BrachyBytes
In This Issue
Use of HDR Brachytherapy with Cardiac Implants
White Paper: Nursing Considerations for the SAVI Applicator
Revised ASBS Consensus Statement on APBI
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.

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November 2011

Use of HDR Brachytherapy with Cardiac Implants  

Jon Strasser, MD & Dayee Jacob, MS  SAVI Treatment Plan with Pacemaker

Breast conservation therapy with whole breast radiation may pose a significant problem for breast cancer patients with cardiac implants, particularly if the implant sits within the radiation field. If additional surgery is not performed to relocate the implant, radiation may not be able to be safely delivered without causing significant damage to the device.

To preserve the option of BCT for these patients and eliminate the need for multiple surgeries, physicians at Christiana Care Health System in Newark, Delaware, are pioneering the use of accelerated partial breast irradiation with the SAVI® applicator  for eligible patients with cardiac implants. Radiation oncologist Jon Strasser, MD, and senior medical physicist Dayee Jacob, MS discuss their  experience with this novel application of APBI with the SAVI device. Read more

White Paper: Nursing Considerations for the SAVI Applicator
Jami Creager, RN
Texas Oncology – Denton, Texas

Nurses play a critical role in the delivery of radiation therapy with the SAVI applicator. In addition to wound care and infection control, nurses are responsible for patient education, including explanation of the procedure and instructions for follow-up care.

In this white paper, radiation oncology nurse Jami Creager, RN of Texas Oncology in Denton, Texas, explains how a nurse’s involvement can significantly impact a patient’s experience throughout accelerated partial breast irradiation (APBI) treatment. Read more

Revised ASBS Consensus Statement on APBIHouston
In August, the American Society of Breast Surgeons released a revised consensus statement on accelerated partial breast irradiation. Among other changes, the revised statement:  
  • Notes that several studies published on interstitial and intracavitary brachytherapy have shown low local recurrence rates comparable to whole breast external beam radiation therapy. 
  • Includes ductal carcinoma in situ to the patient selection criteria, with the recommendation that patients age 50 years or older with DCIS are appropriate candidates for APBI.  
  • Highlights that multilumen catheter devices may provide more treatment planning flexibility and reduce dose delivered to the skin, pectoralis, and chest wall.

Read ASBS Consensus Statement on APBI