AROI-ESTRO GYN Teaching Course

SUMMARY – EXAMPLE T2W MRI at BT from Rad. Onc. Perspective (gold standard)

MRI and/or CT/US with clinical drawings

1. No free FL uid

Rule out FLOP Set the STAGE for contourig

2. No O rgan P erforation (or uterine perforation)

1. S ize of the tumor:

8 cm 3 (ellipsoid formula)

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Regression to Proportional V: PV = 20 % initial V

2. T opography: unfavourable due to right parametrial extension.

3. A dequate insertion geometry.

4. G rey zones correspond to initial infiltrative tumor: proximal third of right parametrium, dorsally. (fibrosis in clin exam)

5. “ E xtra”:

1. No necrosis.

2. BT-related primary tumour findings reported.

3. Lymph nodes and other details not assessed.

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Petric P Journal of Contemporary Brachytherapy 2014