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(Radiology. 2000;214:591-595.)
© RSNA, 2000

Technical Developments

Head and Neck Tumors: Fractionated Frameless Stereotactic Interstitial Brachytherapy-Initial Experience1

Reto J. Bale, MD, Wolfgang Freysinger, PhD, Andreas R. Gunkel, MD, Michael Vogele, MD, Arpad Sztankay, MD, Thomas Auer, MD, Paul Eichberger, MD, Arno Martin, MD, Thomas Auberger, MD, Arne W. Scholtz, MD, Werner Jaschke, MD, Walter F. Thumfart, MD and Peter Lukas, MD, PhD

1 From the Departments of Radiology (R.J.B., W.J.), Ear Nose and Throat (W.F., A.R.G., M.V., A.M., A.W.S., W.F.T.), and Radiotherapy and Oncology (A.S., T. Auer, P.E., T. Auberger, P.L.), University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. From the 1998 RSNA scientific assembly. Received November 29, 1998; revision requested December 29; final revision received May 13, 1999; accepted May 20. Address reprint requests to R.J.B. (e-mail: reto.bale@uibk.ac.at).

The authors used a frameless stereotactic navigation system, the Vogele-Bale-Hohner head holder, and a targeting device to reproducibly position brachytherapy needles for fractionated interstitial brachytherapy in 12 patients with inoperable cancers of the head and neck. In all cases, deviations of the needle relative to the planned position were within 1–15 mm depending on the location of the tumor.

Index terms: Computed tomography (CT), three-dimensional, 10.12117, 20.12117 • Computers, examination control • Head and neck neoplasms, therapeutic radiology, 10.1267, 20.1267 • Stereotaxis, 10.1267, 20.1267




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