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Clinical implementation of a new electronic brachytherapy system for skin brachytherapy
Although surgery is usually the first-line treatment for nonmelanoma skin cancers, radiotherapy (RT) may be indicated in selected cases. Radiation therapy as primary therapy can result in excellent control rates, cosmetics, and quality of life. Brachytherapy is a radiation treatment modality that of...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4300364/ https://www.ncbi.nlm.nih.gov/pubmed/25834587 http://dx.doi.org/10.5114/jcb.2014.47996 |
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author | Pons-Llanas, Olga Ballester-Sánchez, Rosa Celada-Álvarez, Francisco Javier Candela-Juan, Cristian García-Martínez, Teresa Llavador-Ros, Margarita Botella-Estrada, Rafael Barker, Christopher A. Ballesta, Antonio Tormo-Micó, Alejandro Rodríguez, Silvia Perez-Calatayud, Jose |
author_facet | Pons-Llanas, Olga Ballester-Sánchez, Rosa Celada-Álvarez, Francisco Javier Candela-Juan, Cristian García-Martínez, Teresa Llavador-Ros, Margarita Botella-Estrada, Rafael Barker, Christopher A. Ballesta, Antonio Tormo-Micó, Alejandro Rodríguez, Silvia Perez-Calatayud, Jose |
author_sort | Pons-Llanas, Olga |
collection | PubMed |
description | Although surgery is usually the first-line treatment for nonmelanoma skin cancers, radiotherapy (RT) may be indicated in selected cases. Radiation therapy as primary therapy can result in excellent control rates, cosmetics, and quality of life. Brachytherapy is a radiation treatment modality that offers the most conformal option to patients. A new modality for skin brachytherapy is electronic brachytherapy. This involves the placement of a high dose rate X-ray source directly in a skin applicator close to the skin surface, and therefore combines the benefits of brachytherapy with those of low energy X-ray radiotherapy. The Esteya electronic brachytherapy system is specifically designed for skin surface brachytherapy procedures. The purpose of this manuscript is to describe the clinical implementation of the new Esteya electronic brachytherapy system, which may provide guidance for users of this system. The information covered includes patient selection, treatment planning (depth evaluation and margin determination), patient marking, and setup. The justification for the hypofractionated regimen is described and compared with others protocols in the literature. Quality assurance (QA) aspects including daily testing are also included. We emphasize that these are guidelines, and clinical judgment and experience must always prevail in the care of patients, as with any medical treatment. We conclude that clinical implementation of the Esteya brachytherapy system is simple for patients and providers, and should allow for precise and safe treatment of nonmelanoma skin cancers. |
format | Online Article Text |
id | pubmed-4300364 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-43003642015-04-01 Clinical implementation of a new electronic brachytherapy system for skin brachytherapy Pons-Llanas, Olga Ballester-Sánchez, Rosa Celada-Álvarez, Francisco Javier Candela-Juan, Cristian García-Martínez, Teresa Llavador-Ros, Margarita Botella-Estrada, Rafael Barker, Christopher A. Ballesta, Antonio Tormo-Micó, Alejandro Rodríguez, Silvia Perez-Calatayud, Jose J Contemp Brachytherapy Review Paper Although surgery is usually the first-line treatment for nonmelanoma skin cancers, radiotherapy (RT) may be indicated in selected cases. Radiation therapy as primary therapy can result in excellent control rates, cosmetics, and quality of life. Brachytherapy is a radiation treatment modality that offers the most conformal option to patients. A new modality for skin brachytherapy is electronic brachytherapy. This involves the placement of a high dose rate X-ray source directly in a skin applicator close to the skin surface, and therefore combines the benefits of brachytherapy with those of low energy X-ray radiotherapy. The Esteya electronic brachytherapy system is specifically designed for skin surface brachytherapy procedures. The purpose of this manuscript is to describe the clinical implementation of the new Esteya electronic brachytherapy system, which may provide guidance for users of this system. The information covered includes patient selection, treatment planning (depth evaluation and margin determination), patient marking, and setup. The justification for the hypofractionated regimen is described and compared with others protocols in the literature. Quality assurance (QA) aspects including daily testing are also included. We emphasize that these are guidelines, and clinical judgment and experience must always prevail in the care of patients, as with any medical treatment. We conclude that clinical implementation of the Esteya brachytherapy system is simple for patients and providers, and should allow for precise and safe treatment of nonmelanoma skin cancers. Termedia Publishing House 2014-12-31 2015-01 /pmc/articles/PMC4300364/ /pubmed/25834587 http://dx.doi.org/10.5114/jcb.2014.47996 Text en Copyright © 2014 Termedia http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Paper Pons-Llanas, Olga Ballester-Sánchez, Rosa Celada-Álvarez, Francisco Javier Candela-Juan, Cristian García-Martínez, Teresa Llavador-Ros, Margarita Botella-Estrada, Rafael Barker, Christopher A. Ballesta, Antonio Tormo-Micó, Alejandro Rodríguez, Silvia Perez-Calatayud, Jose Clinical implementation of a new electronic brachytherapy system for skin brachytherapy |
title | Clinical implementation of a new electronic brachytherapy system for skin brachytherapy |
title_full | Clinical implementation of a new electronic brachytherapy system for skin brachytherapy |
title_fullStr | Clinical implementation of a new electronic brachytherapy system for skin brachytherapy |
title_full_unstemmed | Clinical implementation of a new electronic brachytherapy system for skin brachytherapy |
title_short | Clinical implementation of a new electronic brachytherapy system for skin brachytherapy |
title_sort | clinical implementation of a new electronic brachytherapy system for skin brachytherapy |
topic | Review Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4300364/ https://www.ncbi.nlm.nih.gov/pubmed/25834587 http://dx.doi.org/10.5114/jcb.2014.47996 |
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