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Item # Length Source of Standard Year Implemented Version Implemented Year Retired Version Retired
1526 2 CoC 2018 18

NAACCR XML: Tumor.phase3RadiationTreatmentModality

Description
Radiation modality reflects whether a treatment was external beam, brachytherapy, a radioisotope as well as their major subtypes, or a combination of modalities. This data item should be used to indicate the radiation modality administered during the third phase of radiation. This data item is required for CoC-accredited facilities for cases diagnosed as of 01/01/2018.
Rationale
Radiation modality reflects whether a treatment was external beam, brachytherapy, a radioisotope as well as their major subtypes, or a combination of modalities. This data item should be used to indicate the radiation modality administered during the third phase of radiation.

Historically, the previously-name Radiation Treatment Modality data item [1570] utilized codes that were not mutually exclusive. Rather, it included codes describing a mix of modalities, treatment planning techniques, and delivery techniques that are commonly utilized by radiation oncologists. However, every phase of radiation treatment will include a specified modality, planning technique, and delivery technique. The goal of the 2018 implementation of separate phase-specific data items for the recording of radiation modality and radiation treatment planning techniques is to clarify this information and implement mutually exclusive categories. A separate data item for delivery technique has not been implemented because this information is not consistently reported in end treatment summaries.
Codes
00 No radiation treatment
01 External beam, NOS
02 External beam, photons
03 External beam, protons
04 External beam, electrons
05 External beam, neutrons
06 External beam, carbon ions
07 Brachytherapy, NOS
08 Brachytherapy, intracavitary, LDR
09 Brachytherapy, intracavitary, HDR
10 Brachytherapy, Interstitial, LDR
11 Brachytherapy, Interstitial, HDR
12 Brachytherapy, electronic
13 Radioisotopes, NOS
14 Radioisotopes, Radium-232
15 Radioisotopes, Strontium-89
16 Radioisotopes, Strontium-90
98 Radiation therapy administered but treatment modality is not specified or unknown
99 Treatment radiation modality unknown; Unknown if radiation treatment administered
Blanks allowed if no Phase III radiation treatment administered.




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