internal radiation therapy (Brachytherapy) - Cancer Science

What is Brachytherapy?

Brachytherapy, also known as internal radiation therapy, is a treatment for cancer that involves placing a radioactive material directly inside or next to the tumor. This approach allows for a high dose of radiation to be delivered to the cancerous tissues while sparing the surrounding healthy tissues.

How is Brachytherapy Administered?

There are different methods of administering brachytherapy. The radioactive source can be placed inside the body using needles, catheters, or specialized applicators. The placement can be temporary or permanent, depending on the type of cancer and the treatment plan.

Types of Brachytherapy

Low-dose-rate (LDR) brachytherapy: The radioactive source is left in place for a few hours to a few days.
High-dose-rate (HDR) brachytherapy: The source is placed inside the body for a few minutes at a time and then removed. This process might be repeated several times over a few days or weeks.
Permanent brachytherapy (also known as seed implantation): Small radioactive seeds are permanently placed in the tumor and gradually lose their radioactivity over time.

Which Cancers Can be Treated with Brachytherapy?

Brachytherapy is used to treat various types of cancer, including prostate cancer, cervical cancer, breast cancer, and skin cancer. It is particularly effective for tumors that are confined to a specific area and have not spread extensively.
Precision: The radioactive source is placed very close to or inside the tumor, allowing for precise targeting.
Minimized Side Effects: Due to the localized nature of the treatment, there is less damage to surrounding healthy tissues compared to external beam radiation therapy.
Shorter Treatment Time: Brachytherapy can often be completed in a shorter timeframe, sometimes in just a few sessions.

What are the Risks and Side Effects?

Like all treatments, brachytherapy has its risks and potential side effects. Common side effects may include localized pain, swelling, or bleeding at the insertion site. Long-term side effects depend on the area being treated and can include urinary issues for prostate cancer or vaginal stenosis for cervical cancer. Discussing these potential risks with your oncologist is crucial for making an informed decision.

How to Prepare for Brachytherapy?

Preparation for brachytherapy may involve several steps, including imaging tests like CT scans or MRIs to determine the exact location of the tumor. You may also need to follow specific dietary restrictions or take medications before the procedure. Your healthcare team will provide detailed instructions tailored to your treatment plan.

What to Expect During the Procedure?

The procedure can vary in length depending on the type of brachytherapy being administered. You may receive local or general anesthesia. The radioactive material is inserted using applicators, which are guided by imaging techniques to ensure accurate placement. For temporary brachytherapy, the material is removed after the prescribed duration.

Post-Treatment Care and Follow-Up

After brachytherapy, you might need to take some time off to rest and recover. Your doctor will provide guidelines on activity restrictions and how to care for the treatment site. Follow-up appointments will be necessary to monitor your progress and manage any side effects.

Conclusion

Brachytherapy is a highly effective and precise treatment option for various types of cancer. Its ability to deliver high doses of radiation directly to the tumor while minimizing exposure to surrounding healthy tissues makes it a valuable tool in the fight against cancer. If you are considering brachytherapy, it is essential to discuss the potential benefits and risks with your healthcare provider to determine if it is the right option for you.



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