Abstract
In gynaecological cancer, BT is typically administered using a cylindrical applicator with a single line source. Interstitial brachytherapy (IB) can improve local control by tailoring the dose to the anatomy compared with standard intracavitary brachytherapy. IB can be delivered using intra-vaginal applicator or gynaecological perineal templates. Institutions employ imaging fluoroscopy or ultra-sound to further guide interstitial needle (IN) placement. This presentation demonstrates case studies and our process in delivering a MR-guided IB technique using a customized vaginal applicator (CVA) to treat endometrial carcinoma recurrences in the vagina.
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