Radioactive isotope therapy (Brachytherapy)

Brachytherapy is radiation performed by placing radioactive isotopes inside tissues, which are targeted to receive a high dose, thus giving high doses of radiation over short distances, with little radiation to surrounding normal tissues. There are permanent implants and interstitial implants.

Permanent prostate implant

The process involves:

  • A volume study is conducted with a trans-rectal ultrasound and a series of photos are taken at 5mm intervals.
  • Real time planning takes place during implantation, which is done on a three-dimensional planner according to the Seattle Method.
  • The implant process is done under general anesthesia and radioactive seeds are inserted through the perineum into the prostate.
  • Post implant planning via CT scan and or simulator films is done to ascertain the quality of the implant.

Interstitial implants

These are done by placing radioactive seeds or wires into the tumour or tumour bed to give a high local dose of radiation with rapid fall off and minimal damage to surrounding tissues. It is commonly used for head and neck cancers, sarcomas or skin cancers.

The process involves:

  • Inserting guide tubes under local or general anesthetic.
  • Planning of the implant to determine the number of and duration of radioactive wires or seeds to be used.
  • Loading the pre–loaded radioactive wires into the guide tubes. These then remain in situ for as few as one to as many as five days, during which time the patients are nursed in custom built isolation wards.
  • The removal of both radio–active wires and guide tubes.

Dr Alberts, Bouwer & Jordaan Inc.

The Alberts, Bouwer & Jordaan practices and clinics are spread across Gauteng and the North West Province and offer the most advanced treatment methods available worldwide. We pride ourselves in our quality and the standard of care given by our doctors, nurses and support staff who treat all our patients with professionalism, compassion and understanding, providing the most effective treatments and therapy.

After hours contact details:

Radiotel: +27 (0)12 333-6000

(for all practices except Klerksdorp)

PO Box 12555, Hatfield, 0028

Download documents:

Manual in terms of section 51 PAIA ACT [1]
Manual in terms of section 51 PAIA ABJ [2]