id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-349366-4gny9xkx	Scanderbeg, Daniel J.	Development, implementation, and associated challenges of a new HDR brachytherapy program	2020-09-17		.txt	text/plain	5127	234	40	We present a simple and generic outline that lays out the process for developing and implementing a new HDR brachytherapy program in any setting, but with particular emphasis on challenges associated with starting the program in a limited resource setting. The T&R has a fixed geometry, so with proper training, template plans can also be used when treatment planning is limited in LMICs. In Dakar, Senegal, where HDR was installed without a functioning treatment planning system, the cervical cancer brachytherapy program was developed around the T&R applicator with a library of plans and doses prescribed to Point A. Therefore, machine and equipment selection for brachytherapy should be a collaborative team effort to ensure that all needed items and their functionality have been evaluated carefully in terms of cost, physical space requirements, clinical applicability, compatibility with any existing technology (hardware and/or software), any history of reported medical events associated with hardware/software components, and any limitations including dependability, cleaning and reusability or end-of-life standards.	./cache/cord-349366-4gny9xkx.txt	./txt/cord-349366-4gny9xkx.txt