This study includes four years of our clinical trials to improve implant quality in multicatheter accelerated partial breast irradiation (APBI). The progress in dosimetric and volumetric parameters of the treatment plans was evaluated. One hundred and ninety-one women, for whom treatment plans were made based on three dimensional imaging, were selected for the study. To evaluate progress made i...

Radiation therapy represents an important aspect of breast cancer treatment. Application of irradiation reduces the incidence of local disease recurrence and improves overall survival of breast cancer patients. Studies have shown that adjuvant irradiation after breast-conserving surgery has the same result as a mastectomy, so adjuvant radiotherapy enables sparing surgery in breast cancer patien...

In this study, we evaluate the attenuation of the dose due to barium-impregnation in the region between the surface of an electronic brachytherapy (EBT) balloon applicator for accelerated partial breast irradiation (APBI) and the prescription point at 1 cm depth in tissue. To perform the study, depth dose curves were calculated using a general purpose multi-particle transport code (FLUKA) for a...

PURPOSE There are multiple current strategies for breast radiotherapy (RT). The alignment of physician practice patterns with best evidence and patient preferences will enhance patient autonomy and improve cancer care. However, there is little information describing patient preferences for breast RT and physician practice patterns. METHODS AND MATERIALS Using a reliable and valid instrument, ...

PURPOSE AND BACKGROUND Conventional early breast cancer treatment consists of a lumpectomy followed by whole breast radiation therapy. Accelerated partial breast irradiation (APBI) is an investigational approach to post-lumpectomy radiation for early breast cancer. The purpose of this study is to compare four external beam APBI techniques, including tomotherapy, with conventional whole breast i...

Introduction: In the treatment of breast cancer, breast conserving surgery (BCS) and whole breast irradiation is a usual technique. The influence of lumpectomy boost following breast radiotherapy is apparent, but there are different delivery methods. This work intended to compare the dosimetric parameters of electron beams and photon beams for boosting irradiation in breast can...

BCT: Breast Conserving Therapy; BCS: Breast Conserving Surgery; WBI: Whole Breast Irradiation; APBI: Accelerated Partial Breast Irradiation; START: Standardization of Breast Radiotherapy; ASBS: The American Society of Breast Surgeons; 3D-CRT: 3-Dimensional Conformal Radiotherapy; IMRT: Intensity Modulated Radiation Therapy; RTOG: Radiation Therapy Oncology Group; RAPID: Randomized Trial Of Acce...

BACKGROUND In a phase 3, randomised, non-inferiority trial, accelerated partial breast irradiation (APBI) for patients with stage 0, I, and IIA breast cancer who underwent breast-conserving treatment was compared with whole-breast irradiation. Here, we present 5-year follow-up results. METHODS We did a phase 3, randomised, non-inferiority trial at 16 hospitals and medical centres in seven Eur...

As most local recurrence after breast-conserving treatment occurs within 2 cm around the lumpectomy cavity, wide-volume partial breast rather than whole breast irradiation has been actively investigated with a view to decreasing radiation toxicities. Replacing external beam radiotherapy by wide-volume interstitial brachytherapy offers the advantages of more accurate treatment volume coverage an...

The management of localized breast cancer has changed dramatically over the past three to four decades. Breast-conserving therapy, which involved lumpectomy followed by adjuvant irradiation, is now widely considered the standard of care in women with early-stage breast cancer. Accelerated partial breast irradiation (APBI), which involves focal irradiation of the lumpectomy cavity over a short p...