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GEC-ESTRO/ICRU
DVH Parameters
Dose to Point A, ICRU-
Bladder, ICRU-Rectum
Brachy Procedure
Standard vs CTV
HR
Based Application
Imaging with
applicator in place
Contouring
Applicator
Reconstruction
Definition of Dose
Points/Voumes
Planning Aims
Treatment Planning
Plan Evaluation
and Prescription
Dose Delivery
Point A, OAR ICRU
points
Fletcher/Ring metal IC
Orthogonal X Rays
X Ray Markers
Standard loading,
Manual Optimisation
Target/OARs
HRCTV, D2cm3 , Point
A, ICRU points
CT/MRI Contrast
Based on volumetric
imaging (CT/MRI)
Standard Loading,
Manual/ Graphical Opt,
2D BT
3D BT
Joint Team Decision