For APBI, do you prefer a brachytherapy or external beam technique?

I offer a variety of PBI techniques depending on situation and patient preference.

With respect to external beam, I primarily utilize a 30 Gy/5 fraction regimen delivered with VMAT (2-3 coplanar arcs). We use breath hold regardless of laterality and CBCT to reduce motion and reduce PTV expansions. Th...

For APBI at WashU we lean towards external beam. Over the years, the fraction of APBI patients that we elected to treat with brachytherapy has gone down from about half of our APBI volume to less than 10% largely driven by factors that @Dr. First Last lists. For patients eligible for APBI, we will o...

With guidance from @Dr. First Last, we have treated many patients this way in our community practice with confidence and good outcomes (albeit, very short follow up). BMDACC does use somewhat different CTV volumes than CCF (which are also different than Livi), but the technique is nearly identical. ...