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23

Treatment verification: importance for BT

Risk of errors (high compared to EBRT):

Manual procedures: errors in reconstruction of catheters,

applicator length, applicator-afterloader connection, etc.

Mechanical equipment: obstructed transfer tubes and

applicators, machine failure, etc.

High impact of errors/uncertainties:

High dose gradients

Hypofractionation schemes

Challenge: Low patient volume (compared to EBRT):

Resource investment limitations

Small clinics: Reduced expertise and experience