Gynae BT 2017

EMBRACE II interventions

 Increased use of IC/IS technique in BT:

 HR CTV >30cm3: utilisation of IC/IS of >70% in patients and CTV HR

>85Gy in

80% of patients (63% in EMBRACE I))

 Reduction of vaginal source loading

Systematic utilisation of IMRT

 Utilisation of daily IGRT (set-up according to bony structures)  EBRT target concept related to the primary tumour; concepts for OAR contouring

 EBRT dose prescription (45Gy/25fx) and reporting

 Adaptation of EBRT nodal elective CTV according to risk of nodal and systemic recurrence

 Systematic application of simultaneous chemotherapy

 Reduction of overall treatment time

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