The Brachytherapy Team

Timothy Showalter, MD, MPH

Dr. Showalter has focused on brachytherapy since completing residency training in 2009. He came to UVA in 2012 and has worked to develop excellent clinical brachytherapy programs for prostate, gynecological and breast cancers. He is an active member of the American Brachytherapy Society and committed to providing leading-edge, image-guided brachytherapy.


Einsley-Marie Janowski, MD, PhD

Dr. Janowski received her medical degree at Georgetown University and completed her residency there as well. She became an attending physician at UVA, Department of Radiation Oncology in July 2016. She specializes in radiation treatment for patients with breast, gastrointestinal, and gynecologic cancers. Dr. Janowski leads breast radiation therapy programs at UVA, serving as the lead radiation oncologist for the Precision Breast IORT brachytherapy program. Dr. Janowski was awarded the Bedside Manner Award in 2017 from Our Health Magazine.


Kara Romano, MDKara Downs Romano, MD

Dr. Romano received her medical degree at Georgetown University and completed her residency at University of Virginia. She recently joined the Department as an attending physician in August 2018. Dr. Romano specializes in the treatment of patients with gynecologic cancers and melanoma, as well as a range of malignant and benign conditions. Dr. Romano is the lead brachytherapy specialist for GYN cancers, including intracavitary and interstitial procedures. Dr. Romano was a recipient of the Award of Academic and Scholarly Effort in 2018 from the University of Virginia.


Bruce Libby, PhD, FAAPM

Dr Libby is the Chief of Clinical Brachytherapy Phyiscs and has been a medical physicist for over twenty years, specializing in brachytherapy.  He has published numerous scientific papers and book chapters on clinical brachytherapy, as well as many presentations at national conferences, and has served as faculty in brachytherapy training programs sponsored by the American Brachytherapy Society.  He was elected a Fellow of the American Association of Physicists in Medicine in 2016.


Sarah ScarboroSarah Scarboro, PhD

Dr. Scarboro joined the Department of Radiation Oncology as a member of the Clinical Physics faculty in 2017.  She provides clinical support to a wide range of special procedures and external beam treatment techniques with emphasis on patient safety and workflow efficiency.  Dr. Scarboro has clinical expertise in brachytherapy treatments, including both high dose rate (HDR) and low dose rate (LDR) procedures, and serves as the lead physicist for the eye plaque program.


Donna Lash, RN

Ms. Lash is the main brachytherapy nurse at UVa.  In recognition of her excellence in nursing, she received the Angelus award in 2017.


Julie Kilmartin, RN

Ms. Kilmartin brings years of experience as a nurse in the UVA operating rooms. She joined our department in 2018 and provides care as a brachytherapy nurse.


UVA Surgical Specialist Involvement

Our surgical colleagues at UVA provide important expertise to support the delivery of high-quality brachytherapy. UVA faculty physicians who regularly participate in brachytherapy care include:

UVA Breast Surgeons:

Our team of breast surgical oncologists lead the Precision Breast IORT program and offer special expertise in surgical care and brachytherapy for breast cancer patients.

David Brenin, MD

Anneke T. Schroen, MD, MPH

Shayna L. Showalter, MD


Urologists play a vital role in our multidisciplinary prostate brachytherapy program, including preoperative evaluation and follow-up treatment. For most procedures, urologists are present and perform the procedure in collaboration with the radiation oncologist.

Sumit Isharwal, MD

Tracey L. Krupski, MD