Item # Length Source of Standard Year Implemented Version Implemented Year Retired Version Retired
1,526 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

00No radiation treatment
01External beam, NOS
02External beam, photons
03External beam, protons
04External beam, electrons
05External beam, neutrons
06External beam, carbon ions
07Brachytherapy, NOS
08Brachytherapy, intracavitary, LDR
09Brachytherapy, intracavitary, HDR
10Brachytherapy, Interstitial, LDR
11Brachytherapy, Interstitial, HDR
12Brachytherapy, electronic
13Radioisotopes, NOS
14Radioisotopes, Radium-232
15Radioisotopes, Strontium-89
16Radioisotopes, Strontium-90
98Radiation therapy administered but treatment modality is not specified or unknown
99Treatment radiation modality unknown; Unknown if radiation treatment administered

Blanks allowed if no Phase III radiation treatment administered.