Pelvic OARs
Using CHHiP Protocol
• Rectum
– Outlined from anus (at the level of the ischial
tuberosity or 1cm below the lower margin of the
PTV whichever is more inferior) to the recta-
sigmoid junction.
– The R-S junction is usually on the axial CT slice
where the rectum turns anteriorly and to the left
– Usually a length of 10-12 cm
Courtesy: Julian Dinkel
See J Dinkel &
N Gambacorta’s Rectal Lectures
• Bowel
• Bladder
– From base to dome
• Femoral Heads
• Penile Bulb
– Bulb like expansion of corpus spongiosum




