# Talk:Brachytherapy

Non-Invasive Breast Brachytherapy (NIBB) is a non-invasive approach (no catheters or needles) that combines real-time mammographic image-guidance with breast immobilization to allow the radiation oncologist to identify and treat the target tissue. Tungsten shielded applicators are connected to an HDR afterloader and radiation is delivered parallel to chest wall using what is referred to as a “4-field box” technique. Studies indicate this combination of features provide for a substantial reduction in radiation dose to the skin, chestwall, heart and lungs.
Conformal radiation fields together with breast immobilization and mammographic imaging allow for notable reductions to the PTV. Currently, NIBB is being used for the delivery of either APBI or the “Boost” portion of Whole Breast Irradiation (WBI).
Ekimyenoom (talk) 13:54, 4 May 2018 (UTC)
Ekimyenoom (talk) 15:06, 4 May 2018 (UTC)

I'll defer to @Jytdog:'s judgment on this, if he's willing to have a look at it.   spintendo          16:47, 4 May 2018 (UTC)

Ive added DOI's to the documents, and in doing so, I found it curious that they are all written largely with the key input of one person - Dr. Hepel. Are there no other groups studying this treatment? If that were the case, I would think that requiring other voices beyond Dr. Hepel's would be in the spirit of WP:MEDRS. As the references suggested for use here all originate from a single collective and lack variegation of source, the WP:MEDRS requirements for the provision of secondary and tertiary sources are unmet.   spintendo          01:22, 10 May 2018 (UTC)
The guidance from @Jytdog: and @Spintendo: have previously provided were well stated and pivotal in formulating a description and references that comply with Wikipedia requirements.  The most recent comments from spintendo, however, are difficult to resolve/agree with. The third reference(Shah et al), for instance, is a consensus statement written by the KOLS within radiation therapy in general and breast radiation therapy in particular.  It is difficult to conceive of a more unbiased secondary or tertiary source as the nature of a consensus statement requires that the authors agree on the content.  The author list is a literal “who’s who” within the industry, varied in geography, background, clinical approach and clinical preferences. The second reference ( Wazer et al) is a review book written by three of the top minds in breast radiation therapy, from 3 vastly different academic centers. The additional reference Hepel as well as Hepel et al, were added for completeness and can be removed if it is felt that their inclusion creates the appearance of bias. Ekimyenoom (talk) 15:01, 16 May 2018 (UTC)
@Jytdog: Following up on the response from @Spintendo: and the additional resources we provided. Can you provide additional guidance or approval of the updated sources? Ekimyenoom (talk) 18:37, 10 July 2018 (UTC)
@Ekimyenoom: Did you get any response to that ?  - Also, You wrote above "Currently, NIBB is being used for the delivery of either APBI or the “Boost” portion of Whole Breast Irradiation (WBI)." - Now, 3.5 years later, have things changed, or are there additional reviews to support your proposed changes ? Is NIBB still the preferred term, and is it proprietary to a single supplier ? Is NIBB only available in USA ? - Rod57 (talk) 00:09, 28 January 2022 (UTC)