Carrie Margaret Rochman MD, Presenter: Nothing to Disclose

Shayna Showalter, Abstract Co-Author: Nothing to Disclose

Timothy Norman Showalter MD, Abstract Co-Author: Nothing to Disclose

Heather Renee Peppard MD, Abstract Co-Author: Consultant, Siemens AG Research Grant, Hologic, Inc

Brandi Tamara Nicholson MD, Abstract Co-Author: Stockholder, Hologic, Inc

Jennifer A. Harvey MD, Abstract Co-Author: Researcher, Hologic, Inc Researcher, VuCOMP, Inc Researcher, Volpara Solutions, Ltd Shareholder, Volpara Solutions, Ltd Shareholder, Hologic, Inc

Accelerated Partial Breast Irradiation (APBI) is a group of rapidly evolving techniques for the delivery of localized radiation therapy to a lumpectomy bed following breast conservation for breast cancer. ABPI is gaining popularity as an alternative to whole breast irradiation due to shortened length of treatment and decreased toxicity to the breast, heart, and lung. As the entire breast will not receive radiation, it is essential to exclude multi centric disease. The radiologist plays a critical role in patient selection and follow up. The purpose of this exhibit is to review current data available on APBI techniques, review criteria for patient selection, and review spectrum of post treatment imaging findings. Images from our institution will illustrate teaching points.

1. Review of APBI Techniques     a. Interstitial Brachytherapy     b. Catheter and Balloon Brachytherapy     c. Intraoperative Radiotherapy     d. External Beam Conformal Radiation Therapy 2. Consensus Statements and Patient Selection     a. ASTRO Consensus Statement 2009     b. Radiologist's Role in Patient Selection     c. Exclusion Criteria Including Multicentric Disease     d. Role of Pretreatment MRI 3. Spectrum of Post APBI Imaging Findings     a. Lumpectomy Bed     b. Surrounding Tissues     c. Ipsilateral Breast Tumor Recurrence  

http://abstract.rsna.org/uploads/2014/14019466/14019466_4huv.pdf

Rochman, C, Showalter, S, Showalter, T, Peppard, H, Nicholson, B, Harvey, J, Accelerated Partial Breast Irradiation: What the Radiologist Needs to Know.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14019466.html