BT-GYN Teaching Course
D. Berger
Treatment planning concept for locally advanced vaginal cancer
currently used at the Medical University of Vienna
Intro
Mission
Concept
New target concept including three different
target volumes is currently under investigation:
1)
HR CTV:
the clinically
palpable disease and, on MRI, the visible residual disease
plus the surrounding gray zones (D90, >85Gy)
2)
IR CTV:
the region of initial tumor extension
(D90, 60Gy)
3)
Low-Risk CTV:
complete
remaining vagina
(D90, 50 Gy).
HR CTV
IR CTV
LR CTV
Dimopoulos et al. 2011 IJROPB
Clinical results and DVH parameter in