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Brachytherapy. 2017 Nov - Dec;16(6):1083-1090. doi: 10.1016/j.brachy.2017.08.002. Epub 2017 Oct 5.

American College of Radiology-American Brachytherapy Society practice parameter for electronically generated low-energy radiation sources.

Author information

1
Brigham and Women's Hospital/Dana Farber Cancer Institute, Boston, MA. Electronic address: pdevlin@bwh.harvard.edu.
2
University of Colorado Denver, Aurora, CO.
3
Brigham and Women's Hospital/Dana Farber Cancer Institute, Boston, MA.
4
UCLA Health System, Los Angeles, CA.
5
Lynn Regional Cancer Center, Boca Raton, FL.
6
Kaiser Permanente, Santa Clara, CA.
7
Lynn Regional Cancer Center, Delray Beach, FL.
8
Poudre Valley Hospital, Fort Collins, CO.
9
Roseville Radiation Oncology, Roseville, CA.
10
Loyola University Medical Center, Maywood, IL.
11
National Cancer Institute, Rockville, MD.
12
Dartmouth-Hitchcock Medical Center, Lebanon, NH.

Abstract

BACKGROUND:

This collaborative practice parameter technical standard has been created between the American College of Radiology and American Brachytherapy Society to guide the usage of electronically generated low energy radiation sources (ELSs). It refers to the use of electronic X-ray sources with peak voltages up to 120 kVp to deliver therapeutic radiation therapy.

MAIN FINDINGS:

The parameter provides a guideline for utilizing ELS, including patient selection and consent, treatment planning, and delivery processes. The parameter reviews the published clinical data with regard to ELS results in skin, breast, and other cancers.

CONCLUSIONS:

This technical standard recommends appropriate qualifications of the involved personnel. The parameter reviews the technical issues relating to equipment specifications as well as patient and personnel safety. Regarding suggestions for educational programs with regard to this parameter,it is suggested that the training level for clinicians be equivalent to that for other radiation therapies. It also suggests that ELS must be done using the same standards of quality and safety as those in place for other forms of radiation therapy.

KEYWORDS:

Brachytherapy; Collaborative clinical practice parameter; Electronic brachytherapy; Electronically generated low energy source; Partial breast cancer brachytherapy; Skin cancer; Training requirements for brachytherapy

PMID:
28988661
DOI:
10.1016/j.brachy.2017.08.002
[Indexed for MEDLINE]

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