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Dose assessment to the Bladder during Intracavitary Brachytherapy of the Cervix using Gafchromic films


J. Avevor, S. N. A. Tagoe, J. H. Amuasi, J. J. Fletcher, I. Shirazu
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Intracavitary brachytherapy procedures are used for cervical cancer treatment, by the insertion of radioactive implants directly into the diseased tissues. During the treatment process, the bladder together with surrounding tissues are exposed to radiations. Clinical complications do results from high doses received by parts of the bladder during intracavitary brachytherapy of the cervix. The aim of this study is to assess the dose delivered to the bladder using Gafchromic films and compare it with the optimized dose calculated by the Brachy Prowess 4.60 Treatment Planning System (TPS) reports for empirical validation and system verification. Fletcher suite applicators were used to perform thirty (30) different clinical insertions on the constructed cervix phantom and results evaluated. The mean difference between the doses calculated by the TPS and the doses measured by the Gafchromic film for the bladder at the distance of 0.5cm from the edge of the film was 16.3 % (range -35.33 to +39.37). At a distance of 1.5cm for the bladder, the mean difference was 19.4% (range -49.48 to +30.39). The TPS calculated maximum dose was typically higher than the measured maximum dose. However, in some cases, the measured doses were found to be higher than the doses calculated by the TPS. This is due to positional inaccuracies of the sources during treatment planning. It is recommended that in vivo dosimetry be performed in addition to computation.

J. Avevor, S. N. A. Tagoe, J. H. Amuasi, J. J. Fletcher, I. Shirazu

Bladder Dose, Applicators, Cervix Phantoms, Gafchromic Film

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Publication Details

Published in : Volume 3 | Issue 6 | September-October - 2017
Date of Publication Print ISSN Online ISSN
2017-07-31 2395-1990 2394-4099
Page(s) Manuscript Number   Publisher
97-105 IJSRSET173486   Technoscience Academy

Cite This Article

J. Avevor, S. N. A. Tagoe, J. H. Amuasi, J. J. Fletcher, I. Shirazu, "Dose assessment to the Bladder during Intracavitary Brachytherapy of the Cervix using Gafchromic films", International Journal of Scientific Research in Science, Engineering and Technology(IJSRSET), Print ISSN : 2395-1990, Online ISSN : 2394-4099, Volume 3, Issue 6, pp.97-105, September-October-2017.
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