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Framework that allows defining file formats (layouts) and use them to read and write data files.
                
            
    
        Alternate Name 
        Item# 
        Length 
        Source of Standard 
        Column # 
     
    
        Regional Treatment Modality (CoC) 
        1570 
        2 
        CoC 
        1607-1608 
     
Description
Records the dominant modality of radiation therapy used to deliver the clinically most significant regional dose to the primary volume of interest during the first course of treatment.
Rationale
Radiation treatment frequently is delivered in two or more phases that can be summarized as regional and boost treatments. To evaluate patterns of radiation oncology care, it is necessary to know which radiation resources were employed in the delivery of therapy. For outcomes analysis, the modalities used for each of these phases can be very important.
Codes
    
        00 
        No radiation treatment 
     
    
        20 
        External beam, NOS 
     
    
        21 
        Orthovoltage 
     
    
        22 
        Cobalt-60, Cesium-137 
     
    
        23 
        Photons (2-5 MV) 
     
    
        24 
        Photons (6-10 MV) 
     
    
        25 
        Photons (11-19 MV) 
     
    
        26 
        Photons (> 19 MV) 
     
    
        27 
        Photons (mixed energies) 
     
    
        28 
        Electrons 
     
    
        29 
        Photons and electrons mixed 
     
    
        30 
        Neutrons, with or without photons/electrons 
     
    
        31 
        IMRT 
     
    
        32 
        Conformal or 3-D therapy 
     
    
        40 
        Protons 
     
    
        41 
        Stereotactic radiosurgery, NOS 
     
    
        42 
        Linac radiosurgery 
     
    
        43 
        Gamma Knife 
     
    
        50 
        Brachytherapy, NOS 
     
    
        51 
        Brachytherapy, Intracavitary, Low Dose Rate (LDR) 
     
    
        52 
        Brachytherapy, Intracavitary, High Dose Rate (HDR) 
     
    
        53 
        Brachytherapy, Interstitial, Low Dose Rate (LDR) 
     
    
        54 
        Brachytherapy, Interstitial, High Dose Rate (HDR) 
     
    
        55 
        Radium 
     
    
        60 
        Radio-isotopes, NOS 
     
    
        61 
        Strontium - 89 
     
    
        62 
        Strontium - 90 
     
    
        80* 
        Combination modality, specified 
     
    
        85* 
        Combination modality, NOS 
     
    
        98 
        Other, NOS 
     
    
        99 
        Unknown 
     
Note: For tumors diagnosed prior to January 1, 2003, the codes reported in this data item describe any radiation administered to the patient as part or all of the first course of therapy. 
*Codes 80 and 85 describe specific converted descriptions of radiation therapy coded according to Volume II ROADS, and DAM rules and should only be used to record regional radiation for tumors diagnosed prior to January 1, 2003.
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