Advanced Brachytherapy Physics - Vienna 2016
Gyn Pre-planning: Intracavitary / Interstitial Insertion
Based on pre-brachytherapy MRI: With applicator in place Week5: BT 0 (paracervical block)
Cervix cancer N = 18 pts IC/IS: 14 pts
B
0
A
B
0
T
T
A
B
0
T
R
R
R
C
C
T
T
C
d
C
d
C
T
C
d
R
R
R
Prescribed dose
T
T
T
Prescribed dose
Prescribed dose
Prescribed dose
T
T
Prescribed dose
HR CTV
HR CTV
HR CTV
HR CTV
Pre-planned needles
Pre-planned needles
HR CTV
Pre-planned needles
C
D
D
C BT 1&2: IC/IS implant
D
T
T
R
R
T
R
d
d
HR CTV
T
T
d
HR CTV
A week later
T
Prescribed dose
T
Prescribed dose
T
R
R
R
Pre-planned needles Actual needles
Pre-planned needles Actual needles
Petric P, et al. Radiol Oncol 2014
Pre-planned needles Actual needles
s
Actual needles
Actual needles
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