UK brachytherapy centres
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Brachytherapy centres in this region:
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Brachytherapy centres in this region:
Brachytherapy centres in this region:
Brachytherapy centres in this region:
Brachytherapy centres in this region:
Brachytherapy centres in this region:
Brachytherapy centres in this region:
Brachytherapy centres in this region:
Berkshire Cancer Centre
Royal Berkshire Hospital
London Road
Reading
RG1 5AN
0118 322 7888
Cancer Network:
Thames Valley Cancer Network
SHA:
South Central
Contact details for brachytherapy team:
Dr Paul Rogers (Consultant Oncologist) Secretary 0118 322 7686
Mary Hill (Clinical Nurse Specialist)
Janet Forgenie (Clinical Nurse Specialist)
Brachytherapy implant techniques offered:
All procedures use the Intraoperative/Live single state technique
Numbers of brachytherapy procedures undertaken:
2008: 63
Projected for 2009: 70
Kent Oncology Centre - Maidstone Hospital
Hermitage Lane
Maidstone
Kent
ME16 9QQ
01622 729000
www.kentandmedway.nhs.uk
Cancer Network:
Kent Cancer Network
SHA:
South Thames
Contacts for the brachytherapy team
Clinicians: Dr Sharon Beesley, Dr Carys Thomas
Nurse Specialist: Sr Heather Pagden (tel 01622 224021, pager 07699 721061)
Brachytherapy radiotherapists: Heather Dias, Sarah Hodgkinson (pager 07659 100890)
Brachytherapy implant technique(s) offered
Pre-plan only
I125
Numbers of brachytherapy procedures undertaken
Service initiated late October 2006. 7 patients implanted.
Currently undertaking one procedure per fortnight.
2008: 26
Projected for 2009: 40
Clinical outcomes and dosimetry
In process
Examples of best practice approaches
Treating (implanting) as day case procedure
Examples of patient information (or link to an appropriate website)
Booklet form only currently, www.kentandmedway.nhs
The Prostate Brachytherapy Centre
Royal Surrey County Hospital
Egerton Road
Guildford
Surrey
GU2 5XX
01483 571122
www.royalsurrey.nhs.uk / www.prostatebrachytherapycentre.com
Contact
Stephen Langley (Urologist) Tel 01483 575511
Robert Laing (Clinical Oncologist) Tel 01483 555961
Julian Money-Kyrle (Clinical Oncologist) Tel 01483 571122
Sara Khaksar (Clinical Oncologist) Tel 01483 571122
Donna Higgins/Claire Deering (Urology & brachytherapy Nurse Specialists) - Tel 01483 571122 x2058, Bleep 76-6511
Brachytherapy implant technique(s) offered
Guildford Pre-planned Implant Technique
Guildford Dynamic Real-Time Planning Technique
Numbers of brachytherapy procedures undertaken
2005: 213
2006: 221
2007: 242
2008: 201
Projected for 2009: 250
Clinical outcomes/post-implant dosimetry data
5-year biochemical relapse-free survival 92% on analysis of first 300 treated patients
Day 1 Post-Implant CT-based Dosimetry - D90 > 90% in 99% of cases.
Retention Rate - 3%, TURP - 2%, Incontinence <1%, Erectile Function Preservation > 70 % at 2 years, > 80% at 1 year with latest brachytherapy technique, data presented at International meeting in Berlin (EAU) 2007.
