Strnad, Vratislav; Major, Tibor; Polgar, Csaba; Lotter, Michael; Guinot, Jose-Luis; Gutierrez-Miguelez, Cristina; Galalae, Razvan; Van Limbergen, Erik; Guix, Benjamin; Niehoff, Peter; Lössl, Kristina; Hannoun-Levi, Jean-Michel (2018). ESTRO-ACROP guideline: Interstitial multi-catheter breast brachytherapy as Accelerated Partial Breast Irradiation alone or as boost - GEC-ESTRO Breast Cancer Working Group practical recommendations. Radiotherapy and oncology, 128(3), pp. 411-420. Elsevier 10.1016/j.radonc.2018.04.009
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PURPOSE
This consensus statement from the Breast Cancer Working Group of Groupe Européen de Curiethérapie of European Society for Radiotherapy and Oncology (GEC-ESTRO) aims at generating practical guidelines for multi-catheter image-guided brachytherapy in the conservative management of breast cancer patients used for either Accelerated Partial Breast Irradiation (APBI) or for a breast boost.
METHODS
Recent advances in techniques of multi-catheter brachytherapy were summarized and all the relevant literature was reviewed by a panel of experts. Panel members of the GEC-ESTRO experts participated in a series of conferences, supplemented their clinical experience, were surveyed to determine their current practices and patterns, performed a literature review, and formulated recommendations for implementing APBI with multi-catheter brachytherapy, focusing on treatment planning issues, catheter insertion, dosimetry and quality assurance. This document was reviewed and approved by the full panel, the GEC-ESTRO executive board and by the ACROP (Advisory Committee on Radiation Oncology Practice).
RESULTS
Three-dimensional (3D) treatment planning, catheter insertion techniques, dosimetry and methods of quality assurance for APBI and boost with multi-catheter image-guided brachytherapy after breast conserving surgery are described. Detailed recommendations for daily practice including dose constraints are given.
CONCLUSIONS
Recent standards and guidelines for the use of APBI with different multi-catheter image-guided brachytherapy techniques have been defined. Different techniques are used to insert the catheters. Guidelines are mandatory to assure precise catheter insertion for coverage of the target volume and to guarantee high-quality dosimetry. The same rules apply for brachytherapy based boost irradiation for breast cancer after whole breast irradiation as well as for partial breast re-irradiation.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Radiation Oncology |
UniBE Contributor: |
Lössl, Kristina |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0167-8140 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Beatrice Scheidegger |
Date Deposited: |
21 Jun 2018 15:25 |
Last Modified: |
05 Dec 2022 15:13 |
Publisher DOI: |
10.1016/j.radonc.2018.04.009 |
PubMed ID: |
29691075 |
Uncontrolled Keywords: |
APBI GEC-ESTRO Guideline |
BORIS DOI: |
10.7892/boris.116293 |
URI: |
https://boris.unibe.ch/id/eprint/116293 |
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