A Message From the President
Welcome to the March issue of brachytherapy blast! This month, ABS has been producing new virtual content as well as planning for our in-person Annual meeting in June. Drs. Previs, Rovirosa, Harkenrider, and Chino, recently hosted an excellent session on the Challenges in GYN Brachytherapy: Inoperable Uterine Cancer, a challenging brachytherapy scenario for many reasons. If you missed the outstanding GYN school, the content is available online for purchase here. If you are looking for content on prostate brachytherapy, look no further than the simulation workshops which are available on-demand next week. Looking into April, don’t miss the upcoming debate between Chirag Shah and Bill Small on the pros and cons of intraoperative radiation therapy for early-stage breast cancer. Register here. 
 
One of the missions of the ABS is to share expertise in brachytherapy with all of our members. In that spirit, Dr. Steven Montalvo and Dr. Neil Desai provide a practical process to provide hemostasis as needed for patients undergoing prostate brachytherapy.
 
We hope many of you are putting together plans to attend the annual meeting in Denver on June 15-17th. Outstanding practical sessions and new research directions should provide a great opportunity to advance your brachy practice as well as reconnect and learn from fellow brachytherapists. 

Ann Klopp, MD, Ph.D.
President, ABS

Follow Us on Twitter:  
Not Just For Clowns: (Foley) Balloon Traction for Hemostasis in
Prostate Brachytherapy
Steven K. Montalvo MD, Neil B. Desai, MD, MHS
During prostate brachytherapy, needle advancement into normal tissue, including into the bladder neck, is occasionally required to achieve good prescription coverage, particularly for median lobe lesions and when using high dose rate (HDR) brachytherapy due to needle tip “dead space.” Such needle advancement may result in postoperative hematuria and associated retention, risking the need for indwelling catheter or even urologic admission for continuous bladder irrigation. In such cases, a long-described method to use bladder irrigation and/or tamponade with a hyper-inflated Foley balloon may be of help.
 
In cases where hematuria is apparent in the catheter during the case or needles advanced deeply, our approach is to irrigate the bladder after needles are removed with several hundred milliliters of warmed normal saline, instilled, and suctioned out ~ 50 mls at a time through the Foley catheter with a slip-tip syringe, continuing until urine clears and all clots removed. Once clear, we ensure Foley balloon is in the bladder with trans-rectal ultrasound, hyper-inflate the Foley balloon with total 20 ml sterile water, and pull it tight against the bladder neck to tamponade any potential bleeding (Fig 1). We then leave the catheter to drain to gravity postoperatively and monitor the character of urine output. If urine is non-bloody, we clamp the catheter and encourage fluids for avoiding trial. If bloody urine continues we gently irrigate with ~100 mls to ensure no clots are present and allow more time for hemostasis.
 
A representative case is displayed in Figure 2. The most anterior needle in the sagittal view is advanced into the bladder neck. This man required abbreviated anticoagulation disruption due to an artificial heart valve and had significant post-operative hematuria after the first HDR insertion, requiring overnight catheterization. In the second insertion, with the above method, he was discharged without any obstructive uropathy.
300 in 10 is Now Taking Applications
Over the last 3 years, we have had several communications detailing the mission of the ABS and the 300 in 10 initiative, with the most recent publication in the Journal of Brachytherapy: Increasing Global Access to Brachytherapy. We are happy to announce that we have 4 training sites that are now taking applications.
2022 Annual Conference - Call for Abstracts
We are happy to announce that we have extended the deadline for abstract submissions to April 19th.  At this time, #ABSBrachy22 is scheduled to be an in-person meeting in Denver, CO, June 17 - 19, 2022. Options for remote attendance are under discussion and the outcome will be announced here on the website.

Click here for more information
Announcing the Launch of our NEW On-Demand Platform!
We understand that it can be difficult to join live, virtual sessions based on your busy schedule, not to mention conflicting timezones and, dare we say, “Zoom fatigue”? if you missed the GYN School, we are pleased to offer the recording package on our new on-demand platform. All sessions include CME and SA-CME!

ABS Annual Conference - Need a Room
A block of rooms has been reserved at the Gaylord Rockies for the ABS Annual Conference attendees. To take advantage of the ABS conference rate of $229.00, make your reservations by May 23, 2022. After this date, the official ABS 2022 Annual Conference room block will be released and the hotel may charge higher rates based on availability. All rates are per room, per night, and are subject to appropriate state and other related taxes. Rates are available three days pre-and post-conference based on availability.

Click here to reserve your room!

Special Offer: If you book and stay at the Gaylord Rockies, you will be entered to win one of the following:
*One complimentary membership for 2023
*One complimentary conference registration for the 2023 conference in Vancouver
*One upgrade at the Gaylord Rockies
 
One winner will be selected from the reservation list provided by the Marriott per giveaway.
Residents Corner
We are looking for ABS member residents to showcase their work in brachytherapy, interesting tips that you have learned, and/or perspectives from a resident. The aim for length is 100-300 words. Please contact Jenna Kahn or Melissa Pomerene if you are interested in next month!
Content Corner
IORT in Breast Cancer: The Great Debate
April 14, 2022, | 5:00 pm EDT

Yttrium-90 Microspheres Permanent Implant Brachytherapy for Liver Tumors
April 28, 2022 | 5:00 pm EDT

Click here to register
2021-2022 ABS Board of Directors

Ann Klopp, MD, Ph.D., President
Peter Rossi, MD, President-Elect
Brett Cox, MD, Vice President
Kristin Bradley, MD, Treasurer
Christopher L. Deufel, Secretary
Firas Mourtada, Ph.D., Chairman of the Board
Daniel Petereit, Past Chairman of the Board

Directors-at-Large
  
Junzo Chino, MD
Mitchell Kamrava, MD
Mira Keyes, MD
Timothy Showalter, MD