AROI-ESTRO GYN Teaching Course

3D CRT vs IMRT

14 patients with cervical cancer, IMRT: 7 beams, 10 MV

conformal

120

conformal

700

imrt

100

imrt

600

80

60

500

40

400

20

300

0

bladder 30 Gy

bladder 42.75 Gy

volume in cc

200

100

100

conformal imrt

80

0

bowel 30 Gy

bowel 42.75 Gy

60

40

Gain of IMRT is organ sparing!

20

0

Portelance et al 2001, Van de Bunt et al 2006, Lukovich et al

rectum 30 Gy

rectum 42.72 Gy

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