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