Abstract

Vaginal cylinder high-dose-rate (HDR) brachytherapy is a common procedure performed in the treatment of early stage endometrial cancer. Current recommendations by the American Brachytherapy Society (ABS) regarding the re-planning for HDR vaginal cuff brachytherapy between individual treatment sessions (fractional) are ambiguous. Additionally, recent investigations of the utility of fractional re-planning using two-dimensional simulations for vaginal cylinder HDR brachytherapy have had conflicting conclusions.

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