Brachytherapy

National patterns of brachytherapy boost use for intermediate- and high-risk prostate cancer: Bridging the gap between evidence and practice
Smart AC, Tuac Y, Qian Z, Mirić G, Orio PF, King MT and Sayan M
Brachytherapy boost in combination with external beam radiation therapy (EBRT-BT) improves biochemical progression-free survival in patients with intermediate- and high-risk prostate cancer. However, its adoption in routine clinical practice remains uncertain. We aimed to evaluate national trends and factors associated with the use of EBRT-BT following the publication of the ASCENDE-RT trial.
Applicator reconstruction in cervical cancer brachytherapy: A systematic review of current methods, challenges, and AI-driven future directions
Sargazi V, Naseri S, Gholamhosseinian H and Momennezhad M
Accurate applicator reconstruction is a critical step in 3D image-guided brachytherapy (3D-IGBT) for cervical cancer, directly influencing tumor control and organ-at-risk sparing. This systematic review evaluates the accuracy, efficiency, and clinical impact of applicator reconstruction methods, focusing on AI's potential to overcome existing limitations.
Reply to Dedeepya et al. comment on "High-dose-rate (HDR) brachytherapy boost in combination with external beam radiotherapy for localized prostate cancer"
Patel SA and Kamrava MR
Multicenter study on mechanical accuracy of short dwell time and source transit for HDR Ir-192 brachytherapy treatment machine
Ueda Y, Okamoto H, Oku Y, Ono Y, Takatsu J, Fukunaga JI, Ushijima T, Toyota M, Iijima K, Murakami N and Ohno T
To evaluate the accuracy of the effective transit and dwell times for high-dose-rate (HDR) brachytherapy machines across multiple institutions. The aim was to establish reference levels for quality assurance (QA) in MicroSelectron and Flexitron afterloaders.
Exploring access to brachytherapy for cervical cancer in Texas: Geographic availability and distribution
Jhavar S, Gomber G, Patel M, Klopp A, Farach A, Hubbard A and Ludwig M
Cervical cancer remains a leading diagnosis among women in the state of Texas and manifests in a backdrop of health access and care inequities. In our study we aim to examine and highlight the geographic gaps in availability of brachytherapy across the state.
A review of NRC medical event reports related to brachytherapy, 2005-2024
Sillanpaa J and Santoro J
We analyzed the Nuclear Regulatory Commission event notifications related to brachytherapy events that occurred between January 1, 2005, and December 31, 2024. The events were categorized and their distribution and time evolution analyzed.
AI-assisted 3D-printed transvaginal template guidance for interstitial brachytherapy in patients with cervical cancer with parametrial invasion
Li H, Li X, Zhang J, Dai Y, Lin H, Xie X and Yang M
Three-dimensional (3D) interstitial brachytherapy (BT) can improve bulky cervical cancer treatment efficacy. BT technology guided by 3D-printed templates can assist radiation oncologists in accurately inserting needles and ensuring optimal dose coverage. Artificial intelligence (AI) holds promise for enhancing the accuracy, precision, efficiency, and overall quality of radiotherapy (RT) for cancer patients.
Automatic digitization of applicator and catheters for MRI-guided cervical cancer brachytherapy
Kim G, Antaki M, Schmidt EJ, Roumeliotis M, Viswanathan AN and Lee J
MRI is the standard imaging modality for contouring organs-at-risk and clinical target volume in cervical cancer brachytherapy, and is widely used along with CT for treatment planning and image guidance. However, MRI-CT fusion-based approach is time-consuming and error-prone as it requires two imaging sessions and image registration. To realize more efficient and streamlined MRI-guided workflow, we propose an automatic method for digitizing the applicator and catheters using MRI alone.
MRI-based predictors of treatment failure in intermediate-risk prostate cancer treated with high-dose-rate brachytherapy as monotherapy
Oyeniyi JF, Lee JS, Shen C, Loving BA, Nandalur SR, Thompson AB, Nandalur KR, Seymour ZA, Sebastian EL, Limbacher A, Martinez A and Krauss DJ
To identify MRI features associated with treatment failure in intermediate-risk prostate cancer patients treated with HDR brachytherapy monotherapy.
Assessment of brachytherapy-induced prostate edema on postimplant dosimetric analysis in patients treated with magnetic resonance imaging-assisted radiosurgery (MARS)
Marqueen KE, Corrigan KL, Prajapati S, Kudchadker RJ, Manzar G, Cha E, Mok H, Tang C, Hassanzadeh C, Mohamad O and Frank SJ
Brachytherapy-induced prostate edema (PE) can result in altered target dose coverage in prostate cancer patients treated with low-dose-rate (LDR) brachytherapy. While visualization of PE on CT is limited, PE is evident on magnetic resonance imaging (MRI) day 0 (D0) postimplant assessment, a critical step in the MRI-assisted radiosurgery (MARS) framework that improves LDR brachytherapy quality assurance. This study investigated PE in patients treated with MARS to analyze the effect on postimplant dosimetry and further optimize the treatment-planning process.
MRI-guided brachytherapy for vaginal recurrence of endometrial cancer
Maina J, Liu ZA, Milosevic M, Croke J, Lukovic J, Malik N, Rink A, Beiki-Ardakani A, Weersink RA, Serban M, Skliarenko J, Rauth S, Conway JL and Han K
Vaginal recurrence of endometrial cancer can be salvaged by external beam radiotherapy and vaginal brachytherapy, but data on MRI-guided brachytherapy is limited. This study evaluated disease and toxicity outcomes of patients treated with MRI-guided brachytherapy for vaginal recurrence of endometrial cancer.
