Cervix BT - 2016

Historical Manchester System

Applicator: Related to historical Paris technique

Historical Paris

226 Ra preloading (mg):

3 cm (L)

Intrauterine tube

Stockholm

no fixed geometry

Fletcher Manchester

22.5

22.5

15

2.5 cm (M)

15

10

Vaginal ovoid

Flange

20

20

10

20

10

2 cm (S)

Modern

Stockholm Manchester & Fletcher

6 cm 4 cm 3.5 cm

17.5 17.5

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)

2 cm

Limitations of

IC Applicators

Certain point A dose

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

Emerging

Technologies