Use of computed tomography for the fabrication of a custom brachytherapy carrier: A clinical report

Patrick M. Van Derhei, Walter C. Lim, Robert D. Timmerman, Carl J. Andres

Research output: Contribution to journalArticle

Abstract

Early methods of fabricating customized radiation carriers for inaccessible areas, such as the nasopharyngeal space, normally required the patient to be under conscious sedation or general anesthesia to allow impressions for indirect processing techniques. This article describes the use of computed tomography to design and fabricate a carrier for the intracavity application of iodine 125 seeds for a patient with rhabdomyosarcoma of the nasopharynx. With tomography printed copies, a wax pattern was formed, flasked, boiled out, and eventually replaced with silicone material. The patient had to be available only for a conventional thin-cut computed tomography scan without contrast; no fitting appointments or anesthesia were necessary. The indirect procedure eliminated discomfort from impression making and allowed for precise fabrication of the nasopharyngeal carrier. The described technique can be used for other intracavitary radiation applications.

Original languageEnglish (US)
Pages (from-to)15-18
Number of pages4
JournalJournal of Prosthetic Dentistry
Volume89
Issue number1
DOIs
StatePublished - Jan 2003

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Brachytherapy
Tomography
Radiation
Conscious Sedation
Nasopharynx
Rhabdomyosarcoma
Waxes
Silicones
Iodine
General Anesthesia
Seeds
Appointments and Schedules
Anesthesia

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Use of computed tomography for the fabrication of a custom brachytherapy carrier : A clinical report. / Van Derhei, Patrick M.; Lim, Walter C.; Timmerman, Robert D.; Andres, Carl J.

In: Journal of Prosthetic Dentistry, Vol. 89, No. 1, 01.2003, p. 15-18.

Research output: Contribution to journalArticle

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