Document Detail


Internal dosimetry for radiation therapy in coronary arteries.
MedLine Citation:
PMID:  12382782     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute myocardial infarction, which occurs because of the occlusion of one or more coronary arteries, is the most common form of cardiovascular disease. Balloon angioplasty is often used to treat coronary artery occlusion and is less invasive than surgery involving revascularisation of the myocardium, thus promising a better quality of life for patients. Unfortunately, the rate of re-stenosis after balloon angioplasty is high (approximately 30-50% within the first year after treatment). Intravascular radiation therapy has been used with several types of radiation source, and researchers have observed some success in decreasing the rate of re-stenosis. In this paper theoretical radiation dose distributions for monoenergetic electrons (with discrete energies) and photons are calculated for blood vessels of diameter 1.5, 3.0 and 4.5 mm with balloon and wire sources using the radiation transport code MCNP4B. Stent sources employing 32P are also simulated. Advantages and disadvantages of the radionuclides and source geometries are discussed, as well as issues regarding possible benefits to the patients.
Authors:
L Compos; M Stabin
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiation protection dosimetry     Volume:  101     ISSN:  0144-8420     ISO Abbreviation:  Radiat Prot Dosimetry     Publication Date:  2002  
Date Detail:
Created Date:  2002-10-17     Completed Date:  2003-04-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109958     Medline TA:  Radiat Prot Dosimetry     Country:  England    
Other Details:
Languages:  eng     Pagination:  423-6     Citation Subset:  IM    
Affiliation:
Laboratoire de Chimie et Biophysique des Traceurs, Faculté de Médecine Xavier Bichat, Université Paris 7, France. lpbcampos@uol.com.br
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Stenosis / radiotherapy*,  therapy*
Coronary Vessels / anatomy & histology,  radiation effects*
Humans
Myocardial Infarction / etiology
Phosphorus Radioisotopes / therapeutic use
Radioisotopes / therapeutic use
Radiotherapy / methods*
Radiotherapy Dosage
Reproducibility of Results
Rhenium / therapeutic use
Stents
Chemical
Reg. No./Substance:
0/Phosphorus Radioisotopes; 0/Radioisotopes; 7440-15-5/Rhenium

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