Journal of Medical Physics
REVIEW ARTICLE
Year
: 2021  |  Volume : 46  |  Issue : 4  |  Page : 231--243

Evolution of brachytherapy applicators for the treatment of cervical cancer


Ankur Mourya, Lalit Mohan Aggarwal, Sunil Choudhary 
 Department of Radiotherapy and Radiation Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

Correspondence Address:
Lalit Mohan Aggarwal
Department of Radiotherapy and Radiation Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi - 221 005, Uttar Pradesh
India

Brachytherapy applicators have come a long way since Danlos developed early intracavitary applicators to treat cervical cancer patients. Therefore, this review will help in the neoteric designs of intracavitary applicators. A detailed literature survey of the gynecological brachytherapy applicators from the era of preloading to conceptual intensity-modulated brachytherapy applicators has been carried out. Depending on the extent of the disease and patient anatomy, the selection of brachytherapy applicators plays a pivotal role in the treatment of cervical cancer. Furthermore, the selection of the applicators is also based on the imaging modalities to be used for applicator reconstruction and treatment planning. Dose acceleration in the target and reduction in nearby organs at risk can be optimized using an applicator having the capabilities of intensity-modulated brachytherapy. Now, three-dimensional printed applicators are used for patient-specific tailor-made treatment and they are fast replacing the old conventional applicators. Newer advancements in technology have greatly influenced the neoteric designs of intracavitary brachytherapy applicators.


How to cite this article:
Mourya A, Aggarwal LM, Choudhary S. Evolution of brachytherapy applicators for the treatment of cervical cancer.J Med Phys 2021;46:231-243


How to cite this URL:
Mourya A, Aggarwal LM, Choudhary S. Evolution of brachytherapy applicators for the treatment of cervical cancer. J Med Phys [serial online] 2021 [cited 2022 Jan 25 ];46:231-243
Available from: https://www.jmp.org.in/article.asp?issn=0971-6203;year=2021;volume=46;issue=4;spage=231;epage=243;aulast=Mourya;type=0