidic technique
Autorzy:
Wang, Yuan
Zhang, Miao
Song, Tong
Chang, Zhenqi
Powiązania:
https://bibliotekanauki.pl/articles/2055673.pdf
Data publikacji:
2021
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
125I seeds
brachytherapy source
microfluidic
Monte Carlo calculation
core-shell
Opis:
A new kind of 125I seeds with a core-shell structure were synthesized by an easy assembling–disassembling coaxial capillaries microfluidic device. The dose distribution of a 125I brachytherapy source fabricated by arranging six 125I seeds collinearly within a cylindrical titanium capsule was simulated by modelling the source in a water phantom using Monte Carlo N-Particle Transport code. The infl uence of the motion and the core size of the 125I seeds on the dose distribution was also studied in this work.
Źródło:
Nukleonika; 2021, 66, 2; 55--60
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Determination of dosimetry parameters of ADVANTAGETM 103Pd brachytherapy seed using MCNP4C computer code
Autorzy:
Ataeinia, V.
Raisali, G.
Sadeghi, M.
Powiązania:
https://bibliotekanauki.pl/articles/148136.pdf
Data publikacji:
2009
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
brachytherapy
103Pd source
dosimetry parameters
MCNP4C
ADVANTAGE TM 103Pd
Opis:
The IsoAid LLC Inc. has been introduced ADVANTAGETM 103Pd brachytherapy seed in 2006. The aim of this work is to determine the dosimetric characteristics of this seed according to AAPM’s recommendation in TG43-U1 using MCNP4C computer code. The dose rate constant has been determined to be 0.694š0.001 cGy.h–1.U–1. The radial dose function has been calculated at distances from 0.25 to 7 cm. Two-dimensional anisotropy function have been calculated at distances from 0.25 to 7 cm and at angles from 0 to 90 degrees centigrade at 10 degrees centigrade increments. The one-dimensional anisotropy function and anisotropy constant have been also calculated. The anisotropy constant in water has been calculated as 0.872š0.001. The results of this investigation are compared with the results of Meigooni et al. obtained by PTRAN code in 2006 and Sowards results obtained by PTRAN code in 2007. The comparison of the dose rate constant and the one-dimensional anisotropy function obtained from the two codes shows good agreement; also the radial dose function at distances lower than 3 cm and the two-dimensional anisotropy function at angles greater than 20 degrees centigrade are in good agreement. But, for the calculated radial dose function at distances beyond 3 cm, we observed differences between our values and Meigooni et al. and Sowards results. Also, differences between the calculated two-dimensional anisotropy function using the two codes for angles smaller than 20 degrees centigrade are considerable. The differences between the results of MCNP4C and PTRAN codes could be related to the different cross-section data libraries used in these two codes.
Źródło:
Nukleonika; 2009, 54, 3; 181-187
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Determination of the geometry function for a brachytherapy seed, comparing MCNP results with TG-43U1 analytical approximations
Autorzy:
Raisali, G.
Ghonchehnazi, M. G.
Shokrani, P.
Sadeghi, M.
Powiązania:
https://bibliotekanauki.pl/articles/146748.pdf
Data publikacji:
2008
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
analytical approximation
brachytherapy
geometry function
MCNP
TG-43U1
Opis:
Geometry function is the only dosimetry parameter of a brachytherapy source seed, introduced in TG-43U1 protocol which is determined using calculational methods rather than physical measurement. In order to evaluate the accuracy of point and line source approximations, for calculation of the geometry function, the MCNP computer code has been used for a typical brachytherapy seed and the results have been compared. The MCNP has been used to simulate the geometry and activity distribution of a Pd-103 seed in order to calculate the geometry function for various angles and distances from the source. The comparison of results shows that at distances close to the source, the values predicted with different methods are not in agreement. The difference between the MCNP calculations and line approximation for small angles from ? = 0 to 15° is about 27% at 0.25 cm from the seed center. This difference is so much higher for point source approximation (up to a factor of 3) even up to distances of 0.5 cm from the source. As ? increases, the difference between MCNP and approximate methods is reduced. Therefore, for small distances from brachytherapy seeds, it is recommended to calculate the geometry function using more detailed methods instead of point and linear source approximations. This will provide more accurate results for other TG-43U1 dosimetry parameters such as radial dose function or anisotropy function which for some points are calculated via interpolation or extrapolation of the available discrete dosimetry data.
