Radiol Bras. 2014 May-Jun;47(3):159-64. doi: 10.1590/0100-3984.2013.1859.
Current situation of high-dose-rate brachytherapy for cervical cancer in Brazil.
Radiologia brasileira
Rogério Matias Vidal da Silva, Juliana Castro Dourado Pinezi, Luiz Eduardo Andrade Macedo, Divanízia do Nascimento Souza
Affiliations
Affiliations
- Master, Fellow PhD degree in Physics, Universidade Federal de Sergipe (UFS), São Cristóvão, SE, Brazil.
- Master, Professor, Pontifícia Universidade Católica de Goiás (PUC Goiás), Goiânia, GO, Brazil.
- Specialist in Medical Physics, Physicist at Hospital Chama, Arapiraca, AL, Brazil.
- PhD, Professor, Universidade Federal de Sergipe (UFS), São Cristóvão, SE, Brazil.
PMID: 25741073
PMCID: PMC4337132 DOI: 10.1590/0100-3984.2013.1859
Abstract
OBJECTIVE: To assess the current situation of high-dose-rate (HDR) brachytherapy for cancer of the cervix in Brazil, regarding apparatuses, planning methods, prescription, fractionation schedule and evaluation of dose in organs at risk.
MATERIALS AND METHODS: In the period between March/2012 and May/2013, a multiple choice questionnaire was developed and sent to 89 Brazilian hospitals which perform HDR brachytherapy.
RESULTS: Sixty-one services answered the questionnaire. All regions of the country experienced a sharp increase in the number of HDR brachytherapy services in the period from 2001 to 2013. As regards planning, although a three-dimensional planning software was available in 91% of the centers, conventional radiography was mentioned by 92% of the respondents as their routine imaging method for such a purpose. Approximately 35% of respondents said that brachytherapy sessions are performed after teletherapy. The scheme of four 7 Gy intracavitary insertions was mentioned as the most frequently practiced.
CONCLUSION: The authors observed that professionals have difficulty accessing adjuvant three-dimensional planning tools such as computed tomography and magnetic resonance imaging.
Keywords: Brachytherapy; Brazil; Cancer; Cervix; Research; Uterus
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