Contouring guidelines of carcinoma cervix

Post on 22-Jan-2018

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Transcript of Contouring guidelines of carcinoma cervix

CONTOURING GUIDELINES OF CARCINOMA CERVIX

Contents

INTRODUCTION

Problems faced with CT based planning

Indications

Pre simulation

BLADDER FILLING

SIMULATION

OARS

COMPONENTS OF CTV PRIMARY

GTV PRIMARY

UTERINE CERVIX

PARAMETRIUM

UTERINE CORPUS

VAGINA

NODAL VOLUMES

CTV N

ITV

PTV

INTERTECC TRIAL

Bone Marrow

Post op

Dose prescription

Paraortic irradiation

Set up verification

Radiation Review

Review of literature