The use of fluoroscopy to guide needle placement in interstitial gynecological brachytherapy

Ultraschallgestützte interstitielle Brachytherapie in der Behandlung fortgeschrittener vaginaler Rezidive von Zervix- und Korpuskarzinomen

“…Recently, different implant and planning techniques including fluoroscopy, laparotomy, laparoscopy, CT, and MRI have been described to improve accuracy of needle placement and treatment planning in interstitial gynecologic brachytherapy [4,7,8,14,30,33]. Different methods using complex inverse planning techniques, iodine-125 permanent implants, and combinations with radiosensitizers or hyperthermia have been developed [7,11,20,24,29].…”

Transperineal Low-Dose Rate Iridium-192 Interstitial Brachytherapy in Cervical Carcinoma Stage IIB

“…Most of the toxicity reported with interstitial implantation has been in patients with bulky recurrent or locally advanced disease where complete avoidance of all anterior or posterior needles is not possible. Refinements in the technique including fluoroscopic-guided implantation and direct visualization at the time of a laparotomy have been tried to minimize the toxicity [28].…”

Perioperative high-dose-rate brachytherapy in locally advanced and recurrent gynecologic cancer: Initial results of a phase II trial

“…In practice, only a minority of patients with small, centrally located vaginal relapses have substantial salvage rates if treated with either surgery or brachytherapy, alone or combined with external beam radiation therapy (EBRT) (3,4). Patients with lateral recurrences are not usually considered candidates for exenterative surgery, because tumor-free surgical margins cannot be achieved.…”