Abstract
5/2021
vol. 13
Original paper
Using magnetic material to repulse electrons in Axxent eBT for skin preservation during early-stage breast cancer conservative intra-operative radiotherapy
- Department of Radiation Oncology, Yunnan Tumor Hospital, the Third Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
- Department of Heavy Ion Center of Wuwei Cancer Hospital, Gansu Wuwei Academy of Medical Sciences; Gansu Wuwei Tumor Hospital, Wuwei City, China
- Department of Medical Physics, Chengde Medical University, Chengde City, Hebei Province, China
J Contemp Brachytherapy 2021; 13, 5: 575–582
Online publish date: 2021/10/20
A miniature electronic X-ray source was employed in this study to deliver intra-operative radiotherapy (IORT) within breast lesions. A flexible magnetic material was used to reduce breast skin radiation damage. Total prescribed dose was 20 Gy at balloon surface, with breast tumor bed wrapped around balloon applicator. A flexible magnetic material, called ‘neodymium-iron boron’ (NdFeB) + alloy-49 was applied to cover lesion’s surface to preserve the skin and to reduce electron contamination raised from photon-induced low-energy electrons, with tissue less than 1 cm between applicator surface and breast skin. The reduction of electron contamination using NdFeB + alloy-49 with an applicator-skin distance of 20 mm, ranged from 7% to 10%, while with an applicator-skin distance of 10 mm for balloon volumes from 30 to 50 cm3, it ranged from 4% to 6% only. NdFeB + alloy-49 magnetic material was efficient in repulsing photon-induced low-energy electrons for skin preservation to compensate for deficiency of tissue over less than 1 cm gap between the surface of applicator and the breast skin.
Keywords
neodymium-iron boron magnet, electronic brachytherapy, early-stage breast cancer, IORT, skin dose, skin sparing, alloy-49
Integrated with
