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HR CTV contouring on CT: tips

Uppermost contour

Uterine vessels abutting

(i. v. contrast)

Inferior and superior extent

cervical borders

Superior:

Where uterus

indents, contour the next 1

cm - pointed shape (cone)

Inferior:

ring / ovoids level

Cervical length:

2.5 – 3 cm

Vaginal involvement:

add vaginal tissue involved clinically at BT.

Uterine involvement:

more challenging. Clinical / radiological information into account