In This Issue

Breast MRI – Part 1

Breast MRI – Part 2

Radiation Safety

Placement Techniques



Patient Education


Social Media

Ideal PTV

BrachyBytes Editorial Advisory Board

Robert Kuske, M.D.

Coral Quiet, M.D
Jay Reiff, Ph.D.
Dan Scanderbeg, Ph.D.
John Sweet, M.S.

Catheryn Yashar, M.D.

Vic Zannis, M.D.


Follow-up Links

Past Issues
Cianna Medical
SAVI Sisters


D e c e m b e r  2 0 1 0
H a p p y h o l i d a y s & b e s t w i s h e s  i n
t h e  n e w  y e a r!
~F r o m  t h e  C i a n n a  M e d i c a l  T e a m~


Hot Topics in APBI: A Year in Review

From radiation safety concerns to conflicting patient selection guidelines, 2010 has seen no shortage of discussion topics among healthcare professionals who offer APBI.

In case you missed them, here are our top stories from 2010, featuring some of today’s leading brachytherapy experts discussing:

To view full issues of BrachyBytes, click here.

Breast MRI & APBI Patient Selection – Part 1
Breast surgeon Julie Barone, D.O. of Oncology Associates of San Diego and Comprehensive Breast Care of San Diego explains her views on preoperative breast MRI, and why she wouldn’t recommend APBI without one. Full story

Breast MRI & APBI Patient Selection – Part 2
Breast surgical oncologist Michael Berry, M.D., F.A.C.S., shares his more conservative approach to breast MRI, citing MRI’s tendency to overestimate the extent of disease without increasing survival rates as one reason it’s a “useful but overutilized” modality. Full story

Radiation Safety
Following the January 2010 report in The New York Times on the rising incidence of medical radiation errors, Cianna Medical’s Chief Science Office James B. Stubbs, Ph.D., speaks out about improving radiation safety as technology evolves – and what every physician and physicist should expect to receive from its technology vendors. Full story

SAVI Placement Techniques
Percutaneous placement under ultrasound guidance, or using the SAVI Prep Catheter in the OR? Surgeon Gildy Babiera, M.D., F.A.C.S. of the MD Anderson Cancer Center discusses the advantages and disadvantages of each method, as well as why collaboration between surgeons and radiation oncologists is the key to quality patient care. Full story

APBI Reimbursement
Overlooking key reimbursement considerations can significantly impact any practice’s ability to offer the benefits of 5-day radiation therapy. Kathy Francisco of The Pinnacle Health Group – one of the nation’s leading reimbursement consulting groups – reveals what every physician needs to know about APBI reimbursement. Full story

APBI Appropriate for DCIS?
The use of APBI to treat DCIS was one of the year’s most controversial topics, partially due to conflicting guidelines from various professional organizations. Two of the nation’s most renowned brachytherapy experts – surgeon Peter Beitsch M.D. and radiation oncologist Rakesh Patel, M.D. – offer their insights on this divisive topic. Full story

Patient Education
Nurses at the UC San Diego Moores Cancer Center developed a patient education program to reduce anxiety for women undergoing APBI with SAVI. Nurse Eva Bariuan shares her insights – as both a healthcare provider and a breast cancer survivor – on the important of patient education. Full story

Hypofractionation & BCT
In August, ASTRO published evidence-based guidelines for the use of hypofractionated whole breast irradiation. Radiation oncologist Nadim Nasr, M.D. of Virginia Hospital Center discusses his views on the guidelines and the potential impact hypofractionation will have on the breast cancer treatment paradigm. Full story

Social Media in Healthcare
Despite the popularity of social media, many healthcare professionals aren’t exactly sure how they might tap into the social web to reach business goals. This article provides five examples of how social media can work for hospitals and others in the healthcare industry. Full story
Plus: See how three SAVI Centers of Excellence have incorporated social media into their practices.

Ideal Planning Treatment Volumes
Radiation oncologist Catheryn Yashar, M.D. of UC San Diego discusses her thoughts on claims that balloon devices can treat an equivalent 1.5 cm of tissue based on her research of ideal and published irradiation treatment volumes of various breast brachytherapy devices. Full story