Image-Guided Radiotherapy and Chemotherapy in Gynaecological Cancer

Parametrium - borders

GYN IMRT consortium

Japanese consortium

Top of fallopian tube/ broad ligament. Depending on degree of uterus flexion,

Isthmus of uterus (= level where uterine artery drains into) *Contouring would stop at the level where bowel loops are seen

Superior

this may also form the anterior boundary of parametrial tissue.

Lim, IJROBP 2011; 79(2)348–355 Toita, Jpn J Clin Oncol 2011;41(9)1119–1126