Abstract
This chapter is a practical guide for image-guided high-dose-rate (HDR) brachytherapy in gynecologic cancers treated definitively with radiation therapy. It will focus predominantly on the use of intracavitary brachytherapy with either ring and tandem or tandem and ovoid devices since this is the most frequent scenario, but it will also give a brief example of an interstitial implant. It is intended as a practical “checklist,” especially useful for someone who wants to implement his/her practice with a focus in gynecologic oncology. The theoretical background and techniques are discussed extensively elsewhere in this book.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Peters WA et al (2000) Concurrent chemotherapy and pelvic Radiation Therapy compared with pelvic Radiation Therapy Alone as adjuvant therapy after Radical Surgery in High-Risk Early-Stage cancer of the cervix. J Clin Oncol 18(8):1606–1613
Gasinska A, Fowler JF, Lind BK et al (2004) Influence of overall treatment time and radiobiological parameters on biologically effective doses in cervical cancer patients treated with radiation therapy alone. Acta Oncol 43(7):657–666
Mandal A, Asthana AK, Aggarwal LM (2007) Clinical significance of cumulative biological effective dose and overall treatment time in the treatment of carcinoma cervix. J Med Phys 32(2):68–72
Nag S, Erickson B, Thomadsen B et al (2012) The American Brachytherapy Society recommendations for high-dose-rate brachytherapy for carcinoma of the cervix. American Brachytherapy Society. Brachytherapy 11(1):47–52
Haie-Meder C, Pötter R, van Limbergen E (2005) Recommendations from the gynaecological (GYN) GEC-ESTRO working group: concepts and terms in 3D image based 3D treatment planning in cervix cancer brachytherapy with emphasis on MRI assessment of GTV and CTV. Radiother Oncol 74:235–245
Hellebust TP, Kirisits C, Berger D (2010) Recommendations from Gynaecological (GYN) GEC-ESTRO working group: considerations and pitfalls in commissioning and applicator reconstruction in 3D image-based treatment planning of cervix cancer brachytherapy. Radiother Oncol 96:153–160
Pötter R, Haie-Meder C, van Limbergen E (2006) Recommendations from gynaecological (GYN) GEC-ESTRO working group (II): concepts and terms in 3D image-based treatment planning in cervix cancer brachytherapy-3D dose–volume parameters and aspects of 3D image-based anatomy, radiation physics, and radiobiology. Radiother Oncol 78:67–77
Dimopoulos JCA, Petrow P, Tanderup K et al (2012) Recommendations from Gynaecological (GYN) GEC-ESTRO Working Group (IV): basic principles and parameters for MR imaging within the frame of image based adaptive cervix cancer brachytherapy. Radiother Oncol 103(1):113–122
Gill BS, Kim H, Houser CJ et al (2015) MRI-guided high-dose-rate intracavitary brachytherapy for treatment of cervical cancer: the University of Pittsburgh experience. Int J Radiat Oncol Biol Phys 91(3):540–547
Yaparpalvi R, Mutyala S, Gorla GR et al (2008) Point vs. volumetric bladder and rectal doses in combined intracavitary-interstitial high-dose-rate brachytherapy: correlation and comparison with published Vienna applicator data. Brachytherapy 7(4):336–342
Grigsby PW, Siegel BA, Dehdashti F et al (2003) Post-therapy surveillance monitoring of cervical cancer by FDG-PET. Int J Radiat Oncol Biol Phys 55:907–913
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Guerrieri, P., Coopey, B.C. (2016). Gynecologic Brachytherapy: Image Guidance in Gynecologic Brachytherapy. In: Montemaggi, P., Trombetta, M., Brady, L. (eds) Brachytherapy. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-319-26791-3_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-26791-3_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-26789-0
Online ISBN: 978-3-319-26791-3
eBook Packages: MedicineMedicine (R0)