See published papers
Guildford outcomes at 5 years of 300 patients treated with brachytherapy
Guildford data on patients treated with interstitial LDR brachytherapy and high risk prostate cancer
Outcomes of first 216 patients treated in Guildford
Outcomes of the first 100 patients treated in Guildford and patient selection strategies
Data on 1000+ patients in Europe
Outcomes on over 1000 patients treated in Europe
Examples of best practice approaches
One-night hospital stay in > 95% of patients
Intra-operative Dose Feedback possible with Guildford Real-Time technique, without risk of seed migration Suitable for patients with previous prostate surgery (TURP)
Cytoreductive androgen deprivation (hormone) therapy used where pubic arch interference may preclude satisfactory implant
Pre-implant Mini-TURP performed on selected patients to minimise urinary symptoms post implant if required
Regular audits / publication of implant technique, biochemical outcome and Post Implant CT dosimetry
See published papers here:
Review of the benefit of brachytherapy over surgery 2006 from Guildford
brachytherapy review from Guildford 2004
brachytherapy review from Guildford 2002
Examples of patient information
Extensive patient centred website with downloadable booklets on prostate cancer in general and prostate brachytherapy in particular - see www.prostatecancercentre.com
Pdfs of booklets:
Patients guide to brachytherapy
Patients guide to prostate cancer
Web based Patients Treatment Selector, helping patients to choose between the many possible treatment options for prostate cancer and comparing their outcomes and possible side effects; see www.prostatecancercentre.com/treatmentselector
Patients DVD explaining the technique of brachytherapy with patients describing their experiences
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Website dedicated to patients information on prostate brachytherapy www.prostatespecialist.co.uk
Local prostate cancer charity, raising money to help fund our extensive research program into improving treatments for prostate cancer, based in Guildford at the University of Surrey To date over £2m fund raised. www.prostate-project.org.uk
Brochure for pts TURP (TransUrethral Resection of the Prostate)
The Prostate Brachytherapy Centre
Royal Surrey County Hospital
Egerton Road
Guildford
Surrey
GU2 5XX
01483 571122
www.royalsurrey.nhs.uk / www.prostatebrachytherapycentre.com
- Click here to view A Patient's Guide to Prostate Cancer
- Click here to view A Patient's Guide to Prostate Brachytherapy
- Click here to view A Patient's Guide to TURP
St Mary's Hospital
Milton Road
Portsmouth
PO3 6AD
023 9228 6000
Derriford Hospital
Derriford Road
Crownhill
Plymouth
Devon
PL6 8DH
01752 777111
0845 155 8155
www.plymouthhospitals.nhs.uk/
Contacts for the brachytherapy team
Clinical nurse specialist: Vanessa Wilcox 01752 245228
Physician: Dr Sarah Pascoe (Tel: 01752 763982) email sarah.Pascoe@phnet.swert.nhs.uk
Consultant Urologist: Mr Salvo Natale
Consultant: Mr Derek Hart
Additional oncologist performing implants: Dr Francis Daniel
Brachytherapy implant technique(s) offered
Both Offered: Pre-plan and Intra-operative
Numbers of brachytherapy procedures undertaken
Service set up November 2006.
2007: 40
2008: 41
Projected for 2009: 50-60
Will be offered as service to SW peninsula network from July 2007.
Examples of best practice approaches
State of the art equipment.
Mentored by both Leeds and Glasgow clinicians.
Examples of patient information (or link to an appropriate website)
www.plymouthhospitals.nhs.uk/ourservices/healthcareprofessionalsguide/Pages/Urology.aspx
Prostate Brachytherapy leaflet
Dorset Cancer Center
Poole Hospital
Longfleet Road
Poole
Dorset
BH15 2JB
www.poole.nhs.uk
Cancer Network:
Dorset
SHA:
South West
Contacts for the brachytherapy team
Physician: Dr P Crellin (perric.crellin@poole.nhs.uk)
Physician: Dr Andrew Wedderburn (andrew.wedderburn@rbh.nhs.uk)
Radiographer: Dr Gillian McNeillie (gillian.mcneillie@poole.nhs.uk)
Radiographer: Dr Karen Bew (karen.bew@poole.nhs.uk)
Brachytherapy implant techniques offered:
2 stage iodine 125 seeds
Numbers of brachytherapy procedures undertaken
Month of first implant: November 2007
2008: 41
Projected for 2009: 50
Examples of patient information:
Velindre Cancer Centre
Velindre Hospital
Whitchurch
Cardiff
CF14 2TL
Tel: 02920 615888
Fax: 02920 522694
www.wales.nhs.uk/sites3/home.cfm?orgid=357&redirect=yes
Contact details for brachytherapy team:
Jim Barber, Consultant Clinical Oncologist
Brachytherapy implant techniques offered:
LDR prostate brachytherapy - one-stage procedure.
Numbers of brachytherapy procedures undertaken:
Brachytherapy centre opened in 2007.
