Year: 2025
Type: article
Abstract: The goal of this report is to assist the clinical medical physicist in assuring that key quality standards and practice considerations are met to ensure safe, reliable, and reproducible high dose rate (HDR) brachytherapy (BT) treatment. This guideline has been developed to provide appropriate minimum standards for such services. The secondary goal is to provide recommendations to the regulatory community from the experts to guide the adoption of regulations in the future. This MPPG is limited to iridium‐192‐based HDR brachytherapy and will not discuss electronic, low‐dose rate, pulsed dose rate brachytherapy, or any alternative radionuclide. Scope This MPPG 13a report is divided into two parts. Part A has been previously published 1 and describes the infrastructure and program design in the creation of an afterloader‐based HDR brachytherapy program. This publication, Part B, describes the clinical treatment processes including site‐specific imaging, planning, and treatment delivery. MPPG 13a Part B starts with the arrival of the patient to the clinic and concludes with emergency procedures and error mitigation. Disclaimer It is the responsibility of all healthcare staff to be familiar with state and federal guidelines that may take precedence over AAPM recommendations that are provided in this report. Each health care facility may have site‐specific or state‐mandated needs and requirements that may modify their usage of these recommendations.
DOI: 10.1002/acm2.70118
Authors: Susan L. Richardson, Arjit K. Baghwala, Gil'ad N. Cohen, Claire Dempsey, Bruce Libby, Christopher S. Melhus, Robin A. Miller, Daniel J. Scanderbeg, Samantha J. Simiele
Institutions: Swedish Medical Center, Houston Methodist, New York University, University of Washington, Calvary Mater Newcastle Hospital, Moffitt Cancer Center, Tufts University, Tufts Medical Center, Northwest Hospital and Medical Center, University of California San Diego, University of Alabama at Birmingham
Language: English
Subfield: Radiation
Field: Physics and Astronomy
Domain: Physical Sciences
Open Access status: gold
Estimated APC paid: $900
OpenAlex ID: W4411769754