Publications by authors named "O N Spasokukotskaia"

A method for stereotaxic intratissue radiotherapy of brain tumors based on the findings of computed tomography is described. Radiosurgical implantation of sources with increased 252Cf content emitting mixed neutron + gamma-radiation was accomplished by means of an ANET-B apparatus by the afterloading method. Neutron irradiation is particularly effective in patients with malignant tumors possessing a large fraction of cells in a state of deep anoxia.

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A computerized system PLUT-B intended for a dosimetric design of stereotaxic neutron brachytherapy of brain tumors, was developed. It is capable of simulating dose distribution in various parameters of irradiation, manipulating them, retaining the surgical aspects within the field of vision, and arriving at an acceptable dosimetric plan. The system permits visualization of a target with an applied dose field in the multiwindow mode, layer-by-layer vision in any direction, displaying a scheme of implantation, and drawing up of maps of isodose distributions.

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The authors give a brief description and the basic physico-technical characteristics of the AHET-B radiation therapeutic unit with 252Cf sources (the total radionuclide quantity is 2100 micrograms) for intracavitary radiation of malignant neoplasms of the uterine neck, uterine body and rectum. The results of the physical and technical testing and of the main dosimetric and maintenance study are given. Measures for the radiation safety of the unit users are described.

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The radiobiological properties of mixed gamma-neutron radiation from 252Cf sources of high activity have been studied on chinese sand hamster cell culture. The source used has contained 1500 micrograms of radionuclide. In the study of radioprotective effect of hypoxia on the cells it is proposed to use anoxic attenuation factor (AAF) instead of the widely used oxygen enhancement ratio (OER).

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The paper is concerned with the results of an analysis of reproducibility of conditions for intracavitary irradiation of 20 cervical cancer patients using metracolpostat, a combined therapeutic endostat consisting of 3 tubes: the central one to introduce radiation sources into the cervical canal and cavity of the uterus and 2 lateral ones with ovoids to deliver the sources to the vaults of the vagina. Topometric investigations for each patient were performed 4 times: before the first session of fractionated intracavitary irradiation with high activity 252Cf sources using the ANET-B unit and after each session of irradiation. It was shown that discordances between distances from the central endostat to the right and left lateral ovoids determined during roentgenotopometric preparation of each patient and taken as a basis of dosimetric design, and discordances between these distances determined as a result of roentgenotopometric control after each laying, are a random value distributed according to the normal law.

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