eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
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4/2019
vol. 11
 
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abstract:
Original paper

Indian Brachytherapy Society Guidelines for radiotherapeutic management of cervical cancer with special emphasis on high-dose-rate brachytherapy

Umesh Mahantshetty
1
,
Shivakumar Gudi
1
,
Roshni Singh
1
,
Ajay Sasidharan
1
,
Supriya (Chopra) Sastri
1
,
Lavanya Gurram
1
,
Dayanand Sharma
2
,
Selvaluxmy Ganeshrajah
3
,
Janaki MG
4
,
Dinesh Badakh
5
,
Abhishek Basu
6
,
Francis James
7
,
Jamema V Swamidas
8
,
Thayalan Kuppuswamy
9
,
Rajendra Bhalavat
10

1.
Department of Radiation Oncology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
2.
Department of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India
3.
Department of Gynecology Oncology, Cancer Institute (WIA), Chennai, India
4.
Department of Radiation Oncology, M.S. Ramaiah Memorial Hospital, Bangalore, India
5.
Department of Radiation Oncology, Siddhivinayak Cancer Hospital, Miraj, India
6.
Department of Radiation Oncology, R.G. Kar Medical College and Hospital, Kolkata, India
7.
Department of Radiation Oncology, Regional Cancer Centre, Thiruvananthapuram, India
8.
Department of Medical Physics, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India
9.
Medical Physics Division, Dr. Kamakshi Memorial Hospital, Chennai, India
10.
Department of Radiation Oncology, Jupiter Hospital, Mumbai, India
J Contemp Brachytherapy 2019; 11, 4: 293–306
Online publish date: 2019/08/29
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Brachytherapy (BT) for locally advanced cervical cancer is vital for optimal outcomes. There is heterogeneity in brachytherapy treatment practice for cervical cancer across India. In an attempt to standardize various processes involved in cervical cancer brachytherapy, the expert members of the Indian Brachytherapy Society (IBS) developed a document related to radiation therapy treatment of cervical cancer with special emphasis on brachytherapy. The guidelines are based on high quality clinical evidence, expert opinion and consensus wherever evidence was lacking. The document provides a guide for external beam radiation and details of all the processes involved in high-dose-rate (HDR) brachytherapy including patient selection, preparation, principles and technique of BT applications, target and normal tissue definition, dose prescriptions, BT planning, reporting parameters, common complications of BT and their management, scope for research, etc. In summary, we present here practical tips and tricks, recording and reporting of cervical cancer brachytherapy, which can be implemented in various clinical environments and forms the basis of this report.
keywords:

cervical cancer, brachytherapy, Indian Brachytherapy Society, high-dose-rate

 
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