The first definitive guide to interstitial brachytherapy, this volume is the result of a three-year collaborative effort sponsored by the National Cancer Institute. The book is written by a group of radiation oncologists and medical physicists from three major medical centers: the Memorial Sloan-Kettering Cancer Center in New York City, the Yale University Medical School in New Haven, Connecticut, and the University of California Medical Center in San Francisco. These experts provide uniform, authoritative guidelines on every aspect of interstitial brachytherapy, including dose planning, calculation, and evaluation; patient selection; clinical instrumentation; implant procedures for nearly every conceivable site of cancer; quality assurance; and radiation protection procedures.The contributors establish reliable dosimetry standards and uniform dose specification conventions and offer detailed recommendations on use of computers in dose calculation. Step-by-step instructions explain how to use specific brachytherapy techniques, alone or in combination with surgery or external radiation, for recurrent brain, head and neck, thoracic, and gynecological cancers. In-depth reports on remote afterloading of sources, modern three-dimensional imaging methods, and use of reactor-produced radionuclides with lower photon energies than radium are also included.
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