Longitudinal Remote SBRT/SRS Training in Latin America: A Prospective Cohort Study.

Background: Continuing medical education in stereotactic technology are scarcely accessible in developing countries. We report the results of upscaling a longitudinal telehealth training course on stereotactic body radiation therapy (SBRT) and stereotactic radiosurgery (SRS), after successfully developing a pilot course in Latin America.

Methods: Longitudinal training on SBRT and SRS was provided to radiation oncology practitioners in Peru and Colombia at no cost.

Impact of High-Dose-Rate Brachytherapy Training via Telehealth in Low- and Middle-Income Countries.

Purpose: Our objective was to demonstrate the efficacy of a telehealth training course on high-dose-rate (HDR) brachytherapy for gynecologic cancer treatment for clinicians in low- and middle-income countries (LMICs).

Methods: A 12-week course consisting of 16 live video sessions was offered to 10 cancer centers in the Middle East, Africa, and Nepal. A total of 46 participants joined the course, and 22 participants, on average, attended each session.

Dose simulations of an early 20th century kilovoltage pneumonia radiotherapy technique performed with a modern fluoroscope.

To simulate an early 20th century viral pneumonia radiotherapy treatment using modern fluoroscopy and evaluated it according to current dose guidelines. Monte Carlo was used to assess the dose distribution on an anthropomorphic phantom. Critical organs were: skin, breasts, esophagus, ribs, vertebrae, heart, thymus, and spinal cord.

Impact of a SBRT/SRS longitudinal telehealth training pilot course in Latin America.

Purpose: To assess the impact of longitudinal telehealth training in stereotactic body radiation therapy (SBRT) and stereotactic radiosurgery (SRS) for clinicians in Latin America.

Materials And Methods: Professionals from two Peruvian centers received an initial SBRT/SRS on-site training course and subsequently received follow-up telehealth training (interventional group) or not (negative control arm). Twelve live video conference sessions were scheduled.

Flattening filter free beam energy selection and its impact in multitarget intracranial stereotactic radiosurgery treatments.

Extensive work has been done on the characteristics, dosimetry, and efficacy of flattening filter free (FFF) beams in radiosurgery. However, no study has addressed the dosimetric impact of FFF beam energy selection on treatment plan quality. This study aims to present a systematic dosimetric comparison of plan quality between 10 FFF vs 6 FFF beams in intracranial stereotactic radiosurgery (SRS) treatments using volumetric modulated arc therapy (VMAT).

Defining functional changes in the brain caused by targeted stereotaxic radiosurgery.

Brain tumor patients routinely undergo cranial radiotherapy, and while beneficial, this treatment often results in debilitating cognitive dysfunction. This serious and unresolved problem has at present, no clinical recourse, and has driven our efforts to more clearly define the consequences of different brain irradiation paradigms on specific indices of cognitive performance and on the underlying cellular mechanisms believed to affect these processes. To accomplish this we have developed the capability to deliver highly focused X-ray beams to small and precisely defined volumes of the athymic rat brain, thereby providing more realistic simulations of clinical irradiation scenarios.

The use of RapidArc volumetric-modulated arc therapy to deliver stereotactic radiosurgery and stereotactic body radiotherapy to intracranial and extracranial targets.

Twenty-three targets in 16 patients treated with stereotactic radiosurgery (SRS) or stereotactic body radiotherapy (SBRT) were analyzed in terms of dosimetric homogeneity, target conformity, organ-at-risk (OAR) sparing, monitor unit (MU) usage, and beam-on time per fraction using RapidArc volumetric-modulated arc therapy (VMAT) vs. multifield sliding-window intensity-modulated radiation therapy (IMRT). Patients underwent computed tomography simulation with site-specific immobilization.

Stem cell transplantation strategies for the restoration of cognitive dysfunction caused by cranial radiotherapy.

Radiotherapy often provides the only clinical recourse for those afflicted with primary or metastatic brain tumors. While beneficial, cranial irradiation can induce a progressive and debilitating decline in cognition that may, in part, be caused by the depletion of neural stem cells. Given the increased survival of patients diagnosed with brain cancer, quality of life in terms of cognitive health has become an increasing concern, especially in the absence of any satisfactory long-term treatments.

Dosimetric characteristics of the Novoste Beta-Cath 90Sr/Y source trains at submillimeter distances.

Measurements were performed on the 30, 40, and 60 mm 90Sr/Y beta-emitter source trains used in the Novoste Beta-Cath system to determine their dosimetric characteristics at submillimeter distances and provide the necessary TG-60 parameters for mapping their dose distributions. These measurements were carried out in a Solid Water phantom where MD55-2 Gafchromic films were placed in direct contact with a 5 French (F) catheter used for the 30 and 60 mm source trains and a 3.5F catheter used for thinner 30 and 40 mm source trains.