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With intracavitary brachytherapy a very heterogenous dose is

applied to target and organs at risk

(steep dose gradient)

significant change in dose within a few millimeters

Variation of dose along the lateral axis of

EBRT (full line) vs. intracavitary BT (dotted line)

taken from ICRU Report 38

Standard dose distribution with a tandem-

ring applicator

taken from GEC ESTRO Handbook of Brachytherapy

target

target at level of point A

Volume Effect of Intracavitary Brachytherapy