Tandem And Ring Hdr
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Tandem and ring hdr. Hdr implant for the cervix or endometrium ring and tandem delivers a high dose of radiation over a short period of time. With hdr a classical tandem and ovoid applicator can still be used but some centers prefer to use a ring and tandem instead. The tandem ring and rectal retractor are interconnected thereby ensuring that the tandem is situated at the epicenter of the ring and thus preventing anterior or posterior displacement of the ring. Then the ring will be placed over the tandem around your cervix.
Before a tandem and ovoid procedure an appointment will be. You may hear about the use of a tandem a small metal tube which is placed inside your uterus to provide treatment to that area if you have not had a hysterectomy. Your doctor has recommended that you have high dose radiation hdr brachytherapy using a smit sleeve and ring and tandem. They are used in some types of brachytherapy to deliver radiation directly to the cancer cells within the uterus cervix or vagina.
Both have similar dosimetric characteristics but the ring applicator is generally smaller than a pair of ovoids and the larger range of dwell. The balloons will also push your bladder and rectum away from the applicator. Hdr stands for high dose rate. A tandem is a small.
Once the cervical stent is in place the tandem will be placed into the stent. A ring and tandem is placed. For details of the documentation associated with 77790 please see the brachytherapy section of the 2019 astro coding resource. In hdr brachytherapy a full dose of radiation is given over a few minutes rather than hours or days.
The smit sleeve stays in place during the treatment. The applicator will be held in place by 2 small balloons placed in your vagina and filled with water. 5 reasons for its use include increased patient comfort applicability in patients where the anatomy does not allow for the wider to applicator 10 and the fixed geometry of the ring relative to the tandem which results in more repeatable dose distributions for a given patient. Tandem and ring and tandem and ovoid are applicators.
The smit sleeve will be attached to your cervix in the operating room while you are under sedation.