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Implementation of image-guided brachytherapy for cervix cancer in the UK: progress update.

AbstractAIMS:
Image-guided brachytherapy (IGBT) is the new gold standard for cervix cancer brachytherapy. In 2009, the Royal College of Radiologists (RCR) published a guidance document to facilitate the implementation of IGBT for cervix cancer in the UK. This paper reports the progress since the publication of the RCR document.
MATERIALS AND METHODS:
Questionnaires were sent to 45 UK centres known to offer brachytherapy for cervix cancer in 2011. Replies were received from 43 (96%) centres. Details collected included brachytherapy machine, imaging technique for brachytherapy planning, applicator design and total dose to point A from external beam radiotherapy and brachytherapy. The results were compared with the 2008 survey reported in the RCR document.
RESULTS:
The number of centres offering computed tomography (CT) or magnetic resonance imaging (MRI)-based IGBT for cervix cancer has increased to 32 (71%) in 2011 compared with 12 (26%) in 2008. Although the most common applicator design in 2011 remains the tandem-ovoid applicator (71%), more respondents are using the tandem-ring applicator (29% versus 9% in 2008). Only seven (16%) centres are routinely prescribing < 70Gy(10) to point A in 2011 compared with 10 (22%) in 2008.
CONCLUSION:
Considerable progress with implementing IGBT for cervix cancer has been made in the UK since the publication of the RCR guidance document.
AuthorsL T Tan
JournalClinical oncology (Royal College of Radiologists (Great Britain)) (Clin Oncol (R Coll Radiol)) Vol. 23 Issue 10 Pg. 681-4 (Dec 2011) ISSN: 1433-2981 [Electronic] England
PMID21843928 (Publication Type: Journal Article, Multicenter Study)
CopyrightCopyright © 2011 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
Topics
  • Brachytherapy (methods, statistics & numerical data)
  • Female
  • Humans
  • Magnetic Resonance Imaging (methods)
  • Practice Guidelines as Topic
  • Radiotherapy Planning, Computer-Assisted
  • Surveys and Questionnaires
  • Tomography, X-Ray Computed (methods)
  • United Kingdom
  • Uterine Cervical Neoplasms (diagnostic imaging, pathology, radiotherapy)

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