2008: 40
Projected for 2009: 40
The Cancer Centre
Belfast City Hospital
51 Lisburn Road
Belfast
BT9 7AB
Cancer Centre Main Switchboard: (028) 9069 9069
Oncology Chemotherapy Advice Helpline (24 hour): (028) 9026 3805
Website: www.belfasttrust.hscni.net
Title:
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Royal United Hospital
Combe Park
Bath
BA1 3NG
01255 428331
www.ruh-bath.swest.nhs.uk
Contact information for the brachytherapy team
Mr J McFarlane, Consultant Urologist
Brachytherapy implant technique(s) offered
Numbers of brachytherapy procedures undertaken
Bath currently provides the Network brachytherapy Service for patients in Avon, Somerset and Wiltshire. In addition they take some referrals from South Gloucestershire, South Wales, Devon and Cornwall.
They now perform approximately 30 implants per year, and have the capacity to more than double this number if additional funding becomes available from the Primary Care Trusts.
Clinical outcomes and dosimetry
Examples of best practice approaches
Examples of patient information (or link to an appropriate website)
Southampton General Hospital
Southampton Oncology Centre
B Level Mailpoint 301
Southampton General Hospital
Tremona Road
Southampton
SO16 6YD
02380 798568
Contact details for brachytherapy team:
Dr C Heath: 02380 794266
Sister Jane Caruana: 02380 825779
Brachytherapy implant techniques offered:
Currently pre-plan, moving to intra-operative
Numbers of brachytherapy procedures undertaken:
Completed to date: 40
Projected for 2009: 20
Cromwell Hospital (Private)
BUPA Cromwell Hospital
Cromwell Road
London
SW5 0TU
0207 460 5629
www.cromwellhospital.com
Contact
Brachytherapy is carried out jointly between Medical Physics Team, BUPA Cromwell Hospitaland clinicians from Guy's and St Thomas' NHS Trust:
Dr Rick Popert (Urologist)
Dr Ron Beaney (Clinical Oncologist)
Dr Steven Morris (Clinical Oncologist)
Brachytherapy co-ordinator - Lina Patel, Tel: 0207 460 5871
Brachytherapy implant technique(s) offered
Dynamic Intra-operative Dynamic Dose Feedback (Potters' Approach, New York Prostate Institute)
Numbers of brachytherapy procedures undertaken
2006: 18
2007: 6
2008: 14
Projected for 2009: 20
Clinical outcomes/post-implant dosimetry data
Intra operative Dosimetry D90 > 90% in 99% of cases, Confirmed on Post Implant CT dosimetry Retention Rate - 2%, Strictures - 0%, TURP - 1%, Erectile Function Preservation > 80 % at 18 months
Examples of best practice approaches
Independent post-surgery Dosimetry checking.
Single Visit Catheterless Day Case Procedure in > 90% of patients
Intraoperative Dynamic Dose Feedback Technique Suitable for patients with large prostates and previous prostate surgery (TURP)
36% of Patients have Prostate size > 50cc
XMR Dosimetry correlation between Intraoperative and Post Implant CT Dosimetry
Examples of patient information (or link to an appropriate website)
Cromwell Hospital Brachytherapy Patient Guide.pdf
Guy's & St Thomas' NHS Foundation Trust
Urology Centre
1st Floor Southwark Wing
Guy’s Hospital
St Thomas’ St
London
SE1 9RT
Tel 0207 188 6794 / Fax 0207 188 6793
www.guysandstthomas.nhs.uk
Contact
Rick Popert (Urologist) : Tel 0207 188 6794
Ron Beaney (Clinical Oncologist) : Tel 0207 188 6794
Steven Morris (Clinical Oncologist) : Tel 0207 188 6794
Netty Nichol (Prostate & brachytherapy Nurse Specialist) - Tel 0207 188 7188 Bleep 2393
Brachytherapy implant technique(s) offered
Dynamic Intra-operative Dynamic Dose Feedback
(Potters' Approach, New York Prostate Institute)
Numbers of brachytherapy procedures undertaken
2004: 25
2005: 50
2006: 67
2007: 55
2008: 36
Projected 2009: 65
Clinical outcomes/post-implant dosimetry data
Intra operative Dosimetry D90 > 90% in 99% of cases, Confirmed on Post Implant CT dosimetry
Retention Rate - 2%, Strictures — 0%, TURP - 1%, Erectile Function Preservation > 80 % at 18 months
Examples of best practice approaches
Single Visit Catheterless Day Case Procedure in > 90% of patients,Intraoperative Dynamic Dose Feedback Technique
Suitable for patients with large prostates and previous prostate surgery (TURP)
36% of Patients have Prostate size > 50cc
XMR Dosimetry correlation between Intraoperative and Post Implant CT Dosimetry
Guys hospital brachytherapy bibliography
Examples of patient information
The Modern Management of Localised Prostate Cancer:
What is Dynamic brachytherapy (Guy's 2007)
Guy's Dynamic Implant in Pictures:
Brachy Tips for Patients (Guy's 2007):
Animation of Dynamic Intra Operative Prostate Brachytherapy (Potters' technique)
Radio 4 Case Notes Radiology / Brachytherapy Programme
www.bbc.co.uk/radio4/science/casenotes_20070508.shtml
Princess Grace Hospital (Private)
42-52 Nottingham Place
London
W1U 5NY
020 7486 1234
www.theprincessgracehospital.com
Contact information for the brachytherapy team
Dr P N Plowman
Sister Jessica Lee (brachytherapy Coordinator)
Tel: 0207 486 1234 Bleep 53
Brachytherapy implant technique(s) offered
Per-operative, dynamic and interactive single stage.
