Internal target volume for post-hysterectomy vaginal recurrences of cervical cancers during image-guided radiotherapy

Internal target volume for post-hysterectomy vaginal recurrences of cervical cancers during image-guided radiotherapy.

OBJECTIVE The outcome of post-surgical recurrences of cervical cancer may be improved through radiation dose escalation, which hinges on accurate identification and treatment of the target. The present study quantifies target motion during course of image-guided radiotherapy (IGRT) for vault cancers. METHODS All patients underwent planning CT simulation after bladder-filling protocol. A daily...

Post-Prostatectomy Image-Guided Radiotherapy: The Invisible Target Concept

In the era of intensity-modulated radiation therapy, image-guided radiotherapy (IGRT) appears crucial to control dose delivery and to promote dose escalation while allowing healthy tissue sparing. The place of IGRT following radical prostatectomy is poorly described in the literature. This review aims to highlight some key points on the different IGRT techniques applicable to prostatic bed radi...

Vasopressin during vaginal hysterectomy

Image-Guided Radiotherapy and -Brachytherapy for Cervical Cancer

Conventional radiotherapy for cervical cancer relies on clinical examination, 3-dimensional conformal radiotherapy (3D-CRT), and 2-dimensional intracavitary brachytherapy. Excellent local control and survival have been obtained for small early stage cervical cancer with definitive radiotherapy. For bulky and locally advanced disease, the addition of chemotherapy has improved the prognosis but t...

Determining optimal planning target volume and image guidance policy for post-prostatectomy intensity modulated radiotherapy

BACKGROUND There is limited information available on the optimal Planning Target Volume (PTV) expansions and image guidance for post-prostatectomy intensity modulated radiotherapy (PP-IMRT). As the prostate bed does not move in a uniform manner, there is a rationale for anisotropic PTV margins with matching to soft tissue. The aim of this study is to find the combination of PTV expansion and im...