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Electronic Brachytherapy/Low KV-IORT: Physics and Techniques

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Intraoperative Irradiation

Part of the book series: Current Clinical Oncology ((CCO))

Abstract

In the past, intraoperative radiotherapy (IORT) was reserved for centres equipped with dedicated linear accelerators in specially shielded operating rooms (ORs) or, with great inconvenience, in a conventional radiotherapy room using transport from the operating room. By using mobile/portable IORT devices with low-kV X-rays that have a steep dose gradient, the possibility of treating patients with IORT is no longer restricted to the availability of special operating rooms, but can be done in regular, unshielded ORs. Another disadvantage of IORT devices in the past was that the anesthetised patient had to be moved for the treatment from the OR table to the accelerator.

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Notes

  1. 1.

    Cytyc Corporation, Marlborough, MA 01752.

  2. 2.

    Nucletron, Columbia, MD 21046.

  3. 3.

    IEC 60601-1-1 International Electrotechnical Commission.

  4. 4.

    Carl Zeiss Surgical, 73447 Oberkochen, Germany.

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Acknowledgements

One of the authors (PJB) would like to thank Jessica Hiatt (Rhode Island Hospital) and Tom Rusch and Darius Francescatti (Xoft corporation) for useful comments on the Axxent system, Alan Sliski (Orbital Therapy) and Ken Harte for useful comments on the Intrabeam system and Bill Dundulis (Rhode Island Radiation Control Program) for his comments on regulatory matters.

One other author (UKT) wants to thank Frederik Wenz (University Medical Centre Mannheim, Germany) and Dietrich Wolf (Carl Zeiss Surgical) for their useful comments.

Author information

Authors and Affiliations

  1. Department of Radiation Oncology, University Medical Center Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany

    Uta Kraus-Tiefenbacher

  2. Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, USA

    Peter Biggs

  3. Research Department of Surgery, Division of Surgery and Interventional Science, University College London, London, UK

    Jayant Vaidya

  4. Department of Surgery, Rush Medical Center, Chicago, USA

    Dario Francescatti

Authors
  1. Uta Kraus-Tiefenbacher
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  2. Peter Biggs
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  3. Jayant Vaidya
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  4. Dario Francescatti
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Corresponding author

Correspondence to Uta Kraus-Tiefenbacher .

Editor information

Editors and Affiliations

  1. Department of Radiation Oncology, Mayo Clinic, East Shea Blvd 13400, Scottsdale, 85259, Arizona, USA

    Leonard L. Gunderson

  2. Dept. Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA

    Christopher G. Willett

  3. Gregorio Marañón, Depto. Radiación de Oncología, Hospital General Universitario, C/ Dr. Esquerdo 46, Madrid, 28007, Spain

    Felipe A. Calvo

  4. Albert Einstein College of Medicine, Radiation Oncology, Beth Israel Medical Center, Union Square East 10, New York, 10003, New York, USA

    Louis B. Harrison

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Kraus-Tiefenbacher, U., Biggs, P., Vaidya, J., Francescatti, D. (2011). Electronic Brachytherapy/Low KV-IORT: Physics and Techniques. In: Gunderson, L., Willett, C., Calvo, F., Harrison, L. (eds) Intraoperative Irradiation. Current Clinical Oncology. Humana Press. https://doi.org/10.1007/978-1-61779-015-7_5

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  • DOI: https://doi.org/10.1007/978-1-61779-015-7_5

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-61779-014-0

  • Online ISBN: 978-1-61779-015-7

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