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Radiodosimetric considerations on ocular brachytherapy with iodine-125 and ruthenium/rhodium-106

OBJECTIVE: To analyze dose distribution utilizing plaques with iodine-125 and ruthenium/rhodium-106 in a computational model of the ocular region. MATERIALS AND METHODS: A voxel-based computational model including the different tissues of the ocular region was utilized with the plaque positioned on the sclera. The Monte Carlo code was utilized for simulating irradiation. The dose distribution is demonstrated by isodoses curves. RESULTS: Computational simulations demonstrate the dose distribution inside the ocular bulb as well as in adjacent outside structures. The results have allowed the authors to compare the spatial distribution of doses generated by beta particles and photons. The simulations demonstrated that the utilization of iodine 125 seeds implies a high dose to the crystalline lens, while ruthenium/rhodium-106 results in high dose on the sclera surface. CONCLUSION: The dose to the crystalline lens depends on the tumor position and thickness, the plaque diameter, and the radionuclide utilized. In the present study, the ruthenium/rhodium-106 source is recommended for low tumor thickness. Irradiation with iodine-125 results in higher doses to the crystalline lens than irradiation with ruthenium/rhodium-106. The maximum value for dose to the crystalline lens corresponds to 12.75% of the maximum dose with iodine-125 and only 0.005% for ruthenium/rhodium-106.

Brachytherapy; Eye plaque; Ocular brachytherapy; Monte Carlo code


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