Inverse planning and inverse implanting for breast interstitial brachytherapy. Introducing a new anatomy specific breast interstitial template (ASBIT)

Efstratios Karagiannis; Agnes Leczynski; Nikolaos Tselis; Emmanouil Psanis; Oliver Steckenreiter; Natasa Milickovic; Dimitra Bon; Iosif Strouthos; Konstantinos Ferentinos; Peter Hass; Günther Gademann; Dimos Baltas; Nikolaos Zamboglou

doi:10.1016/j.radonc.2018.06.003

Inverse planning and inverse implanting for breast interstitial brachytherapy. Introducing a new anatomy specific breast interstitial template (ASBIT)

Radiother Oncol. 2018 Sep;128(3):421-427. doi: 10.1016/j.radonc.2018.06.003. Epub 2018 Jun 19.

Affiliations

¹ Department of Radiation Oncology, German Oncology Center, Limassol, Cyprus. Electronic address: [email protected].
² Department of Radiation Oncology, German Oncology Center, Limassol, Cyprus.
³ Department of Radiation Oncology, Radiotherapy and Oncology, J. W. Goethe University, Frankfurt am Main, Germany.
⁴ Department of Electrical Engineering and Computer Science, University of Liege, Montefiore Institute, Belgium.
⁵ Medcom GmbH, Darmstadt, Germany.
⁶ Department of Radiation Oncology, Sana Klinikum Offenbach, Offenbach am Main, Germany.
⁷ Institute of Biostatistic and Mathematical Modeling, J. W. Goethe University, Frankfurt am Main, Germany.
⁸ Department of Radiation Oncology, Medical Center, University of Freiburg, Germany.
⁹ Department of Radiation Oncology, Otto-von-Guericke University Medical School, Magdeburg, Germany.
¹⁰ Division of Medical Physics, Department of Radiation Oncology, Medical Center, University of Freiburg, Faculty of Medicine and German Cancer Consortium (DKTK), Partner Site, Freiburg, Germany.
¹¹ Department of Radiation Oncology, German Oncology Center, Limassol, Cyprus; Department of Radiation Oncology, Radiotherapy and Oncology, J. W. Goethe University, Frankfurt am Main, Germany.

PMID: 29934109
DOI: 10.1016/j.radonc.2018.06.003

Abstract

An innovative template, based on thoracic cage surface reconstructions for breast interstitial brachytherapy was developed. Hybrid-inverse-planning-optimisation-based implantations and brachytherapy plans, using three custom anthropomorphic breast phantoms, were utilised for its validation. A user independent, inverse planning and inverse implanting technique is proposed.

Keywords: ASBIT; Breast cancer; Breast template; HDR brachytherapy; Inverse implanting; Inverse planning.

MeSH terms

Adult
Aged
Algorithms
Anthropometry / methods
Brachytherapy / instrumentation
Brachytherapy / methods*
Breast / anatomy & histology
Breast Neoplasms / diagnostic imaging
Breast Neoplasms / radiotherapy*
Female
Humans
Middle Aged
Phantoms, Imaging
Radiometry / methods
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted / methods*
Tomography, X-Ray Computed