1 General Aspects

General Aspects 17

Table 1.1: Main indications of Brachytherapy Tumour Site Tumour Size Dose Rate

Afterloading systems

Implant

T1 T2 T3

L + + + + + ± + + + + + + + + + + + ± + + ± + + + +

H

P PT GG HN GN PN ST Ap Ct

T + + + + + + + + + + + + + + + + + + + + + + + + + + + + +

P

Lip

+ + + + + + + ± + ± + + + + + + + + + + + + + +

+ + + + + + + + + ± + + + + + + + + + + +

+ ±

± ± ± ± ± + + + + + + + ± ± + ± ± + ± + + ± + ± - - -

+ + + + + ± + + + + + + + + ± ± -

+ + + + + + + + + + + + ± + ± ± -

± + + ± ±

+

+

+

+

- -

- - - - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - - - -

Oral tongue Floor Mouth

- - - - - - - - - - - - - - - - - - - - - - - - - -

- - - - -

- -

- - - - - - - - - - - - - - - - - - - -

-

± ±

Buccal Mucosa Oropharynx Nasopharynx

± +

±

- -

-

-

-

+ + + + + ±

+

±

Cervix

+ + + + +

+

+ + + + +

+ + + + ±

Endometrium

-

Vagina IBT Gyn Breast Bladder Prostate

+ +

+

- - - -

-

-

-

- -

±

+

±

+

Penis

-

+

-

-

+ +

Urethra

± ±

+ ± ±

+ + +

+ + +

+

Anus

- -

Rectum

-

Oesophagus

+

-

-

- - - - - - - - - - -

- - - -

- -

+

Bile Duct

± +

+ +

-

±

ST sarcoma

± + ±

±

+ + +

-

±

Bronchus

-

-

-

+

Skin Brain

±

+

+

±

+ +

+

- - - -

+ +

- -

- -

- -

- -

-

Uv.Melanoma Paediatrics M Endovascular

+ +

+ ±

-

+ +

+

+

+

±

±

+

- - - -

- - - -

- - - -

-

- -

-

- - - -

- - - -

-

-

+

Keloids

+ +

+ +

±

±

- - -

- - -

Rendu Osler

-

±

- -

-

Pterygium

+

-

-

+

Dose rate: L : Low, H: High, P: Pulsed

ƒ

ƒ Afterloading systems: PT: plastic tube, GG: guide gutter, HN: hypodermic needle, GN: guide needle, PN: plastic needle, ST: silk thread, Ap: applicator, Ct: catheter ƒ Implant: T: Temporary implant, P: permanent implant