ArticleJournal of applied clinical medical physics2023
Practical experience commissioning MRI-compatible tandem and ring applicators for use with the Bravos HDR afterloader.
Article in Journal of applied clinical medical physics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed.
- Position-dependent offset corrections for ring applicator reconstruction in cervical cancer brachytherapy.Journal of applied clinical medical physics · 2025Article
- Practical experience in commissioning ring applicators using ring applicator component type with bravos control software v1.2.Journal of applied clinical medical physics · 2025Article
- Practical experience commissioning MRI-compatible tandem and ring applicators for use with the Bravos HDR afterloader.Journal of applied clinical medical physics · 2023Article
- Article
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Five complete MR-conditionally approved ring sets, including fifteen tandems, and two additional rings, were commissioned at an institution intending to use them in an MRI planning environment with a Bravos HDR brachytherapy remote afterloader. Channel length, radiograph, autoradiograph, ring offset, and treatment interrupt measurements were performed, and applicators were assessed in both CT and MRI. During commissioning, one ring was found to be defective and was returned to the manufacturer for a replacement. The eventual complete applicator suite (including the replacement ring) was found to follow the manufacturer-provided specifications, including those delineated in vendor-provided 3D virtual models and those defined within the manufacturer's instructions for use documentation. Based on this work, an offset correction of -0.4 cm will be used for all tested rings using the Bravos system's internal distal dwell position correction feature during treatment preparation. This study reiterated the requirement for careful commissioning of each applicator intended for clinical service considering the intended use and the planned clinical environment and work processes.
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