Abstract
At Memorial Sloan-Kettering Cancer Center (MSKCC), a new program was developed in 1992 for intraoperative radiation therapy. This program attempts to combine the technical and dosimetric advantages of brachytherapy with the conceptual and logistic advantages of intraoperative electron-beam irradiation. The entire procedure takes place in a full service and shielded operating room in a Brachytherapy Suite in the Department of Radiation Oncology which became available in November 1992 (see Chapter 5, text and figures). No intraoperative patient transportation is required. For the radiation-therapy delivery, a high-dose-rate remote afterloader (1,2) is used instead of a linear accelerator-based electron beam (3–5). Because the remote afterloader is a portable unit, it can also be utilized for other procedures in the outpatient facility when it is not needed for intra-operative cases. The use of a remote afterloader enhances the cost effectiveness of the program, potentially making it possible for a larger number of world centers to consider an IORT program that is economically feasible.
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References
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Harrison, L.B., Cohen, A.M., Enker, W.E. (1999). High-Dose-Rate Intraoperative Irradiation (HDR-IORT). In: Gunderson, L.L., Willet, C.G., Harrison, L.B., Calvo, F.A. (eds) Intraoperative Irradiation. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-696-6_6
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DOI: https://doi.org/10.1007/978-1-59259-696-6_6
Publisher Name: Humana Press, Totowa, NJ
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