Thomas A. Buchholz, Eric A. Strom (auth.), David E. Wazer,'s Accelerated Partial Breast Irradiation: Techniques and PDF

By Thomas A. Buchholz, Eric A. Strom (auth.), David E. Wazer, Douglas W. Arthur, Frank A. Vicini (eds.)

ISBN-10: 3540282025

ISBN-13: 9783540282020

ISBN-10: 3540282033

ISBN-13: 9783540282037

Accelerated partial breast irradiation (APBI) is being swiftly brought into the medical administration of early breast melanoma. APBI, in reality, incorporates a variety of diverse thoughts and techniques that come with brachytherapy, intraoperative, and exterior beam ideas. there's at present no unmarried resource that describes those ideas and their scientific implementation.

This textual content could be a concise guide designed to aid the clinician within the implementation of APBI. this may contain a assessment of the rules that underlie APBI, a pragmatic and distinct description of every procedure for APBI, a overview of present medical result of APBI, and a evaluate of the occurrence and administration of remedy comparable complications.

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Extra info for Accelerated Partial Breast Irradiation: Techniques and Clinical Implementation

Example text

1 Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Breast Reference Volume . . . . . . . . . . . . . . . . . . . . . . . . . 2 Interstitial Multicatheter Technique . . . . . . . . . . . . . . . . . . . . . . . . 2 Volumes of Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 PTV_EVAL . . . . . . . . . . . . . . . . . . . . . . . . .

4 Composite Disease Extension . . . . . . . . . . . . . . . . . . . . . . 2 Impact of Radiation on Elsewhere Failures . . . . . . . . . . . . . . . . . . . . . 3 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Determining the Extent of Disease Beyond the Lumpectomy Cavity While several recent studies have demonstrated excellent 5-year results using accelerated partial breast irradiation (APBI), the optimal clinical target volume (CTV) to be used in these patients has not been clearly defined (Vicini et al.

Finally, more subjective limiting factors are the reproducibility of the patient set-up position, the position of the breast, and the positional reproducibility of the partial breast target. A fidgety patient and/or a patient with large pendulous breasts represent examples of poor patient selection for this technique. The appeal of completing postoperative radiation treatment in a short time period must not overshadow the need for the eligible patient to thoroughly understand the risks and benefits of this new adjuvant treatment approach.

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Accelerated Partial Breast Irradiation: Techniques and Clinical Implementation by Thomas A. Buchholz, Eric A. Strom (auth.), David E. Wazer, Douglas W. Arthur, Frank A. Vicini (eds.)


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