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17

Conclusion

Combination of parametrial boost and BT:

High EBRT and BT gradients in the same region

Difficult to predict target dose

Difficult to predict OAR dose

Large normal tissue volume irradiated to a significant dose

Combination of interstitial BT and intracavitary BT:

Higher target dose (compared with para-boost)

Reduced OAR dose (compared with para-boost)

Better conformality with HR-CTV and IR-CTV

Simultaneous integrated boost

Limits overall treatment time