Author, as appears in the article.: Andres, Ignacio; Gutierrez-Perez, Manuel; Pilar Rodriguez-Vela, Maria; Berenguer, Roberto; Sevillano, Marimar; Aguayo, Manuel; Arenas, Meritxell; Rovirosa, Angeles; Murria-Perez, Yashmina; Sabater, Sebastia;
Department: Ciències Mèdiques Bàsiques
URV's Author/s: Arenas Prat, Meritxell
Keywords: cervical brachytherapy cervical cancer dose-volume histogram Cervical brachytherapy Cervical cancer Dose-volume histogram Rectal enema
Abstract: To evaluate the effects of rectal enemas on rectal doses during radical high-dose-rate (HDR) intracavitary cervical brachytherapy (BT).Twenty patients suffering from cervical cancer and treated with external beam radiotherapy and HDR-BT were included in a prospective trial. The first brachytherapy fraction was considered the basal status, and patients were instructed to self-administer two rectal cleansing enemas before the second fraction. Dose-volume histogram (DVH) values were generated for the rectum and correlated with rectal volume variation. Brachytherapy was carried out with a Fletcher or Utrecht applicator.No significant rectal volume differences were observed between fractions with or without rectal enemas (without, 52.64 ± 15.92 cc; with, 53.16 ± 19.28 cc). There was a significant correlation between both rectal volumes (r = 0.722, p = 0.001). No significant differences were observed in analyzed DVH parameters (median values: ?D0.1cc, 4.17 vs. 3.61 Gy; ?D1cc, 3.23 vs. 2.87 Gy; ?D2cc, 2.9 vs. 2.54 Gy; ?D5cc, 2.35 vs. 2.05 Gy, for no enema and enema fraction, respectively). No significant rectal volume differences nor DVH parameter differences were observed according the applicator type.Our rectal enemas protocol prior to HDR-BT was ineffective in significantly modifying rectal DVH parameters. No differences were observed according to the type of applicator used.
Thematic Areas: Medicina i Medicina ii Oncology Radiology, nuclear medicine & medical imaging Radiology, nuclear medicine and imaging
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: meritxell.arenas@urv.cat
ISSN: 1689832X
Author identifier: 0000-0003-0815-2570
Record's date: 2023-02-18
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://www.termedia.pl/The-usefulness-of-fleet-rectal-enemas-on-high-dose-rate-intracavitary-cervical-cancer-brachytherapy-A-prospective-trial,54,30077,0,1.html
Papper original source: Journal Of Contemporary Brachytherapy. 9 (3): 224-229
APA: Andres, Ignacio; Gutierrez-Perez, Manuel; Pilar Rodriguez-Vela, Maria; Berenguer, Roberto; Sevillano, Marimar; Aguayo, Manuel; Arenas, Meritxell; Rovi (2017). The usefulness of fleet rectal enemas on high-dose-rate intracavitary cervical cancer brachytherapy. A prospective trial. Journal Of Contemporary Brachytherapy, 9(3), 224-229. DOI: 10.5114/jcb.2017.68135
Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
Article's DOI: 10.5114/jcb.2017.68135
Entity: Universitat Rovira i Virgili
Journal publication year: 2017
Publication Type: Journal Publications
Repositori URV