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The intrauterine irradiation is essential to achieve adequate tumor dose to centeral tumor mass in radio therapy for uterine malignancy. The complications of pelvic organ are known to be directly related to radiation dose and physical parameters. The comparison study of currently using 2 systems was undertaken. The simulation films and medical records of 135 patients who was treated with intrauterine irradiation at one of general hospitals in Busan and Seoul between Jan. 1983 and June 1983, were critically analized and physical parameters of low dose rate system and remote controlled high dose rate system were measured. The physical parameters include distances between lateral walls of vaginal fornices, longitudinal and lateral angles of tandem to the body axis, the distance from the external os of uterine cervix to the central axis of ovoids, the radiation dose ratio to rectum and bladder to reference point A. Followings were summary of study results: 1. In distances between lateral walls of vaginal fornices the low dose rate system showed wide distribution and relatively larger distances. In low dose rate system 5.0-5.9 cm was 6.0-6.9 cm: , 4.0-4.9cm: , 3.0-3.9cm: , and in high dose rate system 5.0-5.9cm was , 4.0-4.9cm: , . 2. In lateral angulation of tandem to body axis, the low does system revealed mid position (the position along body axis) , Lt. deviation and Rt. deviation . However the high dose rate system revealed mid position Lt. deviation and Rt. deviation . 3. In longitudinal angulation of tandem to body axis the mid position was and anterior angulation in low dose rate system but in high dose rate system the mid position was and anterior angulation . 4. Down ward displacement of ovoids below external os was only in low dose rate system and in high dose rate system. 5. The radiation dose ration to rectum to reference point A was in high dose rate system and in low dose rate system. The dose ratio to bladder to reference point A was in high dose rate system and in low dose rate system.
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