London adaptation of original Seattle, low dose rate 125I seed technique.
Numbers of brachytherapy procedures undertaken
Approximately 30 - 40 per year
Projected 2009: 40
Clinical outcomes and dosimetry
Median PSA at 3 years = 0.2
Examples of best practice approaches
Dynamic monitoring of the implants, i.e. if a seed is misplaced the whole implant plan is re-configured such that subsequent seed placements take that one seed's new position into account, and this ensures a good implant
Reference: 'Recent London improvements in curative radiation therapy for relevant early prostate cancer'. Annals of the New York Academy of Sciences Review. 2007 (In press).
Examples of patient information (or link to an appropriate website)
www.theprincessgracehospital.com/search.php?searchterm=prostate+brachytherapy
The Royal Free Hospital NHS Trust
Pond Street
Hampstead
London
NW3 2QG
020 7794 0500
Fax: 020 7830 2468
Contact information for the brachytherapy team
Dr Katharine H Pigott MD FRCR FRCP - Consultant in Clinical Oncology
Mr Amir V Kaisary MA ChM FRCS - Consultant Urological Surgeon
Nurses and Patient Education: Specialist Nurses in Urology:
Emma Moynihan
David Cullen
Brachytherapy implant technique(s) offered
Intra-Operative (Live)
Numbers of brachytherapy procedures undertaken
2006: 27
2007: 37
2008: 48
Projected 2009: 60
Clinical outcomes/post-implant dosimetry data
Clinical outcome data: (1999-2006) 4 patients relapsed out of 120 patients. Out of the relapsed patients 2 patients underwent Salvage surgical prostatectomy successfully.
Examples of best practice approaches
One-stop Joint Urology Radiotherapy Clinic where the patient meets all members of the BXT Team together for an open discussion and if suitable, the patient date is booked. The nursing team can be contacted directly by telephone by patients for guidance and advice. Prostate volume reduction can be offered selectively, medically or surgically, in order to maximise the opportunity to patients who wish to pursue brachytherapy as their chosen therapeutic treatment modality.
Examples of patient information (or link to an appropriate website)
RFH brachytherapy patient education booklet.
Radiotherapy & Oncology Information Service
Tel: 020 7472 6739
Royal Marsden Hospital
Fulham Road
London
SW3 6JJ
0207 352 8171
St Bartholomew's Hospital
West Smithfield
London
EC1A 7BE
020 7377 7000
SHA
NHS London
Contact information for the brachytherapy team
LDR brachytherapy service started in 2007.
