Endoscopic ultrasound-guided fiducial markers and brachytherapy

Zhendong Jin; Kenneth J Chang

doi:10.1016/j.giec.2012.04.012

Endoscopic ultrasound-guided fiducial markers and brachytherapy

Gastrointest Endosc Clin N Am. 2012 Apr;22(2):325-31, x. doi: 10.1016/j.giec.2012.04.012.

Authors

Zhendong Jin¹, Kenneth J Chang

Affiliation

¹ Department of Gastroenterology, Changhai Hospital of Second Military Medical University, 168 Changhai Road, Shanghai 200433, China.

PMID: 22632954
DOI: 10.1016/j.giec.2012.04.012

Abstract

Endoscopic ultrasound (EUS)-guided needle placement of small radiopaque particles paves the way for EUS-guided fiducial markers and brachytherapy. Stereotactic body radiation therapy relies on image-guided radiation therapy (IGRT), permitting escalation of radiation dose to tumors while minimizing dose to normal tissues. Fiducial markers are radiopaque spheres, coils, or seeds that are implanted in or near tumors for IGRT. Brachytherapy is a therapeutic modality for various cancers. Both require precise and minimally-invasive seed placement, which EUS provides. This article reviews recent literature regarding the safety and efficacy of these procedures and discusses novel concepts, including EUS-guided celiac ganglia radiation neurolysis.

Publication types

Review

MeSH terms

Abdominal Pain / radiotherapy
Brachytherapy*
Endosonography
Fiducial Markers
Ganglia, Sympathetic / radiation effects
Humans
Pancreatic Neoplasms / radiotherapy*
Pancreatic Neoplasms / surgery*
Radiosurgery*
Ultrasonography, Interventional*