@Article{Flower2016,
journal="Journal of Contemporary Brachytherapy",
issn="1689-832X",
volume="8",
number="5",
year="2016",
title="Pediatric peri-operative fractionated high-dose-rate brachytherapy for recurrent Wilms’ tumor using a reconstructed Freiburg flap",
abstract=" Purpose : To report peri-operative fractionated high-dose-rate (HDR) brachytherapy with a 3D customized Freiburg flap applicator to treat locally recurrent Wilms’ tumor, followed by immediate hyperthermic intraperitoneal chemotherapy for a 16-year-old with a second recurrence of nephroblastoma (Wilms’ tumor).    Material and methods:  The tumor was excised and surgical bed was treated with fractionated HDR brachytherapy using a Freiburg flap applicator. Hyperthermic intraperitoneal chemotherapy was performed immediately after the removal of brachytherapy applicator.    Results:   The Freiburg flap was successfully reconstructed to enable delivery of conformable peri-operative HDR brachytherapy. The clinical target volume (CTV) D90 was 26 Gy in 5 fractions.    Conclusions : Peri-operative fractionated HDR brachytherapy with a customized Freiburg flap applicator was delivered successfully across a large multi-disciplinary team.",
author="Flower, Emily
and Tran, Kathy Ngoc
and Zanjani, Salman
and Smith, Wayne
and Karpelowsky, Jonathan
and Summerhayes, Katie
and Estoesta, Edgar
and Chard, Jennifer",
pages="429--433",
doi="10.5114/jcb.2016.62962",
url="http://dx.doi.org/10.5114/jcb.2016.62962"
}