Delivery of Brachytherapy for Cervical Cancer: Organisational and Technical Advice to Facilitate High-quality Care

Morton, Gerard; Walker-Dilks, Cindy; Baldassarre, Fulvia; D’Souza, David; Falkson, Conrad; Batchelar, D.; Gutierrez, Eric

doi:10.1016/j.clon.2010.05.020

Cited by 7 publications

(4 citation statements)

References 21 publications

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“…HDR is the standard BT technique for gynaecological tumours and is supported by strong evidence from randomised clinical trials [22]. HDR BT offers numerous benefi ts: the dose can be applied in a short time, it is not necessary to fully anaesthetise the patient, applicator dislodgement risk is limited and dose optimisation is easier.…”

Section: Gynaecological Cancermentioning

confidence: 99%

Patterns of care for brachytherapy in Europe: updated results for Spain

et al. 2012

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The three most common treatment sites (gynaecological, breast and prostate) remain unchanged from 2002, with prostate treatments showing large increase. Advanced dosimetric techniques (MRI, PET-CT and CT-dosimetry) continue to gain adherents. Some centres treat small numbers of patients, a finding that deserves more attention in terms of cost and quality of care. Although BT remains strong in Spain, it could be further strengthened by making modern dosimetric techniques and treatments more widely available.

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Section: Gynaecological Cancermentioning

confidence: 99%

Patterns of care for brachytherapy in Europe: updated results for Spain

et al. 2012

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“…There is growing evidence that better oncological outcomes can be achieved with the utilization of MRI guidance. As per the consensus of the Brachytherapy in Cervical Cancer Expert Working Group (BCCEWG) Panel of the Cancer Care Ontario (CCO) meeting in 2009 [29], MRI was strongly recommended for delineation of target volumes and planning. The meeting concluded that CT provided acceptable but significantly inferior soft-tissue delineation and, in many cases, could not accurately delineate the target volumes.…”

Section: Intermediate Riskmentioning

confidence: 99%

Proposal for Establishing a New Radiotherapy Facility

Aldehaim

Phan

2021

The Comprehensive Cancer Center

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Cancer is a growing burden globally. Radiotherapy has proven to be a critical and cost-effective treatment modality for a cure in greater than 50% of cancer patients. There are numerous obstacles and challenges in establishing new radiotherapy facilities and programs, especially in low- and middle-income countries. It is known that the clinical aspect, as well as procedure related to the physical and technical aspect of patient treatment, needs to be subjected to careful planning in order to ensure safe and high-quality radiotherapy. This process required the engagement of various professionals from different backgrounds.This chapter aims to define radiotherapy value, assessing a radiation facility’s clinical, infrastructure, and resources need to establish a new radiotherapy facility.

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“…To initiate a MRI-guided brachytherapy program, beyond the standard personnel required for a conventional brachytherapy program [ 61 ], it is highly recommended that a medical physicist with MRI expertise is involved in the whole process; however, a MRI technologist is also recommended to be added to the brachytherapy team to provide practical input for efficient and safe patient image acquisition. Although, using validated MRI pulse sequences suggested by GEC-ESTRO [ 17 , 18 ] and Nag et al .…”

Section: Personnel and Trainingmentioning

confidence: 99%

Magnetic resonance imaging-guided brachytherapy for cervical cancer: initiating a program

Owrangi¹,

Prisciandaro

Soliman

et al. 2015

jcb

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Over the past decade, the application of magnetic resonance imaging (MRI) has increased, and there is growing evidence to suggest that improvements in accuracy of target delineation in MRI-guided brachytherapy may improve clinical outcomes in cervical cancer. To implement a high quality image guided brachytherapy program, a multidisciplinary team is required with appropriate expertise as well as an adequate patient load to ensure a sustainable program. It is imperative to know that the most important source of uncertainty in the treatment process is related to target delineation and therefore, the necessity of training and expertise as well as quality assurance should be emphasized. A short review of concepts and techniques that have been developed for implementation and/or improvement of workflow of a MRI-guided brachytherapy program are provided in this document, so that institutions can use and optimize some of them based on their resources to minimize their procedure times.

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Delivery of Brachytherapy for Cervical Cancer: Organisational and Technical Advice to Facilitate High-quality Care

Cited by 7 publications

References 21 publications

Patterns of care for brachytherapy in Europe: updated results for Spain

Patterns of care for brachytherapy in Europe: updated results for Spain

Proposal for Establishing a New Radiotherapy Facility

Magnetic resonance imaging-guided brachytherapy for cervical cancer: initiating a program

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