Peiffert D, Hannoun-Lévi J-M, Oldrini S, Brunaud C
Département de radiothérapie, institut de cancérologie de Lorraine Alexis-Vautrin, 6, avenue de Bourgogne, 54519 Vandœuvre-lès-Nancy, France.
Département de radiothérapie oncologie, centre Antoine-Lacassagne, université Nice-Sophia, 33, avenue de Valombrose, 06000 Nice, France.
Cancer Radiother. 2014 Oct;18(5-6):441-6. doi: 10.1016/j.canrad.2014.08.001. Epub 2014 Sep 16.
In 2014, the production of iridium 192 wires in France ended. Thus brachytherapy departments had to move to high-dose rate and pulsed-dose rate afterloading techniques. Most of them had already made this migration for some indications, based on the habits and investments. The brachytherapy group organised meetings and opened discussions to share the clinical knowledge and answer to the questions raised by this migration. This made it possible to resolve and describe quite all the clinical and technical cases of brachytherapy. The development of high technology included the use of 3D dosimetry and optimisation of dose distribution and fractionation. The teaching policy of new technologies contributes to the improvement of treatment quality. Last but not least, a better reimbursement of brachytherapy is necessary and currently negotiated.
2014年,法国停止了铱192线的生产。因此,近距离放射治疗科室不得不转向高剂量率和脉冲剂量率后装技术。基于习惯和投资,他们中的大多数已经针对某些适应症进行了这种转变。近距离放射治疗小组组织会议并展开讨论,以分享临床知识并解答这种转变带来的问题。这使得几乎所有近距离放射治疗的临床和技术案例都得以解决和描述。高科技的发展包括使用三维剂量测定法以及优化剂量分布和分割。新技术的教学政策有助于提高治疗质量。最后但同样重要的是,近距离放射治疗需要更好的报销政策,目前正在进行协商。