Who's known for rectal brachy?

[thesauce]

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Curious if you guys can share some departments doing a high volume of rectal brachytherapy...?

Also is it generally HDR, LDR, or PLDR?

 

[fiji128]

I know MSKCC used to be known for this at one point in time several year back (still could be the case).

 

[Doctorer]

I don't think anyone is currently doing a lot in the United States: you have to look to Europe/Canada.

 

[thesauce]

I don't think anyone is currently doing a lot in the United States: you have to look to Europe/Canada.

Thanks. Who’s doing a lot of it in Europe or Canada?

 

[NotMattSpraker]

Why dont you reach out to the OPERA study authors? They would probably know.

Looks like this study was run by something called the ICONE group.

https://www.thelancet.com/journals/langas/article/PIIS2468-1253(22)00392-2/abstract

 

[macstjo15]

McGill in Montreal

Clinical applications of high dose rate endorectal brachytherapy for patients with rectal cancer - PubMed

With the establishment of total mesorectal excision for the treatment of rectal cancer, local recurrence rates have significantly decreased. The addition of preoperative external beam irradiation further reduces this risk to less than 6%. As the local treatment becomes successful and more widely...

pubmed.ncbi.nlm.nih.gov

 

[pikachu]

McGill in Montreal

Clinical applications of high dose rate endorectal brachytherapy for patients with rectal cancer - PubMed

With the establishment of total mesorectal excision for the treatment of rectal cancer, local recurrence rates have significantly decreased. The addition of preoperative external beam irradiation further reduces this risk to less than 6%. As the local treatment becomes successful and more widely...

pubmed.ncbi.nlm.nih.gov

McGill group used HDR with a cylinder applicator. Dose distribution very similar to vaginal cuff brachy. Versus the OPERA which i think is contact x-ray. I’ve always been curious about the contact x-ray dosimetry especially for more proximal tumors. Does anyone here have experience or references?

 

[Doctorer]

Thanks. Who’s doing a lot of it in Europe or Canada?

McGill, as mentioned above. They're using an HDR approach rather than the contact approach more commonly used in Europe. Less follow-up, but likely more interesting in some ways.

 

[medgator]

McGill, as mentioned above. They're using an HDR approach rather than the contact approach more commonly used in Europe. Less follow-up, but likely more interesting in some ways.

More applicable to the rest of us with standard HDR afterloaders and vaginal cylinder applicators

 

[weeknd]

Andrew Farach at Houston Methodist

 

[A_DeMichele]

is it just an unresectable pelvic mass, previously irradiated? a GYN person can do it well

 

[Gfunk6]

@thesauce

Did you find out any additional HDR Rectal institutions in the US other than what was cited in this thread?

 

[evilbooyaa]

Reach out to your local tertiary referral center. Try to get in touch w/ the brachy doc who is willing to place the Ir-192 next to whatever, whenever. Happy to help identify a center as I'm curious about this myself, if you want to PM me general location you're located...

 

[thesauce]

@thesauce

Did you find out any additional HDR Rectal institutions in the US other than what was cited in this thread?

I heard (but haven’t confirmed) that Methodist in Houston was doing a fair bit