Table 3.
Advantages and disadvantages of multi-catheter implant procedures
Criteria | IOB | POB |
---|---|---|
Patient comfort with regards to: | ||
Anesthesia | General +++ | Local + |
“Vectors in place” duration (days) | 10 to 15 | 4 to 5 |
Infectious risk | ++ | + |
Post-implant bleeding | + | + |
Avoiding second interventional procedure | +++ | + |
Local treatment duration | +++ | ++ |
Brachytherapist comfort with regards to: | ||
Anesthesia | General | Local or general |
Accuracy of identification of tumor bed and vectors placement | +++ | ++ |
Accuracy of evidence-based CTV delineation | ++ | +++ |
Quantity of breast volume irradiated (CTV vol) | + | +++ |
Organizational aspects with regards to: | ||
Pathology availability during procedure and fast pathology analysis | +++ | + |
Radiologist availability during procedure | + | ++ |
Treatment modification after post-op histology | +++ | + |
Breast surgery team and radiation oncology team in the same hospital | +++ | + |
Referred patient from another hospital | Not possible | Possible |