open access

Vol 23, No 6 (2018)
Special Issue Papers
Published online: 2018-11-01
Submitted: 2017-11-27
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Problems and solutions in IGRT for cervical cancer

Iván Ríos, Ilse Vásquez, Elsa Cuervo, Óscar Garzón, Johnny Burbano
DOI: 10.1016/j.rpor.2018.05.002
·
Rep Pract Oncol Radiother 2018;23(6):517-527.

open access

Vol 23, No 6 (2018)
Special Issue Papers
Published online: 2018-11-01
Submitted: 2017-11-27

Abstract

The contribution of Image-guided Radiotherapy (IGRT) to modern radiotherapy is undeniable, being the way to bring into daily practice the dosimetric benefits of Intensity-Modulated Radiotherapy (IMRT). Organ and target motion is constant and unpredictable at the pelvis, thus posing a challenge to the safe execution of IMRT. There are potential benefits of IMRT in the radical treatment of cervical cancer patients, both in terms of dose escalation and decrease of toxicity. But it is essential to find IGRT solutions to control the aspects that can lead to geographic miss targeting or organs at risk (OAR) overdose. This review seeks to describe the problems and possible solutions in the clinical implementation of IMRT/IGRT protocols to treat intact cervical cancer patients.

Abstract

The contribution of Image-guided Radiotherapy (IGRT) to modern radiotherapy is undeniable, being the way to bring into daily practice the dosimetric benefits of Intensity-Modulated Radiotherapy (IMRT). Organ and target motion is constant and unpredictable at the pelvis, thus posing a challenge to the safe execution of IMRT. There are potential benefits of IMRT in the radical treatment of cervical cancer patients, both in terms of dose escalation and decrease of toxicity. But it is essential to find IGRT solutions to control the aspects that can lead to geographic miss targeting or organs at risk (OAR) overdose. This review seeks to describe the problems and possible solutions in the clinical implementation of IMRT/IGRT protocols to treat intact cervical cancer patients.

Get Citation

Keywords

Cervical cancer treatment; Pelvic IGRT; Pelvic IMRT; CBCT in cervical cancer; Image guidance; Organ motion

About this article
Title

Problems and solutions in IGRT for cervical cancer

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 23, No 6 (2018)

Pages

517-527

Published online

2018-11-01

DOI

10.1016/j.rpor.2018.05.002

Bibliographic record

Rep Pract Oncol Radiother 2018;23(6):517-527.

Keywords

Cervical cancer treatment
Pelvic IGRT
Pelvic IMRT
CBCT in cervical cancer
Image guidance
Organ motion

Authors

Iván Ríos
Ilse Vásquez
Elsa Cuervo
Óscar Garzón
Johnny Burbano

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