AROI-ESTRO GYN Teaching Course

Overcoming limitations of IC applicators

Historical

External beam boost with midline “shielding”

Paris

Stockholm

Mid-line block

Manchester

Fletcher

Modern

IC/IS boost > EBRT boost

Stockholm

Manchester & Fletcher

From: Mohamed S, et al. . Brachytherapy 2015;23-28. (Comparison of EBRT boost to IC/IS boost)

Mould

Applicator guided stereotactic IMRT

Limitations of

IC Applicators

When IC/IS BT is highly challenging

Emerging

Assenholt MS, et al Brachytherapy 20114

Technologies