•
Golden standard
:
MRI at diagnosis and at brachytherapy with
applicator in place
(GEC ESTRO Rec I, IV)
•
Golden standard first fraction
,
CT with appl in place next fract.
(Nesvacil et al. 2013)
•
Alternative
:
Pre brachytherapy MRI, CT with applicator in place
(Pötter et al. IJROBP 2015)
•
Complementary volumetric imaging
:
CT and US
(abdominal,
vaginal, transrectal (TRUS, Schmid et al. 2015))
•
Clinical Drawing on schematic diagram always mandatory
(GEC ESTRO Rec., ICRU report 89)
The challenge
of MRI availability