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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