Journal article
American Brachytherapy Society consensus guidelines for adjuvant vaginal cuff brachytherapy after hysterectomy
Brachytherapy, v 11(1), pp 58-67
2012
PMID: 22265439
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To develop recommendations for the use of adjuvant vaginal cuff brachytherapy after hysterectomy and update previous American Brachytherapy Society (ABS) guidelines.
A panel of members of the ABS performed a literature review, supplemented their clinical experience, and formulated recommendations for adjuvant vaginal cuff brachytherapy.
The ABS endorses the National Comprehensive Cancer Network guidelines for indications for radiation therapy for patients with endometrial cancer and cervical cancer and the guidelines on quality assurance of the American Association on Physicists in Medicine. The ABS made specific recommendations for applicator selection, insertion techniques, target volume definition, dose fractionation, and specifications for postoperative adjuvant vaginal cuff therapy. The ABS recommends that applicator selection should be based on patient anatomy, target volume geometry, and physician judgment. The dose prescription point should be clearly specified. Suggested doses were tabulated for treatment with brachytherapy alone, and in combination with external beam radiation therapy, when applicable. A properly fitted brachytherapy applicator should be selected that conforms to the vaginal apex and achieves mucosal contact with optimal tumor and normal tissue dosimetry. Dose prescription points may be individually selected but doses should be reported at the vaginal surface and at 0.5-cm depth.
Recommendations are made for adjuvant vaginal cuff brachytherapy. Practitioners and cooperative groups are encouraged to use these recommendations to formulate their treatment and dose reporting policies. These recommendations will permit meaningful comparisons of reports from different institutions and lead to better and more appropriate use of vaginal brachytherapy.
Metrics
Details
- Title
- American Brachytherapy Society consensus guidelines for adjuvant vaginal cuff brachytherapy after hysterectomy
- Creators
- William Small - Northwestern UniversitySushil Beriwal - University of PittsburghD. Jeffrey Demanes - University of California, Los AngelesKathryn E. Dusenbery - University of Minnesota Medical CenterPatricia Eifel - The University of Texas MD Anderson Cancer CenterBeth Erickson - Medical College of WisconsinEllen Jones - University of North Carolina at Chapel HillJason J. Rownd - Medical College of WisconsinJennifer F. De Los Santos - University of Alabama at BirminghamAkila N. Viswanathan - Harvard University PressDavid Gaffney - University of UtahAmerican Brachytherapy Society
- Publication Details
- Brachytherapy, v 11(1), pp 58-67
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiation Oncology (and Nuclear Medicine)
- Web of Science ID
- WOS:000299851300009
- Scopus ID
- 2-s2.0-84855994265
- Other Identifier
- 991021897265504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Oncology
- Radiology, Nuclear Medicine & Medical Imaging