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The American Brachytherapy Society (ABS) consensus guidance for hybrid intracavitary interstitial brachytherapy for locally advanced cervical cancer. Brachytherapy 2025;24(4):463-478

Date

05/31/2025

Pubmed ID

40447530

DOI

10.1016/j.brachy.2025.05.001

Scopus ID

2-s2.0-105007037189 (requires institutional sign-in at Scopus site)   17 Citations

Abstract

PURPOSE: The purpose of this consensus statement from the American Brachytherapy Society (ABS) is to summarize important considerations for adding interstitial needles to intracavitary implants for cervix cancer brachytherapy.

METHODS: A panel of experts in Gynecologic Brachytherapy, including both physicians and physicists completed surveys and met virtually on multiple occasions to discuss and define current practices and approaches in order to summarize these for the ABS community. This document was drafted, reviewed and approved by the full panel and the ABS Board of Directors.

RESULTS: Hybrid brachytherapy is increasingly being utilized in cervix brachytherapy. In incorporating supplementary interstitial needles there are numerous key considerations including resources for an emergency, planning considerations, applicator selection, and pre-, intra- and postprocedural imaging. Additionally, approaches to challenging cases that would often benefit from a hybrid approach are discussed.

CONCLUSIONS: While hybrid brachytherapy offers dosimetric advantages for cervix brachytherapy, it increases procedure complexity. Being aware of the necessary resources and defining considerations can help mitigate some of the challenges and improve procedural success.

Author List

Chino J, Erickson B, Gaffney D, Hsu IC, Kamrava M, Kim Y, Niedermayr TR, Roumeliotis M, Rownd J, Todor D, Viswanathan A, Kidd EA

Authors

Beth A. Erickson MD Professor in the Radiation Oncology department at Medical College of Wisconsin
Jason Rownd MS Instructor in the Radiation Oncology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Brachytherapy
Female
Humans
Radiotherapy Dosage
Societies, Medical
United States
Uterine Cervical Neoplasms