832 / 1345
•
Whole of Cervix
•
Presumed extensions at brachy
- Parametrium: Clinical + CT imaging
(Trans
rectal US*)
+ Pre Rx MR
- Endocervical: Clinical + Pre-Rx MR
- Vagina: Disease at Diagnosis + EUA at Brachy
•
Safety margins: superiorly along the uterus
(lower 2/3rds of uterus)
CT guided Target Definition / Contouring
High Risk CTV:
•
GTV-B + Whole cervix
•
Presumed tumour extensions
- Local extent
- Residual grey zones on MR
•
NO SAFETY MARGINS
STD: Clinical + MR Based
(Pre Rx +Brachy)
Clinical + Pre Rx MR + CT Based
* Intra-operative TRUS Imaging findings if available