High dose-rate treatment moulds by afterloading techniques

GEC-ESTRO ACROP recommendations in skin brachytherapy

“…Mould can be used for flat surfaces and irregular shapes. A customized mould can be constructed from specialized polymers, acrylic resin, wax (such as those used in dentistry) or a thermoplastic material or similar in which the catheters are embedded [10,11] (Fig. 1).…”

Experience of high-dose-rate brachytherapy for head and neck cancer treated by a customized intraoral mold technique

“…Therefore, the technique was usually applied to advanced or recurrent carcinomas only as a part of palliative therapy. 11,12 MicroSelectron-HDR applicator tubes are smaller and more fl exible than those of previous units; they can therefore be bent easily and applied widely to oral carcinomas. In the preliminary experiments of Ariji et al, however, the source running was often disturbed when the catheters were wrenched, so a trial in which dummy sources are used should be performed before treatment.…”

Custom Made Mold Brachytherapy

“…2,3 However, therapists and members of the nursing staff can be exposed to radiation if remote afterloading units are not used. Although the combination of mold and remote afterloading units has been used in the head and neck region, including the oral cavity, [4][5][6] its use as a method of radical radiotherapy has been extremely limited because of the low flexibility of the connection catheters. Recently developed units with 192-Ir microsources have more flexible catheters and molds that are better suited to uneven regions such as the oral cavity.…”