Gynae BT 2017

At Diagnosis □ / At Brachytherapy □ [Brachytherapy fraction no. __]

w

w

7

1 2 3 4 6 5

5

4

NMD(R)

NMD(L)

3

2

1

5 4 3 2 1 -1 -2 -3 -4 -5 -

5 4 3 2 1 0 -1 -2 -3 -4 -5

1

-

2

-

3

-

4

-

5

h = ____ cm

t = ____ cm

w = ____ cm NMD (R) =____cm NMD (L) =____cm

Infiltrativ e

Exophytic

[NMD-Near Minimum Distance]

Anterior

Vaginal Disease

12

1

11

Cervix

10

2

Ant : ___ cm Post :___ cm Rt Lat: ___cm Lt Lat: ___cm

Vagina

9

3

8

4

Parametria

7

5

6

Posterior

Rectum or Bladder