Radiation Oncology

Brachytherapy

Questions discussed in this category

Are there instances where you prefer an SBRT boost rather than a brachytherapy boost when treating definitive locally advanced cervical cancer?

If so, what dose/volume is prescribed? How do you account for motion?

2 Answers available

How long of a delay are you willing to accept for vaginal cuff brachytherapy either as primary therapy or as boost?

At what point does the benefit of either post-operative vaginal cuff brachytherapy, or vaginal cuff brachytherapy boost following EBRT for endometrial...

2 Answers available

For vaginal cylinder HDR in the setting of adjuvant endometrial cancer radiation, do you routinely alter the prescription dose based on the diameter of the cylinder?

Or would a typical prescription, such as 7 Gy x 3 Fx to 5 mm depth be reasonable for typical sizes 2.5-3.5 cm? Per ABS guidelines, they specify that t...

2 Answers available

Is there a scenario in which you would consider neoadjuvant radiation for rectal cancer after previous definitive radiation for prostate cancer?

Especially consider a situation where surgical excision alone is not appropriate. What if the radiation was LDR or HDR brachytherapy?

2 Answers available

How do you approach boosting a vaginal cuff recurrence of cervical cancer with brachytherapy that is tethered to small bowel?

Interstitial implant was attempted under laparoscopic guidance (due to pre-brachy MRI showing potential bowel involvement). At the time of procedure, ...

5 Answers available

Is there still a role of brachytherapy in uterine cancer if intensity-modulated radiation therapy is available?

1 Answer available

Do you give vaginal cuff brachytherapy and/or whole pelvis, for patients with Stage III endometrial adenocarcinoma?

5 Answers available

How would you approach HDR portion of cervical SCC with large area of fistula with sigmoid colon?

Still do Tandem and Ring or opt for interstitial? Patient will have diverting colostomy. Concern is whether the tandem will be stable enough with lar...

2 Answers available

Do you have any precautions to your injury to the uterine artery when placing interstitial needles as ‘ovoid extenders’ to cover parametrial disease in cervical T&O procedures?

1 Answer available

What is your approach to a patient with locally advanced cervical cancer who presents with a fistula (rectal or bladder)?

Do you recommend upfront diversion? Are there unique planning considerations such as the inability to use bladder filling? How do you boost? What are ...

1 Answer available

For men with intermediate or high-risk prostate cancer, can an SBRT boost be used in place of a brachytherapy boost after EBRT?

3 Answers available

How do you sequence vaginal cuff brachytherapy with EBRT for post-op endometrial or cervical cases that require both modalities?

Sequentially or do you integrate the cuff brachy with the EBRT and if so what schedule, BIW, weekly, etc?

3 Answers available

How do you treat recurrent tracheal carcinoma?

Any role for endotracheal brachytherapy? If so, how long after laser treatment would it be safe to use endotracheal brachytherapy and at what dose?

1 Answer available

Do you take patients off anticoagulation for tandem and ovoid or tandem and ring procedures?

1 Answer available

What is your approach to a cervical SCC patient in which you're unable to properly place a T&O, due to obliterated cervical os, after completion of EBRT?

Do you add an IMRT boost with possibly vaginal brachytherapy?

2 Answers available

What is your protocol for conscious sedation during T&O insertion?

What are your specific protocols for monitoring and for dosing narcotics and sedatives?

2 Answers available

What is appropriate local salvage therapy after prostate brachytherapy failure?

If salvage EBRT - what dose?

4 Answers available

How do you define "low-volume" intermediate risk prostate cancer that is appropriate for brachytherapy alone?

Specifically, what criteria do you use to quantify "low-volume" prostate cancer? What other criteria do you consider when defining low volume in...

3 Answers available

What criteria do you use when choosing an applicator system for cervical brachytherapy patients?

For example, how do you decide between applicators such as tandem and ovoid versus tandem split ring insertion for cervical brachytherapy patients?&nb...

1 Answer available

What prostate size or baseline urinary symptoms are relative contraindications for prostate HDR?

It seems that some high volume centers have expanded their selection of patients for both HDR monotherapy and boosts. If you do have size or IP...

1 Answer available

Do the number of lymph nodes removed in a non-Stage IA/FIGO 1 endometrial cancer case, affect your decision for WPRT v. vaginal brachytherapy alone?

1 Answer available

What small bowel dose constraints do you use in gyn brachytherapy?

The most recent ABS guidelines don't discuss a dose constraint for the small bowel.

3 Answers available

What dose constraint do you use for the female urethra in gynecologic brachytherapy?

Do the urethral constraints used in prostate brachytherapy apply to women undergoing gyn brachy?

1 Answer available