Intra-fraction uncertainties of MRI guided brachytherapy in patients with cervical cancer.

Nomden, Christel N; de Leeuw, Astrid A C; Roesink, Judith M; Tersteeg, Robbert J H A; Westerveld, Henrike; Jürgenliemk-Schulz, Ina M · Radiother Oncol · 2014

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Abstract

Dosimetric intra-fraction uncertainties in MRI-guided brachytherapy were analysed for HR-CTV and OARs. While dose differences were generally small, individual outliers occurred. In contrast to HDR, patients treated with PDR show increased mean rectal dose over time. Re-imaging prior to dose delivery helps to detect unfavorable anatomical changes, and allows for intervention.

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