AROI-ESTRO GYN Teaching Course

Gynecol Oncol 130:229–36;2013

• In postoperative cases , IMRT use should be considered . To demonstrate preferred patient reported outcomes, participation on the RTOG/GOG 1203 TIME-C trial is encouraged.

• In intact cases , the use of IMRT should be limited to IRB-approved protocols secondary to additional planning concerns.

• Consensus guidelines exist as to contouring both postoperative and intact cases, and should be utilized. However, changes are in progress , secondary to concerns as noted above, and appropriate care should be taken during treatment planning, which may require patient specific adjustments .

• IGRT should be utilized when IMRT is implemented secondary to the significant inter-fraction variability that can occur.