Image-Guided Gynecologic Brachytherapy for Cervical Cancer

被引:21
作者
Fields, Emma C. [1 ]
Hazel, Sarah [2 ]
Morcos, Marc [2 ]
Schmidt, Ehud J. [2 ]
Chargari, Cyrus [3 ]
Viswanathan, Akila N. [2 ]
机构
[1] Virginia Commonwealth Univ, Dept Radiat Oncol, Richmond, VA USA
[2] Johns Hopkins Med, Dept Radiat Oncol & Mol Radiat Sci, Baltimore, MD 21287 USA
[3] Gustave Roussy Canc Campus, Dept Radiotherapy, Villejuif, France
关键词
DOSE-RATE BRACHYTHERAPY; CLINICAL TARGET VOLUME; WORKING-GROUP; INTRACAVITARY BRACHYTHERAPY; ADAPTIVE BRACHYTHERAPY; COMPUTED-TOMOGRAPHY; CONSENSUS GUIDELINES; VAGINAL RECURRENCE; PROSPECTIVE TRIAL; MRI ASSESSMENT;
D O I
10.1016/j.semradonc.2019.08.010
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The incorporation of magnetic resonance imaging in brachytherapy has resulted in an increased use of interstitial catheters in order to create a comprehensive treatment plan that covers the visualized tumor. However, the insertion with passive, image-guidance requires estimating the location of the tumor during the insertion process, rather than visualizing and inserting the catheters directly to the desired location under active tracking. In order to treat residual disease, multiparametric MR sequences can enhance the information available to the clinician. The precision availed by MR-guided brachytherapy results in substantial improvements in needle positioning, and resulting treatment plans. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码:16 / 28
页数:13
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