Published 1997 | Version v1
Miscellaneous

Fetal dose with the 'Mantle ' techniques in radiotherapy

  • 1. Inst. de Radiot. G. e Megavolta de Minas Gerais (Brazil)

Description

A patient in the 26th. week of pregnancy with Hodgkin's Disease is studied. A variation of dose in points outside the irradiation field for different distances in Mantle techniques was simulated, with and without special shielding around the patient's abdomen. A dose of 2.250 rad was firstly delivered, 250 rad four times each week, using parallel opposing portals at source-surface distance 80 cm. The dose to the head, gonad and fetus was calculated in 20.2, 10.1 and 15.8 rad respectively. A male child was born at the 34th. week by normal delivery; subsequently, the dose was brought to 4.400 rad. Six months after treatment the patient is assyntomatic and the child is psychosomatically normal

Abstract (Portuguese)

Estuda-se um paciente, na 26a. semana de gravidez, portador de Doenca de Hodgkin. Estudou-se a dose a ser recebida pelo feto durante o tratamento com tecnica de 'Mantle' modificada. Decidiu-se pela irradiacao com distancia fonte-superficie de 80.0 cm, pela impossibilidade de a paciente deitar-se em dicubito ventral. Numa primeira fase fizeram-se 2.250 rad em 9 fracoes de 250 rad cada, em campos paralelos e opostos, 4 fracoes por semana com 1 campo por dia. Desse modo estimou-se a dose na cabeca, em 20.2 rad, na gonada fetal de 10.1 rad e no corpo todo fetal de 15.2 rad. Apos 25 dias do termino dessa fase nasceu de parto normal na 34a. semana de gestacao uma crianca do sexo masculino. Posteriormente, a dose foi elevada para 4.400 rad. Atualmente, apos 6 meses de tratamento, a paciente esta assintomatica e a crianca em desenvolvimento psicossomatico normal

Additional details

Publishing Information

Imprint Title
Proceedings of Second Latin American Conference on Physics in Medicine and Radiation Protection and Second Symposium on Utilization of Linear Accelerators in Medicine
Journal Page Range
p. 63-67.

Conference

Title
2. Latin American Conference on Physics in Medicine and Radiation Protection and 2. Symposium on Utilization of Linear Accelerators in Medicine.
Dates
6 - 11 Jul 1975.
Place
Belo Horizonte, Brazil.

INIS

Country of Publication
Brazil
Country of Input or Organization
Brazil
INIS RN
10463478
Subject category
S62: RADIOLOGY AND NUCLEAR MEDICINE;
Resource subtype / Literary indicator
Conference, Non-conventional Literature
Descriptors DEI
FETUSES; HODGKINS DISEASE; PARTIAL BODY IRRADIATION; PREGNANCY; RADIATION DOSES; RADIOTHERAPY
Descriptors DEC
DISEASES; EXTERNAL IRRADIATION; IRRADIATION; LYMPHOMAS; MEDICINE; NEOPLASMS; THERAPY