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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

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

Plans of 5 cases compared:

D-RSBT

vs.

Interstitial + Intracav. BT

• With 30 additional min. for D-RSBT:

• D90 improved for 20 Gy (EQD2)

• OAR doses +/- unchanged

HR CTV = 41 cm

3

HR CTV = 45 cm

3

HR CTV = 98 cm

3

HR CTV = 77 cm

3

HR CTV = 74 cm

3

CAUTION…

• IS-IC BT technique not described in this work…

• Extensive Favourable experience with IC-IS BT!

• D-RSBT: Dose emitted from single channel

• High-D volume increased by 15 - 50 %!

• D heterogeneity!

• TRAK?

• Clinical implications?

Dynamic

Rotating Shield Brachytherapy - D-RSBT