Cervix BT - 2016

The challenge of MRI availability

• Golden standard : MRI at diagnosis and at brachytherapy with applicator in place (GEC ESTRO Rec I, IV) • Golden standard first fraction , CT with appl in place next fract. (Nesvacil et al. 2013) • Alternative : Pre brachytherapy MRI, CT with applicator in place (Pötter et al. IJROBP 2015) • Complementary volumetric imaging : CT and US (abdominal, vaginal, transrectal (TRUS, Schmid et al. 2015)) • Clinical Drawing on schematic diagram always mandatory (GEC ESTRO Rec., ICRU report 89)