Starting in 1999, the University Cooperation Platform (UCP) implemented an exchange program of researchers and clinicians/physicists between the Christian-Albrechts-University Kiel in Germany and Chiang Mai University in Thailand, to initiate a sustainable base for long-term development of image-guided brachytherapy and in general for high-technology radiotherapy in Chiang Mai. A series of UCP ...

Interstitial brachytherapy is generally reserved for patients either with extensive pelvic and/or vaginal disease in an attempt to improve local control or with anatomy not allowing intracavitary brachytherapy with standard applicators. The aim of this technique is to tailor the dose of irradiation to the anatomy of the patient with a better target volume coverage. The technique was initially d...

Local tumor persistence in the pelvis is the major cause of death in patients with recurrent gynecological cancer. Pelvic exenteration has been the only treatment option providing a chance for cure in selected patients. The aim of this study is to analyze the efficacy of stereotactic body radiosurgery (SBRS) in patients with recurrent gynecological cancer. Sixteen patients treated with SBRS wer...

PURPOSE To propose an optimal perioperative pain management clinical care pathway for interstitial brachytherapy for gynecologic cancer based on our interdepartmental experience. MATERIAL AND METHODS We conducted a retrospective review of 23 women who underwent 32 interstitial brachytherapy procedures for gynecological cancers, analyzing patient demographics, type of anesthetic, medications, ...

Background: This study aimed to evaluate the clinical outcomes and dose-volume parameters of computed tomography CT-based brachytherapy for vaginal recurrence uterine cancer after hysterectomy. Methods: We evaluated 22 patients treated with between December 2010 August 2015. Interstitial (ISBT) was used when tumor thicker than 5 mm and/or located at extended extravaginal tissue, whereas interca...