Cervix BT - 2016

Overcoming limitations of IC applicators

External beam boost with midline “shielding”

Historical Paris

Stockholm Manchester Fletcher

Mid-line block

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

Assenholt MS, et al Brachytherapy 20114

Emerging

Technologies