ABSTRACT

High dose rate (HDR) brachytherapy is an established and rapidly advancing technique used to deliver highly conformal doses of radiation in the treatment of prostate cancer. Remote afterloading devices using high activity iridium-192 (192Ir) sources are commonly used in a variety of centers throughout the world, making HDR prostate brachytherapy increasingly available to many patients. This chapter is intended to provide the reader with a basic understanding of HDR implants, including appropriate patient selection, implant techniques, and outcomes. The rationale for the use of HDR brachytherapy in prostate cancer is discussed, as are areas for future research and development.