In intracavitary radiotherapy (ICRT) for cancer cervix, applicator geometry has the potential to impact the doses to organs at risk (OARs) and the coverage of the target volume. At our centre two Varian made Fletcher-style applicator sets, namely defined (fixed) geometry and flexible geometry, are used for ICRT. In the present work, the two types of applicators were compared dosimetrically as p...

Background: Brachytherapy treatment planning in cervix carcinoma patients using two dimensional (2D) orthogonal images provides only point dose estimates while CT-based planning provides volumetric dose assessment helping in understanding the correlation between morbidity and the dose to organs at risk (OARs) and treatment volume. Objective: Aim of present study is to compare Internationa...

Background: In intracavitary brachytherapy for gynecological cancers, various techniques are used to locate the anterior rectal wall nearest to the sources but there is no consensus on the best method to do so. This study aimed to compare a technique used routinely in some centers that employs a wire marker to locate the position of the maximum rectal dose point, versus the method recommended b...

Brachytherapy is an integrating component for the treatment of locally advanced cervical cancer. While most women present anteverted or intermediary position uterus, only 20–25% have retroverted uterus. We evaluated 418 high-dose-rate brachytherapy plans of patients diagnosed with biopsy proven cervical cancer. Urinary bladder and rectal points were identified on the orthogonal digital X-ray im...

The purpose of this study was to compare International Commission on Radiation Units and Measurements (ICRU, report 38) reference points, used in conventional brachytherapy planning, with Computed Tomography (CT)-based volumetric calculations of radiation doses for target volumes and organs at risk in biopsy-proven cervix carcinoma patients. All patients underwent brachytherapy using CT-compati...

PURPOSE The aim of this work was to evaluate the variation of dose in organs at risk (OARs) in fractionated high dose rate intracavitary brachytherapy (HDR-BT) for cervical cancer. MATERIAL AND METHODS A prospective study was carried out on 20 cervical cancer patients treated with fractionated (HDR-BT). International Commission on Radiation Units and Measurement (ICRU) bladder (bICRU) and rec...

Background: Present study compares two high-dose-rate intracavitary brachytherapy (ICBT) planning methods using two-dimensional orthogonal radiography and three-dimensional computed tomography (3D-CT) with regard to dose target volume organs at risk (OAR) in carcinoma cervix. Methodology: ICBT plans for 22-patients were compared 2D techniques. treatment generated 2D-orthogonal images was prescr...