Contact: Mr Frank Chinegwundoh (Consultant Urologist)
Brachytherapy implant technique(s) offered
Intra-operative
Numbers of brachytherapy procedures undertaken
Actual 2008: 12
Projected 2009: 24
Examples of patient information (or link to an appropriate website)
St Mary's Hospital
Praed Street
London
W2 1NY
020 7886 6666
Addenbrooke's Hospital
Department of Clinical Oncology
Cambridge
CB2 2QQ
01223 216525
Contact details for brachytherapy team:
Physician: Dr Simon Russell
Physicist: Dr Jamie Fairfoul
Specialist Radiographer: Mrs Jo Treeby (01223 596330)
Brachytherapy implant techniques offered:
Pre plan and live inter-operative planning
Numbers of brachytherapy procedures undertaken:
2007: 30
2008: 28
Projected for 2009: 40
Mount Vernon Cancer Centre
Mount Vernon Hospital
Rickmansworth Road
Northwood
Middlesex
HA6 2RN
01923 826111
www.mvcn.nhs.uk/
Contact information for the brachytherapy team
Physicians: Prof P J Hoskin; Dr P Ostler
Radiographers: Linda Bryant; Caroline Chapman
Patient Education: Linda Jackson MacMillan Centre
Brachytherapy implant technique(s) offered
Preplan and intra-operative LDR permanent seed brachytherapy.
HDR temporary brachytherapy boost with external beam.
HDR temporary monotherapy brachytherapy.
Numbers of brachytherapy procedures undertaken
2006: 140
Projected 2007: 170
Projected 2009: 170
Examples of best practice approaches
Patient directed prostate support group via Linda Jackson MacMillan Centre.
All LDR brachytherapy audited centrally entered on Christie/Leeds/Mount Vernon database.
Active brachytherapy clinical trial centre for HDR brachytherapy.
Active European collaboration through GEC ESTRO prostate group.
Southend University Hospital
Prittlewell Chase
Westcliffe-on-Sea
SS0 0RY
Tel: 01702 221475
www.southend.nhs.uk
Contact information for the brachytherapy team
Lead clinician: Mr Richard Lodge
email : richard.lodge@southend.nhs.uk
Nurse specialists
Ann Tull, Sarah Barnicote, Petra Orebanno
Brachytherapy implant technique(s) offered
Rapid-strand 1125
Brachytherapy monotherapy and boost
Numbers of brachytherapy procedures undertaken
2006: 42
2007: 34
2008: 49
Projected for 2009: 50
Clinical outcomes and dosimetry
Audit data to follow
Examples of patient information (or link to an appropriate website)
Hospital website to follow (undergoing major revamp).
Cheltenham General Hospital
The brachytherapy Unit
Gloucestershire Oncology Centre
Cheltenham General Hospital
Cheltenham
Gloucestershire
CL53 7AN
Tel: 01242 274271
www.gloshospitals.nhs.uk
Contact information for the brachytherapy team
Urologist: Hugh Gilbert (hugh.gilbert@glos.nhs.uk)
Oncologist: Roger Owen (roger.owen@glos.nhs.uk)
Nurse: Zoe Eastman (zoe.eastman@glos.nhs.uk)
Secretary: Kathy Brown (kathy.brown@glos.nhs.uk)
Brachytherapy implant technique(s) offered
Pre-planned permanent radio-iodine seed implant (LDR)
Numbers of brachytherapy procedures undertaken
2007: 22
2008: 25
Projected for 2009 : 30
Clinical outcomes and dosimetry
D90 = 90%
Examples of best practice approaches
Joint urology and oncology pre-implantation assessment
Examples of patient information (or link to an appropriate website)
Patient booklet available - a comprehensive review and explanation.
Patient information website: www.gpct.org
Queen Elizabeth Hospital
Queen Elizabeth Hospital
Edgbaston
Birmingham
B15 2TH
Tel: 0121 472 1311
www.uhb.nhs.uk
Cancer Network:
Pan Birmingham Cancer Network
SHA:
Possibly West Midland
Contact information for the brachytherapy team
Dr Ahmed El-Modir, Clinical Oncologist
Mr Richard Gledhill, Prostate Cancer Charity Nurse Specialist
Tel: 0121 627 2277
Mr Paul Litchfield, Information Manager
Tel: 0121 697 8417
Brachytherapy implant technique(s) offered
Pre-plan (one stage procedure)
Numbers of brachytherapy procedures undertaken
2006 (first year): 15
2007: 24
2008: 24
Projected for 2009: 40
Clinical outcomes/post-implant dosimetry data
Within accepted standards
Examples of best practice approaches
Mentored by Leeds for training.
Procedure has evolved from 2 stage procedure to one stage procedure within the first 12 months.
Examples of patient information (or link to an appropriate website)
Currently using Leeds and Guildford patient education material.
