Percutaneous CT-guided 103Pd implantation for the medically inoperable patient with T1N0M0 non-small cell lung cancer: A case report

Martı́nez-Monge, Rafael; Garrán, C.; Vivas, Isabel; López-Picazo, José M.

doi:10.1016/j.brachy.2004.08.002

Cited by 14 publications

(16 citation statements)

References 4 publications

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“…There is only limited experience with LDR interstitial brachytherapy under bronchoscopic, fluoroscopic and CT guidance [2,20,[40][41][42]. Although the CT-guided percutaneous approach is feasible, it is limited to small and soft tumours in the periphery of the lung, and the optimum radiation dose distribution frequently cannot be achieved due to the bony structures in the chest wall that inhibits precise seed implantation.…”

Section: IVmentioning

confidence: 99%

“…When procedures must be done minimally invasively, however, electromagnetic guidance becomes essential. The addition of image guidance reduced the average task completion time of 2 one seed insertion by 60 seconds. For the robotic procedure, the average time was reduced by 30 seconds.…”

Section: System At Cstarmentioning

confidence: 99%

“…Surgical resection is the treatment of choice, but only one third of patients who present with early disease are eligible for a curative resection [2]. Open surgery provides ready access and optimal visualization of body cavities, however, it has a higher rate of morbidity compared to minimally invasive techniques.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lung Cancer Brachytherapy: Robotics-Assisted Minimally Invasive Approach

Yu¹,

Lewis²,

Trejos³

et al. 2011

CRMR

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New technological concepts have been evolving to manage the relative poor prognosis of lung cancer. Brachytherapy is becoming an option for both unresectable and early resectable lung cancer. Three-dimensional ultrasound (US) of lung tumours and image-guided minimally invasive robotics-assisted brachytherapy are feasible for dosimetry planning and management of lung tumours. The present article reviews the current knowledge of lung brachytherapy and discusses its potential in future management of lung cancer.

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Section: IVmentioning

confidence: 99%

Section: System At Cstarmentioning

confidence: 99%

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Lung Cancer Brachytherapy: Robotics-Assisted Minimally Invasive Approach

Yu¹,

Lewis²,

Trejos³

et al. 2011

CRMR

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“…There is only limited experience in accessing the lung through the bronchi (12) or percutaneously with CT guidance (2). Results have shown that the symptoms were controlled but there were technical complications related to the inability to penetrate certain tumours and a suboptimal dose distribution.…”

Section: Introductionmentioning

confidence: 95%

“…Although surgical resection is the treatment of choice, many patients with lung cancer cannot undergo this type of procedure (2). As an alternative, radiation therapy is an effective means of treating patients inflicted with cancer.…”

Section: Introductionmentioning

confidence: 99%

Robot‐assisted minimally invasive lung brachytherapy

Trejos

Lin²,

Pytel³

et al. 2007

Robotics Computer Surgery

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Robot-Assisted Minimally Invasive Brachytherapy for Lung Cancer

et al.

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Lung cancer is the leading cause of death in men and has surpassed breast cancer as the most frequent cause of death in women [8]. Surgical resection is the treatment of choice, but only a third of patients who present with early disease are eligible for a curative resection [48]. Open surgery provides ready access and optimal visualization of body cavities; however, it has a higher rate of morbidity compared with minimally invasive techniques. Other options need to be developed. Brachytherapy is a form of radiation therapy of tumors delivered by the direct placement of a radioactive source into a tumor or tumor bed. It provides an option that avoids major surgery, chemotherapy, and the uncertainty of tumor motion, while the patient receives external beam radiation. It also avoids conventional multiple external beam radiation fractions that occur over several weeks.Endoluminal high-dose rate (HDR) brachytherapy is used routinely in the palliation of lung cancer [79]. The radiation source is placed through the tumor with a bronchoscope and then removed. An electromagnetic-navigated bronchoscopic approach to a small peripheral tumor has recently been described by Harms et al. [20]. A single patient with medically inoperable nonsmall cell lung cancer (NSCLC) in the right upper lobe was treated with external-beam radiotherapy (50 Gy) and navigated endoluminal brachytherapy (15 Gy). Bronchoscopy was performed with electromagnetic navigation, using a microsensor mounted on the tip of a dedicated catheter placed within the working channel of a bronchoscope. Endobronchial ultrasound (EBUS) was performed to confirm the exact position at the centre of the lesion. HDR brachytherapy (370 GBq iridium-192) was applied. Complete remission was found during follow-up (12 months).

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Percutaneous CT-guided 103Pd implantation for the medically inoperable patient with T1N0M0 non-small cell lung cancer: A case report

Cited by 14 publications

References 4 publications

Lung Cancer Brachytherapy: Robotics-Assisted Minimally Invasive Approach

Lung Cancer Brachytherapy: Robotics-Assisted Minimally Invasive Approach

Robot‐assisted minimally invasive lung brachytherapy

Robot-Assisted Minimally Invasive Brachytherapy for Lung Cancer

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