What is your opinion on IORT for breast with electron brachytherapy?
We have a lot of push from our surgeons to do IORT, do you use the ASTRO APBI criteria? Do you treat off-protocol? Do you use Xoft or Intrabeam?
Answer from: Radiation Oncologist at Community Practice
I have used the Intrabeam system. I use strict selection criteria, following both the TARGiT A eligibility and the ASTRO suitability criteria. I think this is a good modality for lower risk disease. I do consider this a form of APBI. The mechanism of action is not completely understood, like man...
Answer from: Radiation Oncologist at Community Practice
Since there is a large phase III, prospective, randomized trial with long F/U (all patients beyond 5 yrs and some beyond 20 yrs) published (TARGIT-A), I use IntraBeam and follow the TARGIT-A trial eligibility criteria. The electron based IORT data (ELIOT Trial) was not as favourable as the Intr...
Comments
Radiation Oncologist at Cleveland Clinic This assessment of the TARGIT-A trial is incomplet...