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Intraoperative high-dose-rate brachytherapy: An American Brachytherapy Society consensus report
S Lloyd1, K M Alektiar2, S Nag3
1Huntsman Cancer Institute, Department of Radiation Oncology, University of Utah, Salt Lake City, UT.
Brachytherapy
|February 9, 2017
Summary
The American Brachytherapy Society recommends intraoperative high-dose-rate (IOHDR) brachytherapy for specific cancers, particularly those with close margins or recurrence. This guide details IOHDR treatment planning and delivery for improved cancer control.
Area of Science:
- Radiation Oncology
- Medical Physics
Background:
- Intraoperative high-dose-rate (IOHDR) brachytherapy is a specialized radiation technique.
- Its application requires careful consideration of treatment planning and delivery parameters.
Purpose of the Study:
- To provide recommendations for the use of intraoperative high-dose-rate (IOHDR) brachytherapy.
- To serve as a guide for practices implementing IOHDR techniques.
Main Methods:
- Formulated by experts from the American Brachytherapy Society based on clinical experience.
- Literature review to support recommendations.
- Focus on treatment planning and delivery details.
Main Results:
- IOHDR brachytherapy is most beneficial for close/positive margins and recurrent disease.
- Recommended for colorectal, gynecologic, soft tissue sarcoma, head and neck, and pediatric cancers.
- Requires a multidisciplinary team approach.
Conclusions:
- IOHDR brachytherapy offers unique advantages in cancer control.
- Special considerations for planning and delivery are essential for effective implementation.