Źródło:
Nukleonika; 2008, 53, 2; 45-49
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Development and production of radioactive sources used for cancer treatment in Brazil
Autorzy:
Rostelato, M. E. C. M.
Rela, P. R.
Zeituni, C. A.
Feher, A.
Manzoli, J. E.
Moura, J. A.
Moura, E. S.
Silva, C. P. G.
Powiązania:
https://bibliotekanauki.pl/articles/148305.pdf
Data publikacji:
2008
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
radioactive sources production
iodine-125 seeds
iridium-192 wires
brachytherapy
cancer treatment
Opis:
The number of cancer patients in Brazil is increasing and part of the patients are submitted to brachytherapy treatment using iridium-192 wire and iodine-125 radioactive seeds. The Nuclear Energy Research Institute established a programme to produce iridium-192 wire and iodine-125 radioactive seeds. With the purpose of settling a laboratory for iridium-192 sources production, a wire activation method was developed and a hot cell for the wire manipulation, quality assurance and packaging was built. The iodine-125 seeds consist of a welded titanium capsule containing iodine-125 adsorbed onto a silver rod. Concerning the setup of the local production, the following activities were carried out: superficial treatment of the silver rod, development of a process to absorb the iodine in the silver rod, welding methodology to seal the seeds, leakage and contamination test and source activity measurement.
Źródło:
Nukleonika; 2008, 53, suppl. 2; 99-103
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Development of an automation system for iodine-125 brachytherapy seed encapsulated by Nd:YAG laser welding
Autorzy:
Somessari, S. L.
Feher, A.
Sprenger, F. E.
Rostelato, M. E. C. M.
da Costa, F. E.
Calvo, W. A. P.
Powiązania:
https://bibliotekanauki.pl/articles/147664.pdf
Data publikacji:
2011
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
iodine-125 seeds
prostate cancer
brachytherapy
Nd:YAG laser welding
Opis:
The aim of this work is to develop an automation system for iodine-125 radioactive seed production by Nd:YAG laser welding, which has been used successfully in low dose rate (LDR) brachytherapy treatment. This small seed consists of a welded titanium capsule, with 0.8 mm in diameter and 4.5 mm in length, containing iodine-125 adsorbed onto a silver rod. The iodine-125 seeds are implanted into the human prostate to irradiate the tumor for cancer treatment. Nowadays, the Radiation Technology Center, at Institute for Nuclear and Energy Research, Săo Paulo, Brazil (IPEN-CNEN/SP) imports and distributes 36,000 iodine-125 seeds per year, for the clinics and hospitals in the country. However, the Brazilian market potential is now over 8,000 iodine-125 seeds per month. The local production of these iodine-125 radioactive sources became a priority for the Institute, in order to reduce the price and the problems of prostate cancer management. It will permit to spread their use to a larger number of patients in Brazil. On the other hand, the industrial automation plays an important role for iodine-125 seeds in order to increase the productivity, with high quality and assurance, avoiding human factors, implementing and operating with good manufacturing practices (GMP). The technology consists of appliance electronic and electro-mechanical parts and components to control machines and processes. The automation system technology for iodine-125 seed production developed in this work was mainly assembled employing a programmable logic controller (PLC), a stepper motor, an Nd:YAG laser welding machine and a supervisory. The statistical repeatability of correctly encapsulated sealed sources with this automation system is greater than 95 per cent.
Źródło:
Nukleonika; 2011, 56, 4; 369-374
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Dose enhancement in brachytherapy in the presence of gold nanoparticles : a Monte Carlo study on the size of gold nanoparticles and method of modelling
Autorzy:
Ghorbani, M.
Pakravan, D.
Bakhshabadi, M.
Meigooni, A. S.
