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[Why is brachytherapy still essential in 2017?]

C Haie-Méder1, P Maroun1, I Fumagalli1

  • 1Département de radiothérapie, service de curiethérapie, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif, France.

Cancer Radiotherapie : Journal De La Societe Francaise De Radiotherapie Oncologique
|May 21, 2018
PubMed
Summary

Recent advances in imaging have significantly improved brachytherapy. Enhanced assessment and new techniques, including hypofractionation, are improving tumor control and treatment outcomes.

Keywords:
BrachytherapyCuriethérapieCuriethérapie guidée par l’imageImage-guided brachytherapyImagerieImagingTechnologieTechnology

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Area of Science:

  • Oncology
  • Medical Physics
  • Radiotherapy

Background:

  • Brachytherapy has evolved significantly due to technological advancements.
  • Improved imaging modalities are crucial for precise radiation delivery.

Purpose of the Study:

  • To review recent advancements in brachytherapy.
  • To highlight the impact of imaging and new techniques on treatment outcomes.

Main Methods:

  • Systematic use of computed tomography (CT), ultrasonography, and magnetic resonance imaging (MRI) in brachytherapy.
  • Integration of tumor regression assessment during treatment.
  • Development and clinical validation of new applicators.
  • Implementation of optimization processes including hypofractionation.

Main Results:

  • Enhanced assessment of target volumes and organs at risk.
  • Improved understanding of applicator-tissue relationships.
  • Clinical validation of concepts integrating tumor regression.
  • Demonstrated tumor control improvement with hypofractionation strategies.

Conclusions:

  • Recent innovations have significantly advanced brachytherapy.
  • Integration of advanced imaging and optimized treatment planning improves outcomes.
  • Brachytherapy offers distinct advantages over external beam radiation therapy.