Image-guided adaptive brachytherapy for cervix carcinoma.
Sectional imaging has played an important role in the management of cervical cancer, in particular for staging, and is now considered for image-guided treatment planning, in particular for brachytherapy. Image-based three-dimensional brachytherapy is a relatively new approach that is increasingly replacing the traditional two-dimensional X-ray-based method. This overview focuses on the potential and some practicalities of this approach. The pros and cons of computed tomography- and magnetic resonance imaging-based brachytherapy are considered and an overview of the current state of research is given. The first encouraging clinical results are presented and future perspectives are discussed.
Pötter
R
R
Department of Radiotherapy, Medical University of Vienna, General Hospital Vienna, Währinger Gürtel 18-20, Vienna, Austria. richard.poetter@akhwien.at
Fidarova
E
E
Kirisits
C
C
Dimopoulos
J
J
D001918:Brachytherapy / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000503:physiopathology / Q000532:radiotherapy*