Image-Guided Radiotherapy and Chemotherapy in Gynaecological Cancer

CT-based findings

• Only first fraction CT is necessary: small within patient variaton • Bladder filling: increased dose to bladder, decreased dose to small bowel

• Applictor angle: horizontal reduces bowel dose • Airpockets: most distal, reduced by repositioning

Hoskin Br J Rad 2000; Stewart IJROBP 2008; Hung IJROBP 2010; Holloway IJROBP 2011