IMR Press / EJGO / Volume 25 / Issue 3 / pii/2004179

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

A novel technique with a flexible applicator for MRI-based brachytherapy of cervical cancer

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1 Institute of Diagnostic Imaging and Radiation Oncology, University of Kaposvár, Pécs (Hungary)
2 Department of Oncotherapy, University of Sciences, Pécs (Hungary)
Eur. J. Gynaecol. Oncol. 2004, 25(3), 347–350;
Published: 10 June 2004

Purpose: To introduce a novel technique for magnetic resonance (MR)-based 3-dimensional planned high-dose rate intracervical brachytherapy (BT). Materials and methods: During 2002, 16 patients received external beam radiotherapy and BT as part of radiochemotherapy for cervical cancer. A special adjustable applicator device was designed and used for BT. The isodose distribution was calculated from MR images with the applicator in place. Results: The planning target volume coverage was adequate and the radiation burden on the organs at risk was within acceptable limits. Complete regression was achieved in two patients (12.5%), and partial regression in ten (62.5%) patients. The overall response rate for the complex treatment was 93.75%. In three cases the disease was considered to be stable. Conclusion: The MR-compatible, flexible applicator allows safe and reproducible cervical radiotherapy with no added discom­fort or hazard for the patient.

Adjustable applicator
Dose distribution
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