In This Issue
Strut-Based Brachytherapy Yields Low Toxicity
Educating Primary Care Physicians
Treating DCIS with APBI
Post-Lumpectomy Radiation in Older Patients
Preoperative Breast MRI
Use of APBI in Patients with CVD
Multidisciplinary Breast Cancer Care
BrachyBytes Editorial Advisory Board

Deanna Attai, M.D.

Robert Kuske, M.D.

Jay Reiff, Ph.D.

Dan Scanderbeg, Ph.D.
Catheryn Yashar, M.D.

Vic Zannis, M.D.

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is a unique online resource featuring web-based presentations from APBI experts exploring the data for breast brachytherapy efficacy, safety and treatment.      

Visit to watch presentations, download slides and other supporting materials, and register for updates on future presentations. BEST Forum



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Hot Topics in APBI: 2012 in Review 

Throughout the year, BrachyBytes features experts discussing a range of cutting edge topics in the breast brachytherapy field, from the use of APBI in specialized patient populations to the latest data on strut-based brachytherapy.

In case you missed them, here’s a look at some of the top stories from 2012.

To view full issues of BrachyBytes, click here.

Strut-Based Brachytherapy Yields Low Toxicity

The largest toxicity study of patients who have received APBI with the SAVI applicator was presented at the American Society for Radiation Oncology (ASTRO) meeting in October. Radiation oncologist Robert Hong, MD, discusses how the results compare to other forms of breast brachytherapy and what they mean for the future of strut-based brachytherapy. Full story

Educating Primary Care Physicians
Primary care physicians are often on the front lines of breast cancer detection for their patients. As a result, many surgeons and radiation oncologists find it helpful to actively engage with PCPs in their communities to establish referral relationships and keep them informed about advances in breast cancer treatment.Breast surgeons Deanna Attai, MD, FACS, and Molly Sebastian, MD, FACS, and radiation oncologist Eugene Shieh, MD, reveal how they educate their primary care colleagues and why they believe it’s important – both for growing their practices and improving patient care. Full story

Treating DCIS with APBI: The Debate Continues
Offering APBI as part of breast conservation therapy (BCT) for patients with ductal carcinoma in situ (DCIS) has been an ongoing controversy in the treatment of early-stage breast cancer. Radiation oncologist John Einck, MD, and breast surgeon Kerri Perry, MD, FACS, talk about their groundbreaking study – the largest study of DCIS patients treated with APBI to date. Full story

Post-Lumpectomy Radiation in Older Patients
While some research indicates women over 70 with early-stage breast cancer receive limited benefits from post-lumpectomy radiation, other studies suggest radiation is an integral part of BCT for all ages. Radiation oncologist John Hayes, Jr., MS, MD, shares his views, including why the reduced risk of recurrence is clinically significant in their subgroup of patients. Full story

Preoperative MRI in Breast Cancer Management
The use of preoperative breast MRI for newly diagnosed breast cancer patients remains a complex and controversial topic. Breast surgeon Victor J. Zannis, MD, FACS, discusses how he utilizes MRI in his own practice and the role it should play in the APBI patient selection process. Full story

Use of APBI in Patients with Collagen Vascular Disease
While many physicians view radiation therapy to be contraindicated in patients with collagen vascular disease (CVD), a paper published in Brachytherapy presents a possible alternative for patients with a strong desire for breast conserving treatment. Radiation oncologist S. Eric Olyejar, MD, shares his experience treating CVD patients with APBI, including patient selection, dosimetric parameters and long-term follow-up. Full story

Multidisciplinary Care: Where Do You Fit In?
Breast cancer treatment involves a number of different specialties, and evidence is mounting that a multidisciplinary approach to care can have significant benefits for both patients and medical professionals.Breast surgeon Michael Kinney, MD, talks about the role of medical oncologists in this coordinated approach to care, including how oncologists can be involved in decisions about radiation therapy. Full storyBreast surgeon Mark Gittleman, MD, discusses the “dance” that takes place between surgeons and radiation oncologists, who should lead and the importance of a team approach for a successful breast brachytherapy program. Full story
Happy Holidays  

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