Development of a dosimetric phantom using OSLDs or TLD-100 for external audits of high-dose-rate Ir brachytherapy sources: Preliminary results
L Mota C, de Almeida CE, M Castro V, O da Silva A, M Hornos YM, A Magon MF and Villari D
Calibration and quality control are fundamental to ensure that an accurate dose is delivered to a tumor, by HDR 192Ir radioactive sources in brachytherapy treatments. Consequently, it is essential for each radiation oncology center to implement a quality assurance program that includes an external audit. A cost-effective strategy, to meet the biannual requirements of licensing authorities, is the use of a well-established postal audit system employing phantoms and passive detectors.
Salvage brachytherapy for local recurrence of prostate cancer. Evaluation of technique and dose fractionation, impact of early diagnosis, and its effect on survival. A multicenter retrospective observational study: RESPRO
Willisch P, Villafranca E, Roldan Ortega S, Rodriguez Villalba S, Goñi A, Camus JA, Sopeña Sanz L, Alonso García A, Muñoz Miguelañez T, Lopez-Soliño S, Vázquez-Barreiro B and Büchser D
To evaluate oncologic outcomes, prognostic factors, and toxicity associated with salvage brachytherapy in locally recurrent prostate cancer after radiotherapy and assess the role of next-generation imaging in early detection.
Comment on "high-dose-rate (HDR) brachytherapy boost in combination with external beam radiotherapy for localized prostate cancer: An evidence-based consensus statement"
Dedeepya SD, Goel V and Desai NN
Development of a phantom and analysis of brachytherapy dosimetry using the sulfamic acid/electron paramagnetic resonance system
Boukhris G, Mikou M, Rhazouani O, Baydaoui R, Jebbari S, Bouk A and Kamal D
Design and develop an epoxy resin-based cylindrical phantom to simulate cancer treatment conditions in high dose rate (HDR) brachytherapy and evaluate the spatial dose distribution around a Ir source using an Sulfamic Acid/EPR system.
High-dose-rate brachytherapy for cutaneous T-cell lymphoma involving complex skin sites
Sim V, Vaz RG, Jones EL, De Francesco I, Dobson A, Thomas BR and Morris S
Mycosis fungoides (MF) is a highly radiosensitive tumor and low dose palliative radiotherapy is an essential treatment modality with excellent results. However, some skin sites with complex, oblique or very curved shape are difficult to treat with conventional radiotherapy techniques. We report our experience using HDR brachytherapy to treat MF in complex skin sites.
Long-term oncologic outcomes of high-dose-rate interstitial brachytherapy (interventional radiotherapy) in oral tongue squamous cell carcinoma; 15 years of experience from a tertiary cancer center
Aghili M, Jafari F, Kolahdouzan K, Biglar F, Yousefi A, Nabavi M, Jaberi R, Garajei A, Abdshah A, Kazemian A and Tagliaferri L
High-dose-rate interstitial brachytherapy (HDR-IBT) is commonly used for treating oral tongue squamous cell carcinoma (OTSCC). This study aims to evaluate long-term outcomes, survival predictors, chronic side effects, and failure patterns in patients receiving adjuvant HDR-IBT after surgical resection.
Feasibility of combining high-dose-rate prostate brachytherapy with dose intensification to the MRI dominant lesion followed by real-time adaptive MR-guided pelvic radiotherapy for high-risk prostate cancer
Cohen GN, Gurewitz J, Johnson J, Cooney J, Shi Y, Adler H, Long M, Byun DJ and Zelefsky MJ
Optimizing radiotherapy delivery for higher-risk prostate cancer often requires dose escalation while minimizing dose to surrounding normal tissues. We report on the feasibility of combining high-dose-rate (HDR) brachytherapy with dose intensification to the dominant intra-prostatic lesion (DIL) followed by magnetic resonance-guided stereotactic body radiotherapy (MRgSBRT).
CT-guided high-dose-rate interstitial brachytherapy for malignant lung lesions in a resource-limited setting
Sapkota S, Pandit S, Suwal S, Bhandari J, Adhikari A, Prajapati R, Prasai G, Shrestha S and Jha AK
Several nonsurgical techniques are available for the management of inoperable primary and metastatic lung diseases. While Stereotactic body radiotherapy is a well-established technique, its access in low and middle-income countries (LMICs) is restricted. This study aims to present our experience on the feasibility of the high-dose-rate interstitial brachytherapy (IBT) in inoperable lung lesions, including technique and outcomes in LMICs.
Clinical outcome of high-dose-rate interstitial brachytherapy in vulvar cancer: A single institutional experience
Kärkkäinen H, Jääskeläinen E, Palmgren JE, Heikkilä J and Anttila M
The aim was to evaluate the toxicities and survival of patients with inoperable vulvar cancer treated using brachytherapy (BT).
Radiomics-based machine-learning approach to predict response at brachytherapy using pretreatment magnetic resonance imaging in locally advanced cervical cancer
Nayak P, Chopra S, Gupta Y, Saahil W, Mittal P, Gupta A, Panda S, Popat P, Gupta S, Agarwal JP and Goda JS
We investigated baseline magnetic resonance imaging (MRI) radiomic features for predicting tumor response in patients with locally advanced cervical cancer (LACC) at brachytherapy (BT).