Table 1.
Some studies in which brachytherapy has been used with palliative intent
No.
|
No of patients
|
Diagnosis
|
PTBD
|
EBRT
|
Dose of ILBT
|
Survival
|
Stent patency
|
Ref.
|
1 | 18 | Malignant biliary obstruction | Yes | - | 16 Gy in 2 fractions | 8.27 mo (median survival) | - | Aggarwal et al[34] |
2 | 48 | Bile duct and pancreatic cancer | Yes | - | 25 pulses of 0.8 Gy hourly (total dose of 20 Gy PDR) | 11.2 mo for bile duct carcinoma | - | Skowronek et al[36] |
3 | 32 | Non resectable biliary malignancy | Yes | - | 5 Gy in 6 fractions | 358 d in Klatskintumour | 418 d | Bruha et al[37] |
4 | 22 | Malignant biliary obstruction | Yes | Yes | 15-31 Gy (mean 25 Gy) | 22.6 mo | 19.5 mo | Eschelman et al[39] |
5 | 12 | Malignant obstructive jaundice | Yes | Yes (6 patients) | 10-14 Gy | - | 9.8 mo | Jain et al[40] |
6 | 34 | Malignant obstructive jaundice | Yes | - | 14-21 Gy in 3-4 fractions | 9.4 mo | 12.6 mo | Chen et al[43] |
7 | 14 | Bile duct cancers | Yes | Yes (5 patients) | 10 Gy, 2 fractions of 2.5 Gy 6 h apart for 2 d | 6.5 mo (median survival) | - | Mayer et al[44] |
8 | 8 | Malignant obstruction of bile duct | Yes | - | 2 fractions of 10 Gy each | 7.5 mo | 6.9 mo | Kocak et al[45] |
PTBD: Percutaneous transhepatic biliary drainage; EBRT: External beam radiation therapy; ILBT: Intraluminal brachytherapy.