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Reference points along vaginal axis:

PIBS* points

Westerveld et al. R&O 2013;107:99-105.

Westerveld, et al. R&O 2016;120:420-7.

ICRU/GEC ESTRO Report 89, 2016.

External Beam Radiotherapy

Brachytherapy

Bladder

Rectum

Vagina

Small Bowel

PIBS+2

PIBS

PIBS-2

2

cm

Body axis

2

cm

2

cm

Bladder

Vagina

Small Bowel

PIBS+2

PIBS

PIBS-2

Tandem axis

2

cm

2

cm

L 1

L 2

L3

*PIBS = Posterior Inferior Border of Symphisis