Abstract
Purpose: It is well established in cervical brachytherapy that the addition of interstitial (IS) needles to intra-cavitary (IC) applicators can significantly enhance dosimetry by improving target coverage without increasing normal tissues doses. Accurate placement of interstitial needles requires significant skill and imaging guidance proficiency, thereby limiting the benefits to a subset of practitioners and patients. Available commercial combined IC/IS applicators restrict the available needle positions to often unsatisfactory locations for optimized dosimetry.
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