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The American Brachytherapy Society consensus statement for electronic brachytherapy.

Martin C Tom1, Jaroslaw T Hepel2, Rakesh Patel3

  • 1Department of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, OH.

Brachytherapy
|December 1, 2018
PubMed
Summary

Electronic brachytherapy (EB) shows promise but lacks long-term data. Current evidence does not support its use for partial breast irradiation, skin cancers, or vaginal cuff treatment outside clinical trials.

Keywords:
Breast cancerCervical cancerElectronic brachytherapyEndometrial cancerRadiation therapySkin cancer

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Area of Science:

  • Oncology
  • Radiation Therapy
  • Medical Physics

Background:

  • Brachytherapy is a cancer treatment using low- or high-dose rates.
  • Electronic brachytherapy (EB) is an emerging alternative.
  • Lack of guidelines and dosimetry concerns exist for EB.

Purpose of the Study:

  • To create a consensus statement on electronic brachytherapy (EB) use.
  • To guide patient selection and utilization of EB.
  • Address concerns regarding EB dosimetry compared to traditional methods.

Main Methods:

  • A consensus statement was developed by experts in brachytherapy.
  • Literature search and clinical experience informed the statement.
  • Focused on patient selection and EB utilization.

Main Results:

  • EB has been used for accelerated partial breast irradiation with acceptable short-term outcomes.
  • Preliminary data for nonmelanomatous skin cancers are promising.
  • Small retrospective studies exist for vaginal cuff treatment, lacking long-term follow-up.

Conclusions:

  • EB is not recommended for partial breast irradiation due to recurrence concerns.
  • Use of EB for skin cancers and vaginal cuff treatment is not advised outside trials.
  • Further prospective data with long-term follow-up are needed for EB applications.