Chino Junzo, Erickson Beth, Gaffney David, Hsu I-Chow, Kamrava Mitchell, Kim Yongbok, Niedermayr Thomas R, Roumeliotis Michael, Rownd Jason, Todor Dorin, Viswanathan Akila, Kidd Elizabeth A
Department of Radiation Oncology, Duke University School of Medicine, Durham, NC.
Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI.
Brachytherapy. 2025 Jul-Aug;24(4):463-478. doi: 10.1016/j.brachy.2025.05.001. Epub 2025 May 29.
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.
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.
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.
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.
美国近距离放射治疗学会（ABS）这份共识声明的目的是总结在宫颈癌近距离放射治疗的腔内植入中添加组织间插植针的重要注意事项。
一组包括医生和物理学家在内的妇科近距离放射治疗专家完成了调查，并多次进行线上会议，讨论和界定当前的实践与方法，以便为ABS群体总结这些内容。本文档由全体专家小组和ABS董事会起草、审核并批准。
混合式近距离放射治疗在宫颈癌近距离放射治疗中的应用越来越广泛。在纳入辅助组织间插植针时，有许多关键注意事项，包括应急资源、计划考量、施源器选择以及术前、术中和术后成像。此外，还讨论了通常会从混合式方法中受益的复杂病例的处理方法。
虽然混合式近距离放射治疗为宫颈癌近距离放射治疗带来了剂量学优势，但它增加了操作的复杂性。了解所需资源并明确注意事项有助于减轻一些挑战，提高操作成功率。
