Significant rectal and bladder dose reduction via utilization of foley balloon catheters in high-dose-rate tandem and ovoid intracavitary brachytherapy of the uterine cervix

Tony Y. Eng, Clifton D. Fuller, Sean X. Cavanaugh, Melissa M. Blough, Amir Sadeghi, Terence Herman

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Purpose To ascertain the potential for dose reduction to bladder and rectal points by using intravaginal Foley balloon catheters as a mechanism for structural displacement during tandem and ovoid high-dose-rate intracavitary brachytherapy of the uterine cervix. Methods and materials In 22 patients, two Foley balloons were placed intravaginally, with one balloon placed anterior to the tandem and one posterior, as close to the flange as patient geometry allowed. A series of 57 consecutive digitized treatment plans was assessed with and without liquid contrast inflation of Foley catheter balloons. Planning X-rays were acquired and digitized. Software calculated dose was then defined for two bladder and two rectal points, both with and without Foley balloon inflation. Results were then assessed using parametric statistical analysis. Results Collectively and between equivalent points, a statistically significant (p ≤ 0.01) diminution in calculated dose was observed with inflation of intracavitary balloon catheters, with a mean reduction in calculated dose of 16% and 17.6% for bladder and rectal points, respectively. Conclusion The potential advantages available from dose reduction using intracavitary balloon catheters include decreased high-dose-rate-induced organ toxicity, case-by-case customizability, and low cost of implementation. As such, further exploration of this technique is warranted.

Original languageEnglish (US)
Pages (from-to)174-178
Number of pages5
JournalInternational Journal of Radiation Oncology Biology Physics
Volume59
Issue number1
DOIs
StatePublished - May 1 2004

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bladder
Brachytherapy
balloons
Cervix Uteri
Economic Inflation
Urinary Bladder
Catheters
dosage
Software
X-Rays
flanges
Costs and Cost Analysis
toxicity
organs
statistical analysis
planning
computer programs
liquids
geometry
Therapeutics

Keywords

  • Bladder
  • Brachytherapy
  • Cervix
  • Foley balloon catheter

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Radiation

Cite this

Significant rectal and bladder dose reduction via utilization of foley balloon catheters in high-dose-rate tandem and ovoid intracavitary brachytherapy of the uterine cervix. / Eng, Tony Y.; Fuller, Clifton D.; Cavanaugh, Sean X.; Blough, Melissa M.; Sadeghi, Amir; Herman, Terence.

In: International Journal of Radiation Oncology Biology Physics, Vol. 59, No. 1, 01.05.2004, p. 174-178.

Research output: Contribution to journalArticle

Eng, Tony Y. ; Fuller, Clifton D. ; Cavanaugh, Sean X. ; Blough, Melissa M. ; Sadeghi, Amir ; Herman, Terence. / Significant rectal and bladder dose reduction via utilization of foley balloon catheters in high-dose-rate tandem and ovoid intracavitary brachytherapy of the uterine cervix. In: International Journal of Radiation Oncology Biology Physics. 2004 ; Vol. 59, No. 1. pp. 174-178.
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