Image-Guided Radiotherapy and Chemotherapy in Gynaecological Cancer

Anatomical considerations

Borders: Parametrial Limits:

Anterior – urinary bladder

Posterior – perirectal fascia Medial – tumor/cervical rim Lateral – Pelvic wall

Ventral : bladder Dorsal : perirectal/ mesorectal fascia Medial : cervical rim/tumor Lateral : pelvic wall

Dimopoulous et al IJROBP 64(5):1380-1388, 2006