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5)
ITV
FOR INTACT CARCINOMA OF THE CERVIX
Eminocwicz, 2016
BLADDER/RECTAL
VOLUME CHANGES
UNDERSTANDING
PATTERNS AND
RECOMMENDED PATIENT
PREPARATION:
•
A bladder volume difference >
130cm
3
from planning ->PTV not
covering the CTV
•
Planning bladder > 300cm
3
were
no reproductible during treatment
•
The risk of the PTV not covering
the CTV is higher if the rectum is
larger during treatment planning
•
Ideal Planning Bladder Volume of
150cm
3
– 300cm
3
•
Shorter waiting time on post-
chemotherapy days
•
Laxatives at planning and throughout
treatment may also be beneficial
REGULAR IMAGING IS VITAL
WHEN IMPLEMENTING
ADVANCED RT TECHNIQUES
IN GYNECOLOGY CANCER