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Features of modern brachytherapy

• Excellent dose conformality to tumour with

avoidance of OAR allows dose escalation beyond

that achieved with EBRT alone

• Image Guided Brachytherapy (IGBT) using MR is

gold standard in cervical cancer

• Increasing evidence from clinical trials that IGBT

in addition to EBRT improves patient outcomes in

locally advanced cervix and prostate cancer

• IGBT now being used for cancers of vagina and

vulva