Own version is currently being written. First draft is being reviewed by Pan Birmingham Cancer Network
Northampton General Hospital
Oncology Department
Northampton General Hospital
Cliftonville
Northampton
NN1 5BD
Tel: 01604 634700
www.northamptongeneral.nhs.uk
Cancer Network:
East Midlands (formerly Leicestershire, Northants & Rutland LNR)
SHA:
East Midlands SHA
Contact Information
Dr Christine Elwell, Consultant Clinical Oncologist
Dr P Camilleri, Consultant Clinical Oncologist
Mr C R W Bell, Consultant Urological Surgeon
Mr R Kunkler, Consultant Urological Surgeon
Sally Mora, Urology Nurse Specialist
Pam Ferrar Urology Nurse Specialist
Brachytherapy implant technique(s) offered
One stage intra-operative planning (Proseed technique)
Numbers of brachytherapy procedures undertaken
2006: 49
2007: 53
2008: 49
Projected for 2009: 60
Clinical outcomes / dosimetry
Northampton GH Prostate Advisory Group Data - Apr 08
Examples of best practice approaches
One visit for all pre-operative assessments including prostate volume.
Nurse led follow up with assessment of urinary and sexual function.
All team members trained and accredited by Professor Nelson Stone.
Because this is a one stage procedure we can treat prostate up to 80 ccs.
Examples of patient information (or link to an appropriate website)
www.northamptongeneral.nhs.uk/oncology/index.htm
Christie Hospital
Christie Hospital NHS Foundation Trust
Wilmslow Road
Withington
Manchester
M20 4BX
0161 446 3000
www.christie.nhs.uk
Contact information for the brachytherapy team
Clinical Oncologist - Dr John Logue
Clinical Oncologist - Dr James Wylie
Clinical Oncologist - Dr Tony Elliott
Radiographer Specialist - Mrs Cathy Taylor
Brachytherapy implant technique(s) offered
We are experienced in both low dose rate (LDR) brachytherapy using a pre-plan technique and high dose rate (HDR) brachytherapy. Over 1000 patients treated since 2000
Numbers of brachytherapy procedures undertaken
2008 - LDR seed implants 147
2008 - HDR single fraction treatments 31
Projected for 2009 - LDR seed implants 130
Projected for 2009 - HDR single fraction treatments 60
Clinical outcomes and dosimetry
All brachytherapy patients are entered onto an in-house database recording post implant dosimetry, toxicity and PSA outcome. In addition all LDR brachytherapy patients are entered onto a large UK multi-institutional database which collects data from Leeds, Mount Vernon and Christie (>2000 patients registered)
Examples of best practice approaches
The multi-institutional database which is managed at Christie permits easy comparison of outcome between the centres.
The Christie have introduced a single fraction HDR boost treatment into the UK offering greater convenience to the patient.
Published brachytherapy papers
Report on the early efficacy and tolerability of I(125) permanent prostate brachytherapy from a UK multi-institutional database.Mitchell DM, Mandall P, Bottomley D, Hoskin PJ, Logue JP, Ash D, Ostler P, Elliott T, Henry A, Wylie JP.Clin Oncol (R Coll Radiol). 2008 Dec;20(10):738-44.
Examples of patient information (or link to an appropriate website)
Written patient information, also accessible via hospital website.
