BARC/PUB/2013/0039

 
 

Indigenous 125I Brachytherapy Source for the Management of Intraocular Melanomas in India

 
     
 
Author(s)

Shah, P. K.; Selvaraj, U.; Narendran, V.; Guhan, P.; Saxena, S. K.; Dash, A.
(RPhD)

Source

Cancer Biotherapy & Radiopharmaceuticals, 2013. Vol. 28 (1): pp. 21-28

ABSTRACT

Episcleral plaque brachytherapy using 125I seed is a viable option for the management of intraocular cancer with minimal invasiveness and surgical complications. This article describes the fabrication of 125I seeds and initial experience on their use for the management of intraocular choroidal melanomas. The process of 125I seed fabrication includes immobilization of 125I into palladium-coated silver wires, its encapsulation in titanium capsules using Nd: YAG laser and quality control to assure safety. Plaque preparation consists of the assignment of seeds to slots on the plaque to achieve a desired dose rate distribution. The clinical study reported here includes the retrospective review of 9 eyes of 9 patients who underwent ophthalmic brachytherapy between May 2008 and June 2011. The average apical diameter before brachytherapy was 7.6mm and the average largest basal diameter was 12.1 mm, which reduced to 3.3 and 7.2 mm, respectively, after the procedure at an average follow-up of 24 months. Patients in our studies experienced good local tumor control. The results of this study represent a significant step forward in the management of intraocular tumors in India.

 
 
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