Brachytherapy for rectal cancer treatment

Why brachytherapy for treating rectal cancer?

Brachytherapy offers an option for tailored coverage of the cancer treatment target in intracavitary treatments such as endorectal brachytherapy. The intracavitary mold enables a highly conformal intracavitary solution that facilitates short treatment times.

Doctor and patient

Connectivity to MOSAIQ® OIS

Confidence for you and your patients

  • Provide a more efficient and electronic way to capture information that will be included in the patient’s Continuity of Care Document (CCD), data as required for meaningful use (Stage 1 and beyond)
  • Documented dose and structure sets
  • Automatically exchange radiation therapy treatment plans for rectal cancer, created with Oncentra Brachy and treatment records generated by the afterloader
  • Perform dose tracking based on the treatment plan and treatment record for the selected and verified patient
  • Contributes to paperless brachytherapy workflow information
  • Automated scheduling and billing process
Two Doctors

Applicator selection

Diagnostic imaging guides the applicator choice

Rectum applicators

Broadest range of CT/MR compatible applicators

Our wide array of applicators for colorectal cancer brachytherapy are available for many applications, ranging from intracavitary to interstitial use and designed to deliver increasingly more precise doses to kill cancer cells with brachytherapy.

View applicator guide

Applicator insertion

Martinez Universal Perineal Interstitial Template(MUPIT) Applicator Set

Martinez Universal Perineal Interstitial Template(MUPIT) Applicator Set

  • Template that can be used for a variety of body site treatment
  • Needle placement provides dose optimization and targeted therapy to the area of interest
Intracavitary Mold Applicator Set

Intracavitary Mold Applicator Set

  • Tailor the dose to asymmetrically located intracavitary tumors
  • Minimize patient discomfort

Imaging

Determine applicator position relative to rectal cancer tumor and OaR

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CT

Treatment planning for rectal cancer

Homogeneous dose delivery on the target while sparing the OaR

Oncentra Brachy

Comprehensive treatment planning software

Designing the optimal dose distribution can be a time-consuming job. The latest version of Oncentra Brachy offers a series of useful tools that simplify many repetitive tasks, such as contouring and reconstruction. Oncentra Brachy buys you time to focus on what counts: creating the optimal dose distribution.

Oncentra Brachy also helps you optimize treatment plan accuracy, providing easy navigation to any plane that offers the most relevant information per region of interest. Template solutions for repetitive tasks, such as the new Implant Modeling tool and the popular Applicator Modeling feature, help reduce implant reconstruction time. DVH presets and the ROI Catalog Manager can help improve accuracy and reproducibility. Powerful inverse planning optimization automates volume-based planning, making the process fast and efficient.

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Reduce implant reconstruction time

  • Instant applicator reconstruction in relation to anatomy
  • Contains the complete geometry of Elekta's gynecological applicators
  • Includes the measured source paths of ring applicators
  • Accounts for dose attenuation resulting from shielding during planning and shields are fully visible

Dose distribution calculated by ACE

  • Algorithm based on the TG-186 recommendations published by the AAPM workgroup in 2012
  • Discriminates between tissue, air and bone
  • Accounts for tissue heterogeneities, lack of backscatter from areas with no tissue, applicator attenuation and shielding

Implant modeling tool

  • Reconstruct multicatheter implants immediately
  • Drag & Drop 3D applicator geometry for accurate and fast reconstruction
  • Extra Coordinate System (ECS) allows quick and easy navigation to the correct plane views

Automatic dose optimization

IPSA

  • Paired with the Dwell Time Deviation Constraint (DTDC)
  • Limits high variation in dwell times

HIPO

  • Improves plan optimization with Dwell Time Gradient Restriction (DTGR)
  • Control high and low peaks in dwell times
  • Focus optimization where it is needed with needle locking

Treatment delivery

Safe, simple, intuitive brachytherapy workflow

Five simple features are the basis for the Flexitron way of working, introducing a new standard in treatment delivery

  • Standardized transfer lengths, less prone to human errors during reconstruction as there is only one indexer length.
  • Reference zero at entrance of applicator, no need to measure the distal tip.
  • Metric dwell position numbering, 1 mm step size in a treatment window of 400 mm.
  • Forward stepping results in a reproducible source positioning within 0,5mm accuracy
  • Intuitive user interface, smooth navigation saves time.

Why Flexitron?

  • Simple quality assurance
  • 40-channel option for large implants
  • Connected to major oncology systems such as MOSAIQ®
  • Safe investment with future upgrade potential
  • Available in either Iridium-192 or Cobalt-60*

* Not available in all countries.

Patient out

Find out about brachytherapy for other body regions

human-body-figureHeadandneckBreastGynecologyBronchusandesophagusSkinBladderProstateRectum

What our customers say

Chris Lee, MPE at Clatterbridge Cancer Centre, UK, on Flexitron

Brachy­Academy

Empowering through education

Peer-to-peer education platform for brachytherapy professionals

The BrachyAcademy comprises a complete peer-to-peer medical education library and includes programs such as clinical workshops and training visits to leading hospitals worldwide.

Learn more
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about brachytherapy

About Brachytherapy site

We've created our online educational brachytherapy portal for patients and those who are supporting patients throughout their curative treatment, to provide key information and to help those affected gain an understanding of brachytherapy.

Visit about brachytherapy

Elekta Care™ Customer Services

By your side

Elekta Care is your partner for success. Our people and technology keep you running reliably and efficiently while helping you to optimize outcomes and grow your practice. We are by your side to support you now and deliver a lifetime of high performance and progress.

Elekta Care Customer Services