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Identification and Management of Persistently Active Brachytherapy Seed Implants

¹ Department of Radiation Oncology, University of Massachusetts Medical School, Levine Cancer Center, 33 Kendall St., Worcester, MA 01605.
² Department of Radiation Oncology, The Brody School of Medicine at East Carolina University, Greenville, NC.
³ Department of Radiology, Eastern Radiologists, Greenville, NC.

Abstract

OBJECTIVE. The purpose of this article is to review the history of permanently implanted brachytherapy sources and to establish methods of identifying radon sources and discussing appropriate management.

CONCLUSION. There are likely thousands of people bearing radon seeds that continue to emit radiation decades after implantation. They can be identified by clinical history and emission of characteristic x-rays. Surgical removal of these sources is rarely warranted.

Keywords: ¹⁹⁸Au • brachytherapy • gold seeds • radiation safety • radon

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