Gynae BT 2017

Joint Team Decision

3D BT

2D BT

Brachy Procedure

Standard vs CTV HR Based Application

Fletcher/Ring metal IC

Imaging with applicator in place

Orthogonal X Rays

CT/MRI Contrast

Contouring

Target/OARs

Applicator Reconstruction

Based on volumetric imaging (CT/MRI)

X Ray Markers

Definition of Dose Points/Voumes

Point A, OAR ICRU points

HRCTV, D2cm3 , Point A, ICRU points

Planning Aims Treatment Planning

Standard loading, Manual Optimisation

Standard Loading, Manual/ Graphical Opt,

Plan Evaluation and Prescription

GEC-ESTRO/ICRU DVH Parameters

Dose to Point A, ICRU- Bladder, ICRU-Rectum

Dose Delivery