eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
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4/2024
vol. 16
 
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abstract:
Original paper

COMIRI – COMplexity Index of interventional Radiotherapy (brachytherapy) Implants: assessment of procedures based on type, equipment, and team

Bruno Fionda
1
,
Elisa Placidi
2
,
Valentina Lancellotta
1
,
Enrico Rosa
2, 3
,
Martina De Angeli
1
,
Piotr Wojcieszek
4
,
Frank-André Siebert
5
,
Marco De Spirito
2, 6
,
Maria Antonietta Gambacorta
6, 7
,
Luca Tagliaferri
1, 6

  1. UOC Degenze di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
  2. UOC Fisica per le Scienze della Vita, Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
  3. eCampus University, Novedrate (CO), Italy
  4. Brachytherapy Department, Maria Skłodowska-Curie National Research Institute of Oncology Gliwice Branch, Wybrzez.e Armii Krajowej, Gliwice, Poland
  5. Clinic of Radiotherapy, University Hospital of Schleswig-Holstein, Campus Kiel, Germany
  6. Università Cattolica del Sacro Cuore, Rome, Italy
  7. UOC Servizio di Radioterapia Oncologica, Dipartimento di Diagnostica per Immagini e Radioterapia Oncologica, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
J Contemp Brachytherapy 2024; 16, 4: 306-309
DOI: https://doi.org/10.5114/jcb.2024.143223
Online publish date: 2024/09/20
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Historically, several classification systems have been used for brachytherapy, and they were based on the type of clinical purpose, type of implant and timing of the implant, dose-rate, and type of loading for treatment delivery. However, over the last decades, there have been some major technological advancements, including the introduction of image-guidance and possibility to modulate the dose delivered, which have led several authors (in order to highlight the differences between old technique and new approach) to label it in a different way by replacing “brachytherapy” with “interventional radiotherapy”. Modern interventional procedures involve several key aspects, which contribute to the complexity of implant phase, such as implant type, imaging used during the procedure, and role of multi-disciplinary team in operating room. By assigning scores to these procedural elements, it is possible to classify the procedure’s complexity using a COMIRI classification (COMplexity Index of interventional Radiotherapy Implants). The aim of the COMIRI classification system is to appropriately highlight the need for suitable resources based on the complexity level of different procedures in terms of personnel expertise, equipment availability, and multi-disciplinary teamwork.
keywords:

interventional oncology, interventional radiotherapy, brachytherapy

  
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