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.
Department of Radiotherapy, Medical University of Vienna, General Hospital Vienna, Währinger Gürtel 18-20, Vienna, Austria. richard.poetter@akhwien.at
R
R
Pötter
E
E
Fidarova
C
C
Kirisits
J
J
Dimopoulos
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*