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Contemporary image-guided cervical cancer brachytherapy: Consensus imaging recommendations from the Society of Abdominal Radiology and the American Brachytherapy Society. | LitMetric

AI Article Synopsis

  • The study focuses on improving how imaging is used for evaluating and guiding brachytherapy procedures in cervical cancer patients.
  • An expert panel evaluated existing literature to provide recommendations on imaging protocols that help minimize complications during treatment.
  • Using imaging like CT or MRI during the procedure is crucial as it reduces the risk of uterine perforation and enhances treatment planning for better patient outcomes.

Article Abstract

Purpose: To present recommendations for the use of imaging for evaluation and procedural guidance of brachytherapy for cervical cancer patients.

Methods: An expert panel comprised of members of the Society of Abdominal Radiology Uterine and Ovarian Cancer Disease Focused Panel and the American Brachytherapy Society jointly assessed the existing literature and provide data-driven guidance on imaging protocol development, interpretation, and reporting.

Results: Image-guidance during applicator implantation reduces rates of uterine perforation by the tandem. Postimplant images may be acquired with radiography, computed tomography (CT), or magnetic resonance imaging (MRI), and CT or MRI are preferred due to a decrease in severe complications. Pre-brachytherapy T2-weighted MRI may be used as a reference for contouring the high-risk clinical target volume (HR-CTV) when CT is used for treatment planning. Reference CT and MRI protocols are provided for reference.

Conclusions: Image-guided brachytherapy in locally advanced cervical cancer is essential for optimal patient management. Various imaging modalities, including orthogonal radiographs, ultrasound, computed tomography, and magnetic resonance imaging, remain integral to the successful execution of image-guided brachytherapy.

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Source
http://dx.doi.org/10.1016/j.brachy.2022.04.005DOI Listing

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