Clatterbridge Hospital
Clatterbridge Centre for Oncology
Bebington
Liverpool
Wirral
CH63 3AD
0151 334 1155
http://www.ccotrust.nhs.uk/
Contact information for the brachytherapy team
Dr. Isabel Syndikus (Oncologist) - Tel: 0151 334 1155 ext 4748 (sec)
Miss. Fiona Jelley (Theater Manager) - Tel: 0151 334 1155 ext 4945
Mrs Mandy Snee (brachytherapy Clinical Specialist) - Tel: 0151 334 1155 ext 4945 - Mandy.Snee@ccotrust.nhs.uk
Type of brachytherapy procedure(s) offered
Prostate volume study performed approx 10 days before implant. Implant performed with ultrasound guided on-line planning
Number of brachytherapy procedures undertaken
2006 - 19
2007 - 34
2008 - 20
Projected for 2009: 30-40
Clinical outcomes / dosimetry
Audit underway at present
Routinely record D100, D99, D90, D80, V90, V100, V150, V200 at time of implant and post implant (4 weeks) + V138, Dmax, D1, D90 (urethra) + Dmax, D1, D90 (rectum)
Examples of best practice approaches
On-line intra operative procedure
Examples of patient information (or link to appropriate website)
Patient leaflets ‘Brachytherapy for prostate cancer’ and ‘Post implant information’
St James’s Institute of Oncology
St James’s Hospital
Bexley Wing
Beckett Street
Leeds
LS9 7TF
www.leedsth.nhs.uk
www.leedsteachinghospitals.com
Cancer Network:
Yorkshire Cancer Network
SHA:
Yorkshire and the Humber Strategic Health Authority
Contact
Dr D. Bottomley, Consultant Oncologist, Tel: 0113 206 7854 Dr K. Franks, Consultant Oncologist, Tel: 0113 206 7854 Dr A. Henry, Consultant Oncologist, Tel: 0113 206 7630 Dr B. Carey, Consultant Radiologist, Tel: 0113 206 7496 Mr P. Bownes, Consultant Physicist, Tel: 0113 206 8813 Mrs K.Gould, Prostate Brachytherapy Nurse Coordinator, Tel: 0113 206 7708
Brachytherapy implant technique(s) offered
Preplan and intra-operative low dose-rate (LDR) I-125 permanent seed brachytherapy
High dose- rate (HDR) temporary brachytherapy boost with external beam
Numbers of brachytherapy procedures undertaken
Approximately 2200 patients since 1995
2008: 133 LDR, 20 patients (40 insertions) HDR
Projected for 2009: 141 LDR, 25 patients (50 insertions) HDR
Clinical outcomes/post-implant dosimetry data
See published papers
- Impact of prostate volume evaluation by different observers on CT-based post-implant dosimetry, Bashar Al-Qaisieh, Dan Ash, David M. Bottomley and Brendan M. Carey, Radiotherapy and Oncology, 62(3), 267-273, 2002
- Assessment of implant quality for prostate brachytherapy: is D90 the best quality index? D. Ash, B. Al-Qaisieh, D. M. Bottomley and B. Carey, IJROBP, 54(4), 1287-1288, 2002
- Pre- and post-implant dosimetry: an inter-comparison between UK prostate brachytherapy centres, Bashar Al-Qaisieh On behalf of the UK Prostate Brachytherapy Group, Rad. Oncol., 66(2), 181-183, 2003
- The use of linked seeds eliminates lung embolization following permanent see implantation for prostate cancer, B. Al-Qaisieh, B. Carey, D. Ash and D. Bottomley, IJROBP 59(2), 397-399 (2004)
- PSA Relapse Free Survival in 667 Patients with Localised Prostate Cancer Treated by Brachytherapy in Leeds, Joji Joseph, Bashar Al-Qaisieh, Daniel Ash, David Bottomley, Brendan Carey. BJU International 94(9), 1235, (2004)
- Long-term outcomes and morbidity after I125 brachytherapy for localised prostate cancer: an early UK series, D. Ash, B. Carey, D.M. Bottomley and B. Al-Qaisieh, Clinical Oncology, Volume 17, Issue 2, Page 127 (2005)
- The impact of hormone therapy on post-implant dosimetry and outcome following Iodine-125 implant monotherapy for localised prostate cancer, D. Ash, B. Al-Qaisieh, D. Bottomley, B. Carey, J. Joseph, Rad. Onc. 75, 303-306 (2005)
- A study of a pretreatment method to predict the number of I-125 seeds required for prostate brachytherapy, B. Al-Qaisieh, E. Brearley, S. St Clair, A. Flynn, IJROBP 65, 304-307 (2006)
- The correlation between D90 and outcome for I-125 seed implant monotherapy for localised prostate cancer, D. Ash, B. Al-Qaisieh, D. Bottomley, B. Carey, J. Joseph, Rad. Onc. 79, 185-189 (2006)
