title: Study of positional dependence of dose to bladder, pelvic wall and rectal points in High-Dose-Rate Brachytherapy in cervical cancer patients.
abstract: The objective of the study is to examine the variation in doses to, Bladder, pelvic wall and Rectal Points when a patient is simulated in Supine (S Position) and Lithotomy M shaped positions (LM Position), respectively as part of Intracavitary Brachytherapy in Cervical Cancer patients. Patients (n = 19) were simulated and orthogonal images were taken in S Position and LM Positions on a physical simulator. Digital orthogonal X-ray images were transferred to Brachyvision Treatment Planning System via Dicom to generate treatment plans. Radio opaque dye of 7 ml was injected into the Foley bulb for identification and digitization of International Commission on Radiological Units and Measurements (ICRU) Bladder point. Pelvic side wall points were marked in accordance with ICRU 38 recommendations. A Rectal tube containing dummy source marker wire was used to identify Rectal Point. Students't-test was used to analyze the results. Doses in LM Position were lower and statistically significant when compared to S Position for ICRU Bladder Point, pelvic walls and Rectal Point. It was observed that movement of applicator could be the reason for the variations in doses between the two positions. Bladder, pelvic wall and rectal points systematically registered lower doses in LM Position as compared to S Position.
authors.affiliation: Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India.
authors.forename: Anil Kumar
authors.initials: AK
authors.lastname: Talluri
authors.affiliation: Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India.
authors.forename: Krishnam Raju
authors.initials: KR
authors.lastname: Alluri
authors.affiliation: Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India.
authors.forename: Deleep Kumar
authors.initials: DK
authors.lastname: Gudipudi
authors.affiliation: Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India.
authors.forename: Shabbir
authors.initials: S
authors.lastname: Ahamed
authors.affiliation: Department of Radiation Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, Andhra Pradesh, India.
authors.forename: Madhusudhana M
authors.initials: MM
authors.lastname: Sresty
authors.affiliation: Department of Physics, Jawaharlal Nehru Technological University, Kukatpally, Hyderabad, Andhra Pradesh, India.
authors.forename: Aparna Yarrama
authors.initials: AY
authors.lastname: Reddy
keywords: Bladder; lithotomy; rectum; supine