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Dynamic

Rotating Shield Brachytherapy - D-RSBT

Plans of 5 cases compared:

D-RSBT

vs.

IC/IS BT

• 30 additional min. for D-RSBT:

• D90 improved for 20 Gy (EQD2)

• OAR doses +/- unchanged

Yang W, Kim Y, Wu X, et al.. Phys Med Biol 2013;58(11):3931-41.

Liu Y, et al.. Med Phys 2013;40(5):051720

Dadkhah H, Flynn RT, Wu X et al.

Med Phys

2015; 42: 3465.

Liu Y, Flynn RT, Kim Y, Yang W, Wu X.. Med Phys 2013;40(12):12703

Liu Y, Flynn RT, Kim Y, Wu X. Med Phys 2014;41(11):111709

Adams QE, Xu J, Breitbach EK, et al. Med Phys 2014;41(5):051703

Historical

Paris

Stockholm

Manchester

Fletcher

Limitations of

IC Applicators

Modern

Stockholm

Manchester

& Fletcher

Mould

Emerging

Technologies

Emission window size profile

Liu Y, et al. Med Phys 2013

• Electronic brachytherapy source

• Shield: changing emission angles

Liu Y, et al. Med Phys 2013