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Brachytherapy pp 221–234Cite as

Breast: Hungarian Experience and European Trend

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Abstract

Before the era of breast-conserving therapy, BT implants were used to treat large inoperable breast tumors. Later interstitial BT has been used to deliver an additional dose to the tumor bed after BCS and WBI. Based on the obvious dosimetric advantages of interstitial breast implants (over external beam techniques) supported by the encouraging results of modern boost series utilizing stepping-source afterloading technology, multicatheter HDR/PDR BT remains a standard treatment option for boosting the tumor bed after BCS and WBI.

APBI is an attractive treatment approach with considerable advantages over conventional WBI opening new prospects for interstitial breast BT. Contemporary APBI trials using interstitial BT with strict patient selection criteria resulted in an annual LR rate <1%.

Development of new standards for 3D CT image-based BT treatment planning together with the implementation of inverse dose planning will further improve the conformity of dose distribution delivered by multicatheter implants maximizing the ballistic advantage of interstitial breast BT.

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Author information

Authors and Affiliations

  1. Center of Radiotherapy, National Institute of Oncology, Budapest, Hungary

    Csaba Polgár

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  1. Csaba Polgár
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Correspondence to Csaba Polgár .

Editor information

Editors and Affiliations

  1. Radiation Oncology Department, The Cancer Institute Hospital of JFCR, Koto-ku, Tokyo, Japan

    Yasuo Yoshioka

  2. Department of Radiation Oncology, National Cancer Center Hospital, Chuo-ku, Tokyo, Japan

    Jun Itami

  3. Radiation Oncology Department, The Cancer Institute Hospital of JFCR, Koto-ku, Tokyo, Japan

    Masahiko Oguchi

  4. Department of Radiation Oncology, Gunma University, Maebashi, Gunma, Japan

    Takashi Nakano

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Polgár, C. (2019). Breast: Hungarian Experience and European Trend. In: Yoshioka, Y., Itami, J., Oguchi, M., Nakano, T. (eds) Brachytherapy. Springer, Singapore. https://doi.org/10.1007/978-981-13-0490-3_16

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  • DOI: https://doi.org/10.1007/978-981-13-0490-3_16

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-0489-7

  • Online ISBN: 978-981-13-0490-3

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