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

被引:121
作者
Strnad, Vratislav [1 ]
Major, Tibor [2 ]
Polgar, Csaba [3 ]
Lotter, Michael [1 ]
Guinot, Jose-Luis [3 ]
Gutierrez-Miguelez, Cristina [4 ]
Galalae, Razvan [5 ]
Van Limbergen, Erik [6 ]
Guix, Benjamin [7 ]
Niehoff, Peter [8 ]
Loessl, Kristina [9 ]
Hannoun-Levi, Jean-Michel [10 ]
机构
[1] Univ Hosp Erlangen, Dept Radiat Oncol, Erlangen, Germany
[2] Natl Inst Oncol Budapest, Ctr Radiotherapy, Budapest, Hungary
[3] Fdn Inst Valenciano Oncol, Dept Radiat Oncol, Valencia, Spain
[4] Catalan Inst Oncol Barcelona, Dept Radiat Oncol, Barcelona, Spain
[5] Evangel Kliniken, Dept Radiat Therapy, Gelsenkirchen, Germany
[6] Univ Hosp Gasthuisberg, Dept Radiotherapy, Leuven, Belgium
[7] IMOR Fdn, Med Inst Radiotherapy & Oncol, Barcelona, Spain
[8] Sana Hosp Offenbach, Dept Radiat Therapy, Offenbach, Germany
[9] Univ Hosp Bern, Inselspital, Dept Radiat Oncol, Bern, Switzerland
[10] Ctr Antoine Lacassagne, Dept Radiat Oncol, Nice, France
关键词
APBI; Guideline; GEC-ESTRO; DOSE-RATE BRACHYTHERAPY; ADJUVANT RADIATION TREATMENT; OPEN CAVITY SURGERY; IN-SITU CARCINOMA; CONSERVING SURGERY; MULTICATHETER BRACHYTHERAPY; EARLY-STAGE; AMERICAN BRACHYTHERAPY; CONSERVATIVE SURGERY; CONSENSUS STATEMENT;
D O I
10.1016/j.radonc.2018.04.009
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: This consensus statement from the Breast Cancer Working Group of Groupe Europeen de Curietherapie 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. (C) 2018 The Authors. Published by Elsevier B.V.
引用
收藏
页码:411 / 420
页数:10
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