AROI-ESTRO GYN Teaching Course

Historical Manchester System

Related to historical Paris technique

Historical

Paris

Applicator:

226 Ra preloading (mg):

3 cm (L)

Stockholm

Intrauterine tube

no fixed geometry

Manchester

22.5 22.5

15

Fletcher

2.5 cm (M)

15

10

Vaginal ovoid

Flange

20 20

10 20

10

Modern

2 cm (S)

Stockholm

6 cm 4 cm 3.5 cm

17.5 17.5

Manchester & Fletcher

Mould

Given tumour volume

A set of rules

Spacer

Point A

mg of 226 Ra Geometry Duration

Photo: Insitute of Oncology Ljubljana

2 cm

TYPICAL TREATMENT: 140 hours for 7500 R at point A (dose rate 53 R/h)

Limitations of

IC Applicators

2 cm

Certain point A dose

Meredith WJ, ed.. Radium dosage. The Manchester system. Edinburgh;1947.

Emerging

Technologies