Powiązania:
https://bibliotekanauki.pl/articles/146605.pdf
Data publikacji:
2012
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
brachytherapy
dose enhancement
gold nanoparticles
Monte Carlo (MC)
Opis:
The aim of this study was to evaluate the effect of the size of gold nanoparticles (GNPs) on dose enhancement in brachytherapy with photon emitting sources. Four photon emitting sources, 125I, 169Yb, 103Pd, and 192Ir were simulated and dose rate constant and radial dose functions were compared with published corresponding data for these sources. Dose enhancement factor in the presence of gold nanoparticles of 30 mg/ml concentration was calculated separately for nanoparticles with a diameter of 50, 100 and 200 nm. Gold nanoparticles were simulated precisely as nanospheres utilizing a lattice option in the MCNPX Monte Carlo code and the results were compared with those obtained with a simple model in which gold atoms are distributed uniformly in tumor volume as a simple mixture. Among the four mentioned sources, the dose enhancement related to 125I source is higher. Our results have shown that with gold nanoparticles of higher diameter, the level of dose enhancement is higher in the tested tumor. It has been also observed that the simple model overestimates the dose enhancement factor when compared with the precise model in which nanoparticles are defined according to the Monte Carlo code. In the energy range produced by the brachytherapy sources, the dose enhancement is higher when using brachytherapy sources with lower energy. Among the size range of gold nanoparticles used in medicine, it is predicted that nanoparticles with higher diameter can be more useful when are utilized in brachytherapy. It is also recommended that when calculating dose enhancements, a precise model be used for modelling of nanoparticles in the Monte Carlo simulations.
Źródło:
Nukleonika; 2012, 57, 3; 401-406
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Leakage test evaluation used for qualification of iodine-125 seeds sealing
Autorzy:
Feher, A.
Rostelato, M. E. C. M.
Zeituni, C. A.
Calvo, W. A. P.
Somessari, S. L.
Moura, J. A.
Moura, E. S.
Souza, C. D.
Rela, P. R.
Powiązania:
https://bibliotekanauki.pl/articles/147662.pdf
Data publikacji:
2011
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
leakage test
iodine-125 seeds
prostate cancer
brachytherapy
titanium tube
standard ISO-9978
Opis:
Brachytherapy is one of the possible treatments with ionizing radiation available for prostate cancer, in which small seeds containing iodine-125 radioisotope are implanted directly into the prostate. The seed consists of a sealed titanium tube containing a central silver wire with adsorbed iodine-125. The tube sealing is made with titanium at the ends, using plasma arc-welding (PAW) or laser process. This sealing must be leakage-resistant and free of cracks, therefore avoiding iodine-125 to deposit in the silver wire to escape and spread into the human body. To ensure that this problem is not occurring, rigorous leakage tests in accordance with the standard ISO-9978 should be applied. The aim of this study is to determine, implement and evaluate the leakage test to be used in the iodine-125 seeds production, in order to qualify the sealing procedure. The standard ISO-9978 presents a list of tests to be carried out according to the type of source. The preferential methods for brachytherapy sources are soaking and helium. To assess the seeds leakage, the method of immersion test at room temperature was applied. The seeds are considered leakage-free if the detected activity does not exceed 185 Bq (5 nCi). An iodine standard was prepared and its value determined in a sodium iodide detector. A liquid scintillation counter was calibrated with the standard for seed leakage tests. Forty-eight seeds were plasma arc-welded for these tests.
