Abstract
Purpose: Hybrid intracavitary/interstitial (IC/IS) applicators have been shown to improve local control for HRCTV > 30cc and dosimetry in all volume HRCTV compared to traditional intracavitary (IC) cervical HDR brachytherapy. Standard needle insertion patterns have not been well-established for hybrid IC/IS applicators. We quantify dosimetric benefits of the Vienna-style IC/IS applicator compared to IC-alone and aim to establish standard interstitial needle-loading and insertion depth patterns for non-bulky HRCTV.
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