Brachytherapy and Radiopharmaceutical Quality Assurance Manual Revision: Aug 15 07 I. INTRODUCTION II. ROLES AND RESPONSIBILITIES OF CLINICAL BRACHYTHERAPY PERSONNEL A. Physician B. Physicist C. Radiation Safety Department III. GENERAL QA AND SAFETY REQUIREMENTS A. Brachytherapy-Radiopharmaceutical Therapy Quality . conventional manual LDR brachytherapy, would require prolonged hospitalizations. Treating these patients as outpatients, using multiple fraction treatment regimens on a remote HDR device, is appealing to the patients, Free standing radiation therapy centers that do . brachytherapy is based on the TG recommendations published by the AAPM workgroup in ACE, fully integrated in Oncentra Brachy, discriminates. between tissue, air and bone and accounts for tissue heterogeneities, lack of backscatter from areas where there is no tissue, applicator attenuation and shielding.
brachytherapy uses an implanted source that delivers a dose of 40 to 60 centigrays (cGy) per hour over several days; high-dose-rate (HDR) brachytherapy uses a traveling (stepping) source that delivers a dose greater than cGy per minute for 5 to 30 minutes; pulsed-dose-rate (PDR) brachytherapy uses a. Hot loading The applicator is preloaded and contains radioactive sources at the time of placement into the patient Afterloading The applicator is placed first into the target position and the radioactive sources are loaded later, either by hand (manual afterloading) or by a machine (automatic remote afterloading) TABLE includes supervision, handling, loading of radiation source, when performed – Includes the work of CPT® code ; therefore, not separately reportable – Use CPT® code (Unlisted procedure, clinical brachytherapy) to report interstitial LDR procedures that.
Jul Brachytherapy (internal radiation therapy) treats prostate cancer and other cancers. Radioactive seeds placed in or near tumors destroy. May – BARC manual loading kit for brachytherapy used. – 1st computerized treatment planning. – Department of Radiology bifurcated. Medical device manufactures operational/service manual. (6) Wherever necessary warning/safety A high dose rate remote after loading Brachytherapy system.
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