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Journal of Contemporary Brachytherapy
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1/2020
vol. 12
 
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abstract:
Educational article

Can brachytherapy be properly considered in the clinical practice? Trilogy project: The vision of the AIRO (Italian Association of Radiotherapy and Clinical Oncology) Interventional Radiotherapy study group

Luca Tagliaferri
1
,
Andrea Vavassori
2
,
Valentina Lancellotta
1
,
Vitaliana De Sanctis
3
,
Fernando Barbera
4
,
Vincenzo Fusco
5
,
Cristiana Vidali
6
,
Bruno Fionda
1
,
Giuseppe Colloca
1
,
Maria Antonietta Gambacorta
1, 7
,
Cynthia Aristei
8
,
Renzo Corvò
9
,
Stefano Maria Magrini
4

  1. U.O.C. di Radioterapia Oncologica, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica e Ematologia, Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Rome, Italy
  2. Department of Radiotherapy, IEO European Institute of Oncology IRCCS, Milan, Italy
  3. Department of Radiation Oncology, Sant’Andrea Hospital, “Sapienza” University, Rome, Italy
  4. Radiation Oncology Department, Spedali Civili Hospital and Brescia University, Brescia, Italy
  5. Department of Radiation Oncology, Centro di Riferimento Oncologico Regionale, Rionero in Vulture, Potenza, Italy
  6. Radiation Oncology, Azienda Sanitaria Universitaria Integrata di Trieste (ASUITS), Trieste, Italy
  7. Istituto di Radiologia, Università Cattolica del Sacro Cuore, Rome, Italy
  8. Radiation Oncology Section, Department of Surgery and Biomedical Science, University of Perugia and Perugia General Hospital, Perugia, Italy
  9. Radiation Oncology Department, IRCCS Ospedale Policlinico San Martino and University of Genoa (DISSAL), Genoa, Italy
J Contemp Brachytherapy 2020; 12, 1: 84–89
DOI: https://doi.org/10.5114/jcb.2020.92765
Online publish date: 2020/02/28
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Purpose
Brachytherapy (BT, interventional radiotherapy – IRT) is a kind of radiation therapy, in which the radioactive source is placed nearby or even inside the cancer itself. Even though this kind of radiation therapy appears effective and valuable, BT has been facing a slow but progressive decline over the past decades in Europe, particularly in Italy. Aims of this study were to identify the practical and theoretical reasons why BT is facing a slow decline in Italy, and to define a vision of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) and a strategy about this emerged issues.

Material and methods
A programmatic path divided into three steps like a trilogy was launched by AIRO Interventional Radiotherapy study group. The study group performed an initial data collection to highlight both the clinical and the educational topics and problems through specific surveys. After having analyzed the results of the surveys and shared a vision about the emerged issues, a specific strategy was adopted.

Results
Four relevant domains were identified and for each ones, a strategy has been discussed and defined. This manuscript shows in detail the individual actions defined (accomplished or in progress).

Conclusions
The AIRO vision implies that specific strategic interventions must be carried out in the field of national guidelines, education, research, and communication with patients and colleagues of other specialties in an interdisciplinary setting.

keywords:

interventional radiotherapy, brachytherapy

  
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