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A nomograph for permanent implants of Palladium-103 seeds

Journal Article · · International Journal of Radiation Oncology, Biology and Physics; (United States)
; ;  [1]
  1. Memorial Sloan-Kettering Cancer Center, New York, NY (United States)
[sup 103]Pd is being substituted for [sup 125]I in permanent implants for which it is desired to deliver a higher initial dose rate while maintaining readily achieved radiation protection. The authors have constructed a nomograph to assist in determining both the total seed strength required and the appropriate needle spacing for [sup 103]Pd implants. They have calculated the [open quotes]matched peripheral dose[close quotes] (MPD), that is, the dose for which the isodose contour volume is equal to the target volume, for 64 [sup 125]I and 13 [sup 103]Pd actual implants as if [sup 103]Pd had been used for all of them, employing a computer lookup table based on single-seed dose distribution measurements in solid water. The calculated data were used to obtain a least-squares fit to a linear relationship between the logarithm of the total seed strength for a given MPD and the logarithm of the average dimension, d[sub a] (cm). They found that, for a nominal MPD of 11,500 cGy, total seed strength (in mCi) is given by 3.2 d[sub a][sup 2.56]. A [sup 103]Pd nomograph has been constructed on the basis of this power function relationship. The nomographic guide for planning [sup 103]Pd implants calls for total seed strength to increase significantly faster as a function of target volume average dimension than is the case for [sup 125]I. This nomograph will facilitate the application of [sup 103]Pd seeds in permanent implants.
OSTI ID:
6695719
Journal Information:
International Journal of Radiation Oncology, Biology and Physics; (United States), Journal Name: International Journal of Radiation Oncology, Biology and Physics; (United States) Vol. 27:1; ISSN IOBPD3; ISSN 0360-3016
Country of Publication:
United States
Language:
English