This paper is published in Volume-8, Issue-1, 2022
Area
Radaition Oncology
Author
Ashok Kumar, M. K. Semwal, Nikhil Thakur, Rajhans, Manish Sandhu, Bhanu Prakash, Prabhjeet Singh Bhatla, Roshan Sharma, Manish Kumar, Nilima Mishra
Org/Univ
Army Hospital Research and Referral, New Delhi, Delhi, India
Pub. Date
07 February, 2022
Paper ID
V8I1-1363
Publisher
Keywords
COVID 19, HDR-ICBT, Time Duration, Brachytherapy Practice, Carcinoma Cervix

Citationsacebook

IEEE
Ashok Kumar, M. K. Semwal, Nikhil Thakur, Rajhans, Manish Sandhu, Bhanu Prakash, Prabhjeet Singh Bhatla, Roshan Sharma, Manish Kumar, Nilima Mishra. Intra-Cavitary Brachytherapy practice in COVID times: A prospective analysis of time durations of various procedural steps in the practice, International Journal of Advance Research, Ideas and Innovations in Technology, www.IJARIIT.com.

APA
Ashok Kumar, M. K. Semwal, Nikhil Thakur, Rajhans, Manish Sandhu, Bhanu Prakash, Prabhjeet Singh Bhatla, Roshan Sharma, Manish Kumar, Nilima Mishra (2022). Intra-Cavitary Brachytherapy practice in COVID times: A prospective analysis of time durations of various procedural steps in the practice. International Journal of Advance Research, Ideas and Innovations in Technology, 8(1) www.IJARIIT.com.

MLA
Ashok Kumar, M. K. Semwal, Nikhil Thakur, Rajhans, Manish Sandhu, Bhanu Prakash, Prabhjeet Singh Bhatla, Roshan Sharma, Manish Kumar, Nilima Mishra. "Intra-Cavitary Brachytherapy practice in COVID times: A prospective analysis of time durations of various procedural steps in the practice." International Journal of Advance Research, Ideas and Innovations in Technology 8.1 (2022). www.IJARIIT.com.

Abstract

Background and purpose During the COVID19 pandemic many radiotherapy centers have found it difficult to continue with their brachytherapy program. The apprehension was that the brachytherapy procedures may become unacceptably cumbersome, unsafe, and time-consuming under the prevailing pandemic. We undertook the present study to estimate and analyze the time durations of various steps during the high dose rate (HDR) intracavitary brachytherapy (ICBT) procedure for carcinoma cervix while adhering to the safety protocols. Material and methods The study was conducted at a government-run hospital from Jan till Apr 2021. We prospectively estimated the time durations of each step of the HDR-ICBT procedure starting from the time a patient was taken into the operation theater till sent to the ward. Institutional safety protocols were followed. A total of 70 consecutive ICBT procedures involving 18 patients were included in the study. In all 1048 time-duration measurements were done. Results The average time-durations were 24 minutes, 54 minutes, 54 minutes, 63 minutes, and 26 minutes for induction of spinal epidural anesthesia, completion of brachytherapy applicator placement, CT/MRI imaging and patient transport to the brachytherapy room, completion of planning and execution of treatment, and for applicator removal, respectively. The average time duration for the entire brachytherapy procedure till the patient reached to ward was 4 hrs. Conclusion The average time of four hours for completion of an HDR-ICBT procedure with Covid-19 restrictions is reasonable and has scope for further reduction. Radiotherapy centers having adequate logistic and related support may, therefore, consider continuing with their ICBT program during the pandemic.