10 General Aspects of Head and Neck Brachytherapy

General Aspects of Head and Neck Brachytherapy

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THE GEC ESTROHANDBOOKOF BRACHYTHERAPY | Part II Clinical Practice Version 1 - 30/01/2019

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General Aspects of Head and Neck Brachytherapy Rafael Martínez-Monge, José Luis Guinot, Christine Haie-Meder

1. SUMMARY

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2. GENERALITIES

3. HEAD AND NECK BRACHYTHERAPY TODAY: AN HISTORICAL PERSPECTIVE

4. TOPOGRAPHY OF THE MAIN BRACHYTHERAPY SITES

4.1 Implantability

4.2 Special anatomical hazards

5. STAGING

5.1 Local and regional assessment

5.2 Metastatic workup

5.3 Non-oncological assessment

6. CLINICAL INDICATIONS OF HN BT

6.1 Brachytherapy alone

6.2 Brachytherapy combined with external irradiation or chemoradiation

6.3 Brachytherapy combined with surgery

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6.4 Brachytherapy combined with surgery and external irradiation or chemoradiation

7. IMPLANTATION

7.1 Staff

7.2 Techniques and rules

8. PLANNING

8.1 Timing and characteristics of the CT/MRI study

8.2 Target definition

8.3 OAR definition and tissue sparing devices

8.4 Catheter reconstruction

8.5 Dose prescription and dose evaluation

8.6 Dose calculation

8.7 Treatment Recording and Reporting 9. BRACHYTHERAPY MODALITIES

9.1 LDR 9.2 PDR 9.3 HDR

10. BRACHYTHERAPY IN PREVIOUSLY IRRADIATED CASES AND OTHER SPECIAL SCENARIOS

10.1 Types of previously irradiated cases

10.2 Special considerations on dose-volume parameters 11. PATIENT CARE DURING BRACHYTHERAPY

11.1 Nursing control

11.2 Implant check and treatment delivery

11.3 Medication and nutrition

12. IMPLANT REMOVAL

12.1 Safety concerns 12.2 Technique 12.3 Discharge orders

13. FOLLOW-UP 13.1 Schedule

13.2 Basic follow-up assessment 13.3 The follow-up team

14. KEY MESSAGES 15. REFERENCES