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

Strnad V, Major T, Polgar C, Lotter M, Guinot JL, Gutierrez-Miguelez C, Galalae R, Van Limbergen E, Guix B, Niehoff P, Loessl K, Hannoun-Levi JM (2018)

Publication Type: Journal article

Publication year: 2018

Journal

Radiotherapy and Oncology Elsevier

Book Volume: 128

Pages Range: 411-420

Journal Issue: 3

DOI: 10.1016/j.radonc.2018.04.009

Abstract

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.

Involved external institutions

University Hospital Leuven (UZ) / Universitaire ziekenhuizen Leuven BE Belgium (BE) Centre Antoine Lacassagne (UNICANCER) FR France (FR) Országos Onkológiai Intézet / National Institute of Oncology HU Hungary (HU) Catalan Institute of Oncology / Institut Català d'Oncologia (ICO) ES Spain (ES) Valencia Oncology Institute Foundation / Fundación Instituto Valenciano de Oncología / Fundació Institut Valencià d’Oncologia (IVO) ES Spain (ES) Medical Institute for Radiation Oncology / Insituto Médico de Onco-Radioterapia (IMOR) ES Spain (ES) Inselspital, Universitätsspital Bern CH Switzerland (CH) Sana Klinikum Offenbach DE Germany (DE) Evangelische Kliniken Gelsenkirchen DE Germany (DE)

How to cite

APA:

Strnad, V., Major, T., Polgar, C., Lotter, M., Guinot, J.-L., Gutierrez-Miguelez, C.,... Hannoun-Levi, J.-M. (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), 411-420. https://doi.org/10.1016/j.radonc.2018.04.009

MLA:

Strnad, Vratislav, et al. "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 (2018): 411-420.

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