Image-Guided Radiotherapy and Chemotherapy in Gynaecological Cancer

Clinical outcome including toxicity

• Significant reduction in V40 for rectum, bladder and small bowel

•

Significant reduction toxicity

Ghandi 2013

Chronic GI toxicity

CRT

MRT P value

overall

50 % 13.6 %

0.011

G1

27.3 % 9 %

G2

13.6 % 4.5%

G3

9.1 % 0%