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Whole of Cervix

Presumed extensions at brachytherapy

- Width:

parametrium clinically & (TRUS)

- Height:

to be generous to include a larger volume of uterus

superiorly (? Safety margins: 2/3rds ) while vaginal disease to be

delineated based on clinical findings at brachy

- Thickness:

anatomical boundaries (rectum/ bladder)

CT Based Target Definition: Current area of Research

SUMMARY

High Risk CTV : Target definition / Contouring on CT

Based on Clinical examination, single MRI (at diagnosis preferable) and CT

Imaging at Brachytheapy