Brachytherapy: A Pharmacist's Perspective

Abstract

Brachytherapy is treatment by implantation of one or more radioactive sources into, or near, a tumor or other cancerous area of the body. This form of cancer treatment presents new challenges for the nuclear (radiologic) pharmacist who is seeking additional unique roles within the specialty. The nuclear pharmacist is the obvious choice for active participation in brachytherapy procedures since his/her training and daily routine deals with the safe handling and use of radioactive materials. Before beginning treatment, the radioactive implant must be surveyed, calibrated, and leak tested, all of which are important aspects of nuclear pharmacy practice. Applying the basic principles of safe handling and use of radiopharmacouticals, the clinical nuclear pharmacist can easily master the art of actual implantation and removal of a brachytherapy source as well as its preparation for waste disposal. This article focuses on specifics of the brachytherapy procedure and how the clinical nuclear pharmacist can become an integral member of the brachytherapy team.