Źródło:
Nukleonika; 2011, 56, 4; 375-379
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Ocena funkcji układu moczowego oraz komfortu życia kobiet po skojarzonym leczeniu raka endometrium
An assessment of the urinary function and the comfort of life in patients after endometrial cancer combined treatment
Autorzy:
Opławski, Marcin
Kosobudzki, Radosław
Kwiatkowski, Michał
Kojs, Zbigniew
Powiązania:
https://bibliotekanauki.pl/articles/1030404.pdf
Data publikacji:
2015
Wydawca:
Medical Communications
Tematy:
brachytherapy
endometrial cancer
mixed incontinence
overactive bladder
stress urinary incontinence
urodynamic testing
badanie urodynamiczne
brachyterapia
mieszane nietrzymanie moczu
pęcherz nadreaktywny
rak endometrium
wysiłkowe nietrzymanie moczu
Opis:
Endometrial cancer is currently the most common form of female reproductive tract tumors. The efficacy of treatment, which involves surgery, radiotherapy and systemic therapy, is increasing and the assessment of the quality of life of patients is subject to careful analysis. Difficulty in urination represents a major factor reducing the quality of life of patients. The aim of the study was to collect data on the urinary functioning and the quality of life in endometrial cancer patients considered cured after a combined treatment compared to patients after non-oncological hysterectomy. A total of 46 females divided into two groups were included in the study. Group I (study group) included 23 endometrial cancer patients (stage IA, G1–G2) after combined treatment, who received surgical treatment and adjuvant brachytherapy; group II (control group) included 23 patients after non-oncological hysterectomy and uterine appendage removal. The patients were assessed once, between month 6 and 12 after treatment termination. Medical history, gynecologic examination, urodynamic testing and life quality assessment were performed in all patients. Statistical analysis showed a significant difference between the two groups in terms of urogynecologic outcomes (p = 0.0193). The proportion of women without any disturbances was definitely higher in the control group (only 22%) vs. study group. Stress urinary incontinence, mixed incontinence and overactive bladder were more common in the study group compared to controls. Furthermore, a significant difference in the quality of life was shown between the compared groups of patients (p = 0.0270). Reduced quality of life was significantly more common in the study group (57% vs. 26% of controls). Improvement of life quality was less common in the study group (13%) compared to controls (28%). Brachytherapy increases the severity of genitourinary disorders, which adversely affects the quality of life in patients after cancer therapy.
Rak endometrium to obecnie najczęstszy nowotwór narządu rodnego. Leczenie – wykorzystujące zabieg operacyjny, radioterapię i terapię systemową – jest coraz skuteczniejsze, a ocenę komfortu życia pacjentek poddaje się dokładnej analizie. Głównym czynnikiem obniżającym jakość życia chorych stają się problemy z oddawaniem moczu. Celem badania było uzyskanie informacji na temat funkcjonowania układu moczowego i jakości życia kobiet uznanych za wyleczone po skojarzonym leczeniu raka endometrium w porównaniu z tymi, którym macicę usunięto z przyczyn nieonkologicznych. Badaniu poddano 46 kobiet podzielonych na dwie grupy. Grupa pierwsza (badana) składała się z 23 pacjentek po skojarzonym leczeniu raka endometrium (IA, G1–G2), leczonych chirurgicznie i uzupełniającą brachyterapią, a grupa druga (kontrolna) – z 23 pacjentek po usunięciu macicy z przydatkami z powodów nieonkologicznych. Kobiety badano jednorazowo, między 6. a 12. miesiącem po zakończeniu leczenia. We wszystkich przypadkach przeprowadzono wywiad lekarski, badanie ginekologiczne, badanie urodynamiczne i badanie jakości życia. Analiza statystyczna wykazała istotną różnicę wyników badania uroginekologicznego między grupami (p = 0,0193). Odsetek kobiet, u których nie stwierdzono zmian, był zdecydowanie większy w grupie kontrolnej niż grupie badanej, gdzie wyniósł zaledwie 22%. W grupie badanej częściej niż w kontrolnej notowano przypadki wysiłkowego nietrzymania moczu, postaci mieszanej nietrzymania moczu i pęcherza nadreaktywnego. Okazało się także, że jakość życia pacjentek z porównywanych grup istotnie się różni (p = 0,0270). Jej spadek stwierdzano znacząco częściej w grupie badanej – u 57% kobiet (w grupie kontrolnej – u 26%). Polepszenie jakości życia notowano w grupie badanej rzadziej (13%) niż w grupie kontrolnej (28%). Brachyterapia powoduje nasilenie zaburzeń w układzie moczowo-płciowym, co negatywnie wpływa na komfort życia po leczeniu onkologicznym.
Źródło:
Current Gynecologic Oncology; 2015, 13, 2; 78-84
2451-0750
Pojawia się w:
Current Gynecologic Oncology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Radiation stability of 125I-brachytherapy sources
Autorzy:
Saxena, S.