- Side effects of permanent I125 prostate seed implants in 667 patients treated in Leeds, D. Bottomley, D. Ash, B. Al-Qaisieh, B. Carey, J. Joseph, Sh. St Clair, K. Gould, Rad. Onc. 82, 46-49 (2007)
- Comprehensive I-125 multi-seed comparison for prostate brachytherapy: dosimetry and visibility analysis, B. Al-Qaisieh, D.W. Smith, E. Brearley, S. St. Clair, P. Bownes, Rad. Onc. 84, 140-147 (2007)
- A prospective analysis of long-term quality of life after permanent I-125 brachytherapy for localised prostate cancer, D. Ash, D. Bottomley, B. Al-Qaisieh, B. Carey, K. Gould, A. Henry, Rad. Onc. 84, 135-139 (2007)
- Recto-urethral fistula following brachytherapy for localized prostate cancer, D. Shakespeare, D Mitchell, B. Carey, P. Finan, A. Henry, D. Ash, D. Bottomley, B. Al-Qaisieh, Col. Dis. 9, 328-331 (2007)
Examples of patients information
Prostate brachytherapy treatment: Information for patients
Nuffield Hospital
2 Leighton Street
Leeds
LS1 3EB
Numbers of brachytherapy procedures undertaken:
2007: 26 Projected for 2008: 12
Newcastle General Hospital
Northern Centre for Cancer Treatment
Freeman Hospital
High Heaton
Newcastle Upon Tyne
Tyne and Wear
NE7 7DN
0191 213 8672
Contact details for brachytherapy team:
Dr Rhona McMenemin (oncologist) email: rhona.mcmenemin@nuth.nhs.uk
Mr Mark Davis (nurse) email: mark.davis@nuth.nhs.uk
Secretary: Miss Hazel Smith: Direct dial 0191 213 8466/Dept fax 0191 213 7697
Brachytherapy implant techniques offered:
Currently pre plan as implants performed off site
Numbers of brachytherapy procedures undertaken:
2008: 7
Beatson Oncology Centre
1053 Gt Western Road
Glasgow
G12 0YN
Contact details for brachytherapy team:
0141 301 7064
Brachytherapy implant techniques offered:
I125 seeds
Pre plan
Numbers of brachytherapy procedures undertaken:
2008: 52
Projected for 2009: 60
Western General Hospital
Crewe Road South
Edinburgh
EH4 2XU
0131 537 1000
0131 537 3131
www.nhslothian.scot.nhs.uk/hospitals/wgh.asp
Cancer Network:
SCAN (SE Scotland Cancer Network)
NOSCAN (North Scotland Cancer Network)
SHA:
Lothian
Contact information for the brachytherapy team
Dr Duncan McLaren, 0131 537 2215
Nurses and Patient Education: Specialist Nurses in Urology:
Rita O'Dea, 0131 537 3186
www.prostatescotland.co.uk
Brachytherapy implant technique(s) offered
Pre plan and Intra-operative available
Numbers of brachytherapy procedures undertaken
2008 Actual : 50
2009 Projected: 50-60 patients treated per year
Clinical outcomes/post-implant dosimetry data
Currently writing up first 150 patients treated c 5 year FU
Examples of best practice approaches
Oncology team of the year in 2005, Hospital Doctor Awards
Examples of patient information (or link to an appropriate website)
- Contact card given
- Integrated core pathway used to collect data and manage notes
Galway University Hospital
Department of Radiation Oncology
Newcastle Road
Galway
Republic of Ireland
+35 391 524222
Contacts for the brachytherapy team
Professor Frank Sullivan (Medical Director)
Geraline O’Boyle (Nurse)
Brachytherapy implant techniques offered:
Intra-operative using Mick applicator with real time ultrasound guided dosimetry
Numbers of brachytherapy procedures undertaken:
2007: 40
2008: 37
Projected for 2009: 50
Clinical outcomes/post-implant dosimetry data:
Post-implant CT: Prostate dates for 82 cases
Mater Private Hospital
Eccles Street
Dublin 7
Republic of Ireland
+35 1 8858 556
www.materprivate.ie/
Contacts for the brachytherapy team
Dr Jerome Coffey, MRCPI, FRCR, FFR RCSI Consultant Radiation Oncologist
Dr Michael Maher, FFR RCST
Nurse and Patient Educator Mrs. Gwen Carmichael
Brachytherapy implant techniques offered:
Real- time/dynamic technique
Numbers of brachytherapy procedures undertaken:
Actual 2008:74
Projected for 2009: 85 radioactive seed implants
15 HDR prostate brachytherapy procedure