title: [End of the commercialisation of (192)Ir wires in France: proposals of the groupe de Curiethérapie de la SFRO].
abstract: In 2014, the production of iridium 192 wires in France ended. Thus brachytherapy departments had to move to high-dose rate and pulsed-dose rate afterloading techniques. Most of them had already made this migration for some indications, based on the habits and investments. The brachytherapy group organised meetings and opened discussions to share the clinical knowledge and answer to the questions raised by this migration. This made it possible to resolve and describe quite all the clinical and technical cases of brachytherapy. The development of high technology included the use of 3D dosimetry and optimisation of dose distribution and fractionation. The teaching policy of new technologies contributes to the improvement of treatment quality. Last but not least, a better reimbursement of brachytherapy is necessary and currently negotiated.
authors.affiliation: Département de radiothérapie, institut de cancérologie de Lorraine Alexis-Vautrin, 6, avenue de Bourgogne, 54519 Vandœuvre-lès-Nancy, France. Electronic address: d.peiffert@nancy.unicancer.fr.
authors.forename: D
authors.initials: D
authors.lastname: Peiffert
authors.affiliation: Département de radiothérapie oncologie, centre Antoine-Lacassagne, université Nice-Sophia, 33, avenue de Valombrose, 06000 Nice, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Hannoun-Lévi
authors.affiliation: Département de radiothérapie, institut de cancérologie de Lorraine Alexis-Vautrin, 6, avenue de Bourgogne, 54519 Vandœuvre-lès-Nancy, France.
authors.forename: S
authors.initials: S
authors.lastname: Oldrini
authors.affiliation: Département de radiothérapie, institut de cancérologie de Lorraine Alexis-Vautrin, 6, avenue de Bourgogne, 54519 Vandœuvre-lès-Nancy, France.
authors.forename: C
authors.initials: C
authors.lastname: Brunaud
mesh_terms: D001918:Brachytherapy / Q000191:economics / Q000295:instrumentation* / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends; D003132:Commerce; D004867:Equipment Design; D004864:Equipment and Supplies / Q000600:supply & distribution; D005602:France; D006801:Humans; D007496:Iridium Radioisotopes / Q000008:administration & dosage*; D009369:Neoplasms / Q000532:radiotherapy; D018787:Radiation Oncology / Q000458:organization & administration; D011879:Radiotherapy Dosage; D012955:Societies, Medical
chemical_list: D007496:Iridium Radioisotopes
keywords: Brachytherapy; Curiethérapie; Débit de dose pulsé; HDR; Haut débit de dose; Optimisation; PDR