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Title: Prescription dose in permanent {sup 131}Cs seed prostate implants

Journal Article · · Medical Physics
DOI:https://doi.org/10.1118/1.1951062· OSTI ID:20726263
; ; ;  [1]
  1. Department of Radiation Oncology, University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania 15232 (United States)

Recently, {sup 131}Cs seeds have been introduced for prostate permanent seed implants. This type of seed has a relatively short half-life of 9.7 days and has its most prominent emitted photon energy peaks in the 29-34 keV region. Traditionally, 145 and 125 Gy have been prescribed for {sup 125}I and {sup 103}Pd seed prostate implants, respectively. Since both the half-life and dosimetry characteristics of {sup 131}Cs seed are quite different from those of {sup 125}I and {sup 103}Pd, the appropriate prescription dose for {sup 131}Cs seed prostate implant may well be different. This study was designed to use a linear quadratic radiobiological model to determine an appropriate dose prescription scheme for permanent {sup 131}Cs seed prostate implants. In this model, prostate edema was taken into consideration. Calculations were also performed for tumors of different doubling times and for other related radiobiological parameters of different values. As expected, the derived prescription dose values were dependent on type of tumors and types of edema. However, for prostate cancers in which tumor cells are relatively slow growing and are reported to have a mean potential doubling time of around 40 days, the appropriate prescription dose for permanent {sup 131}Cs seed prostate implants was determined to be: 127{sub -12}{sup +5}Gy if the experiences of {sup 125}I seed implants were followed and 121{sub -3}{sup +0}Gy if the experiences of {sup 103}Pd seed implants were followed.

OSTI ID:
20726263
Journal Information:
Medical Physics, Vol. 32, Issue 8; Other Information: DOI: 10.1118/1.1951062; (c) 2005 American Association of Physicists in Medicine; Country of input: International Atomic Energy Agency (IAEA); ISSN 0094-2405
Country of Publication:
United States
Language:
English