[Guidelines for external radiotherapy and brachytherapy: 2nd edition]

Area of Science:

• Medical Physics
• Oncology
• Radiation Oncology

Background:

• The first edition (2007) established guidelines for optimizing external radiation therapy practices in France.
• This second edition expands to include brachytherapy, addressing technological advancements and literature findings.
• It aims to harmonize and homogenize radiation therapy techniques nationwide.

Discussion:

• The guide details general principles for daily use, focusing on quality, security, and image-guided radiation therapy.
• It systematically describes treatment steps for major cancer types.
• Integration of recent technologic improvements like intensity modulation radiation therapy and stereotactic radiotherapy is emphasized.

Key Insights:

• Updated guidelines ensure consistent, high-quality radiation therapy across France.
• Incorporation of advanced techniques like IMRT and 3D brachytherapy enhances treatment efficacy.
• A comprehensive approach covers both general principles and cancer-specific treatment protocols.

Outlook:

• This resource supports the ongoing advancement of radiation oncology in France.
• It serves as a critical reference for clinicians implementing new technologies and treatment strategies.
• Future revisions will likely continue to integrate evolving technologies and evidence-based practices.