Ram, R.
Dash, A.
Joshi, P.
Venkatesh, M.
Powiązania:
https://bibliotekanauki.pl/articles/148254.pdf
Data publikacji:
2007
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
retinoblastoma
125 I-brachytherapy sources
radiation stability
SEM
leach rate
Opis:
Low energy 125I-brachytherapy sources are used for the treatment of retinoblastoma and many other forms of eye cancer. Such sources were prepared by adsorption of 125I on palladium coated silver rods and were critically evaluated for safety aspects, as per AERB standards. In order to attain low leachability and to facilitate leak free laser encapsulation of sources within titanium capsules of size 0.8 mm (f) ´ 4.75 mm (l), the radioactive source core was coated with polystyrene. With a view to study the radiation stability of such sources over a period of three weeks, both polymer coated radioactive sources and inactive source cores were separately subjected to an integrated gamma dose of ~(17.85 ´ 104) Gy (17.85 MRad), which is the dose expected to be received in three weeks from a source containing ~ 111 MBq of 125I. This was carried out to test their suitability for reuse within such period. SEM pictures of inactive source cores were taken to observe the effect of gamma radiation on palladium coating. Post-irradiation leachability and uniformity of activity of radioactive sources were evaluated and found to be satisfactory. The sources were found to be reusable safely, for repeated brachytherapy procedures over a practically useful time of at least three weeks.
Źródło:
Nukleonika; 2007, 52, 1; 13-16
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Radioisotopes for medical and industrial use during the 50-year history of the Institute of Nuclear Research
Autorzy:
Mikołajczak, R.
Bazaniak, Z.
Iller, E.
Powiązania:
https://bibliotekanauki.pl/articles/147948.pdf
Data publikacji:
2005
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
radiopharmaceuticals
isotope application
sealed sources
radiotherapy
brachytherapy
Opis:
The paper summarises the 50-years long history of the development of research programmes related to the practical applications of radionuclides in various fields of the Polish economy. The changing trends of interest of the potential users are reflected in the research and development activities of the Radioisotope Centre POLATOM. In the 1960's and 1970's the main areas of activity were focused on the sealed sources and radiolabelled compounds for the investigation of industrial processes. The introduction to the routine practice of the RIA and the IRMA kits for hormonal in vitro diagnostics in the 70-ties and 80-ties resulted in the general availability of this diagnostic technique in Poland. The number of radioisotopes having the required radiation type, energy and half-life is steadily increasing due to the progress in irradiation facilities and in chemical separation processes. The need for modern radiopharmaceuticals, more specific and providing higher diagnostic and therapeutic potential as an alternative to other medical modalities is reflected in the research programmes carried out and implemented currently at the Radioisotope Centre POLATOM.
Źródło:
Nukleonika; 2005, 50,suppl.3; 83-87
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Tubing decontamination during the leak test of iodine-125 seeds
Autorzy:
Moura, J. A.
Moura, E. S.
Sprenger, F. E.
Nagatomi, H. R.
Zeituni, C. A.
Feher, A.
Manzoli, J. E.
Souza, C. D.
Rostelato, M. E.
Powiązania:
https://bibliotekanauki.pl/articles/148765.pdf
Data publikacji:
2010
Wydawca:
Instytut Chemii i Techniki Jądrowej
Tematy:
brachytherapy
iodine seeds
leak test
sealed radioactive sources
Opis:
Leak tests were made to detect any leakage of radioactive material from inside the iodine-125 seeds applied in brachytherapy. These seeds are used in prostate cancer treatment. In the quality control routine, during seed production, leak tests are performed according to the International Standard Organization – radiation protection – sealed radioactive sources – ISO-9978 standard, and require liquid transfer between recipients. Any leakage causes contamination of the liquid and tubes. The aim of this study is the establishment of decontamination routines for tubes, allowing their repeated use, in the automated assay process.
Źródło:
Nukleonika; 2010, 55, 3; 409-413
0029-5922
1508-5791
Pojawia się w:
Nukleonika
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 20

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