ABSTRACT

In this chapter we shall discuss these topics as applied to the brachytherapy of prostate cancer. Although the methodology described below reflects (unavoidably) accepted practice at Memorial Sloan-Kettering Cancer Center (MSKCC), the emphasis is on those aspects that-at least in our view-should define standard of care in prostate brachytherapy. Currently, for instance, a majority of prostate implants appears to be performed using preplanned source distributions, while here we strongly advocate the use of intraoperative computer-optimized planning-a technique used routinely at MSKCC and at several other institutions.