In This Issue
Coordinating Brachytherapy with Oncoplastic Surgery
Use of CEDs with APBI
SAVI at 2011 AAPM
BrachyBytes Editorial Advisory Board

Robert Kuske, M.D.

Jay Reiff, Ph.D.
Dan Scanderbeg, Ph.D.
John Sweet, M.S. 
Catheryn Yashar, M.D.

Vic Zannis, M.D.

Upcoming Events
2011 Breast Cancer Symposium

September 8-10, 2011

San Francisco Marriott Marquis

San Francsico, CA



Follow-up Links

Past Issues
Cianna Medical
SAVI Sisters

Annals of Surgical Oncology

Breast Cancer Symposium

July/August 2011

Coordinating Brachytherapy with Oncoplastic Breast Surgery

Jane Kakkis, MDJane Kakkis, MD

In Parts 1 and 2 of our Oncoplastic Surgery series, breast surgeon Gail Lebovic, MD , and radiation oncologist Robert Kuske, MD , shared their views on oncoplastic surgery and the role of brachytherapy in this increasingly popular surgical approach.

In the final installment of our series, surgeon Jane Kakkis, MD, discusses her surgical techniques for combining a single-entry brachytherapy device with oncoplastic surgery, how SAVI works better than a balloon, and why localized radiation should be offered to women traditionally considered to be “high-risk.”

Plus, see photos from a case involving oncoplastic surgery and SAVI breast brachytherapy. Read more

Use of Spacer Balloons with APBI

Spacer balloons, are often placed at the time of lumpectomy to preserve the cavity, maintain a tract between the skin and cavity, and simplify delayed insertion of a single-entry brachytherapy device.

The use of these placeholders, including the associated risks and benefits, has been the subject of debate recently. In an article published online in the Annals of Surgical Oncology, radiation oncologist Robert Kuske, MD, FAACE, and surgeon Victor Zannis, MD, FACS, outline the limitations and challenges associated with spacer balloon utilization, including a significantly increased risk of infection. Read “Spacer Balloons prior to Partial Breast Irradiation: Helpful or Hurtful?”

In another article published in the same journal, surgeon Dennis Homes, MD, FACS, counters many of the arguments made by Drs. Kuske and Zannis and offers evidence that spacer balloons provide several technical advantages for APBI. Read “Ongoing Considerations of Cavity Evaluation Devices in the Treatment of Breast Cancer”

What is your opinion? Do spacer balloons offer important advantages, or do the limitations outweigh the advantages? Email us with your thoughts!

SAVI: Hot Topic at 2011 AAPMAAPM

A total of seven presentations featuring the SAVI applicator will be presented at this year’s joint meeting of the American Association of Physicists in Medcine (AAPM) and the Canadian Organization of Medical Physicists (COMP), July 31-August 4, 2011 in Vancouver.

Topics are varied and include development of a comprehensive quality assurance program, evaluation of interfraction motion, adherence to dosimetric criteria specified in the NSABP B-39/RTOG 0413 protocol and using SAVI to reduce dose to in situ pacemakers in patients with cancer of the left breast.

Click here to read abstracts for all seven SAVI presentations