Page 29 - Brachytherapy
P. 29

a. Manual after-loading system













                                                                                                                                                    Advantages:

              Generally,  the  radiation  sources  are                                                                                                           Circumvents  radiation  protection





              manually afterloaded into applicators                                                                                                              problems of preloading.




              or  catheters  that  have  been  placed                                                                                                            Allows better applicator placement





              within the target volume. At the end                                                                                                               and                  verification                                 prior                     source




              of  treatment,  the  sources  are                                                                                                                  placement.





              removed,  again  manually.  Manual                                                                                                                 Radiation hazard can be minimized





              loading and removal of sources from                                                                                                                in  the  OT/bystanders  as  patient




              the applicators or catheters result in                                                                                                             loaded in ward.





              some  radiation  exposure  to  the




              medical and support staff.                                                                                                            Disadvantages:







                                                                                                                                                                 Specialized applicators are required.

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