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Local dosimetric modelling of radioactive coronary stents

Coronary arteries obstructed by atherosclerosis can be cleared by a balloon angioplasty accompanied by a permanent scaffolding implant ("stent"). There is, however, a 25--45% occurrence rate of excessive thickening of the treated vessel wall a few weeks post-angioplasty, leading to a re-obstruction of the vessel ("restenosis"), and recurrent symptoms. Endovascular radiotherapy, a potential preventive treatment against restenosis, can be delivered by a stent impregnated with radionuclides. The present thesis examines the local dosimetry of radioactive stents. A computer algorithm, D OSECOP, was developed based on the dose point kernel theory, to calculate the dose distribution created by a 32P-implanted stent in the surrounding vessel wall. The dosimetric significance of four parameters is also assessed, namely: (1) mechanical distortions of the stent, (2) the exact location of radionuclides on the stent, (3) the self-attenuation of the stainless steel stent, and (4) the width of the stent's struts in the calculation models.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.29958
Date January 1999
CreatorsCorbett, Jean-Francois.
ContributorsCorns, Robert A. (advisor)
PublisherMcGill University
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
Formatapplication/pdf
CoverageMaster of Science (Department of Medical Radiation Physics.)
RightsAll items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated.
Relationalephsysno: 001804641, proquestno: MQ70541, Theses scanned by UMI/ProQuest.

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