Imaging for early stage breast cancer

Multicatheter-interstitial Brachytherapy for APBI

1. We recommend that APBI with image-guided multi-catheter brachytherapy after BCS should be completed in preferably less than 12 weeks (no later then 20 weeks) after BCS, as better local tumor control and survival can probably be expected.

2. Boost brachytherapy should follow WBI as soon as possible within 4 weeks depending on the extent and grade of skin inflammation after WBI

3. The patient selection for APBI alone among patients with early breast cancer should be performed according to the GEC-ESTRO- and ASTRO guidelines.

MOVIE

4. Furthermore we advise to perform the target definition in accordance with current published GEC-ESTRO guidelines.

University Hospital Erlangen