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Alternative Breast Boost Methods Alternative Breast Boost Methods

Alternative Breast Boost Methods - PowerPoint Presentation

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Uploaded On 2016-09-12

Alternative Breast Boost Methods - PPT Presentation

By Megan Kuchenbecker Why Photon Boosts 1016 Gy Decreased fibrosis Enhanced local control Deep seeded tumors httpswwwgooglecomsearchsiteamptbmischampsourcehpampbiw1366ampbih624ampqradiationbreastfibrosisampoqradiationbreastfibrosisampgslimg31186582 ID: 464969

253a amp breast 252f amp 253a 252f breast 3bhttp isch tbm boosts img radiation 252fwww mammosite fibrosis interstitial search bih biw source

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Slide1

Alternative Breast Boost Methods

By: Megan

KuchenbeckerSlide2

Why Photon Boosts

10-16 Gy

Decreased fibrosis

Enhanced local controlDeep seeded tumors

https://www.google.com/search?site=&tbm=isch&source=hp&biw=1366&bih=624&q=radiation+breast+fibrosis&oq=radiation+breast+fibrosis&gs_l=img.3...1186.5828.0.6127.25.14.0.6.0.0.429.2251.0j1j4j1j2.8.0....0...1ac.1.48.img..18.7.2004.i3YbI13P1kI&gws_rd=

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=YY5D-BJHUZlgqM%253A%3BEMF3Lh5Z_GOE1M%3Bhttp%253A%252F%252Fwww.aboutcancer.com%252Fbreast_image_tobias4.jpg%3Bhttp%253A%252F%252Fwww.aboutcancer.com%252Fbre4b.htm%3B258%3B208Slide3

Why Not Use Photon Boosts

Larger field size

Small

breast sizeShallow tumorSlide4

Why Use Simultaneous Boost

2 different volumes to 2 different doses each day

Adenocarcinomas

Enhanced local controlDecreased treatment timeSlide5

Why Not Simultaneous Boosts

Few patients fit the criteria

Increased

acute side effects

https://www.google.com/search?site=&tbm=isch&source=hp&biw=490&bih=639&q=linac&oq=linac&gs_l=img.3..0l10.2035.2961.0.3194.5.5.0.0.0.0.201.718.0j3j1.4.0....0...1ac.1.48.img..1.4.716.77l56vWY34M&gws_rd=

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Why Use Interstitial Boosts

Noninvasive Breast

Brachytherapy

Applicators (NIBB)Decrease toxicityImprove cosmetic outcomes

Decreased fibrosis

https://www.google.com/search?q=interstitial+breast+brachytherapy&espv=2&source=lnms&tbm=isch&sa=X&ei=oCPFU5b5E8i-8QGN2oDwAw&ved=0CAYQ_AUoAQ&biw=780&bih=596#q=mammosite+radiation+therapy+system&tbm=isch&facrc=_&imgdii=_&imgrc=1zAL3oPzuyXlOM%253A%3B1hd5qK5wPT498M%3Bhttp%253A%252F%252Fwww.mammosite.com%252Fphysicians%252Fimages%252FRadiationProcedure.jpg%3Bhttp%253A%252F%252Fwww.mammosite.com%252Fphysicians%252Fradiation-therapy%252Fabout-mammosite.cfm%3B300%3B156Slide7

Why Not Interstitial Boosts

Very invasive

Not

many cancer centers do this procedureSlide8

Why Use IOERT

18-20Gy using Targeted

Intraoperatve

Radiotherapy(Targit)Superb tissue localization

SterilizationDecreased side effects

Mayo Clinic of Arizona StudySlide9

Why not use IOERT

Machine cost

Expertise needed in ORSlide10

Why Don’t We use These Alternatives More Often?

Availability

Cost Benefit