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Considerable extent of internal-organ motion

with uterine displacements ranging

from

8 mm up to 48 mm

Chan P et al. Int J Radiat Oncol Biol Phys 2008;70:1507–15.

Lee JE et al. Gynecol Oncol 2007;104:145–51.

Taylor A, Powell MEB. Radiother Oncol 2008;88:250–7.

Kerkhof EM et al. Radiother Oncol 2009;93:115–21.

Most studies support that the greater impact on cervix-uterus motion is caused by

variations in bladder filling

Buchali A et al. Radiother Oncol 1999;52:29–34.

Taylor A, Powell MEB. Radiother Oncol 2008;88:250–7.

Han Y et al. Int J Radiat Oncol Biol Phys 2006;65:617–23.

One study found that the

change in the rectum

correlated significantly but weakly

with the motion of the cervix and uterus in the AP direction

van de Bunt L et al. Radiother Oncol 2008;88:233–40.

Imaging protocols MRI and CT

Changes during EBRT (Organ – Target Movement)

Imaging protocols CT and MRI, JCA Dimopoulos, P Petrow, Prague, Czech Republic, 22.10.2017 - 26.10.2017