Abstract
Standard intracavitary vaginal brachytherapy devices are limited in the ability to deliver radiation dosage to the upper/apical vagina. Our institution modified the commercially available MIAMI™ applicator (Mick Radio Nuclear Instruments, New York, NY, USA) to allow for extension of needles through seven channels (one central and six peripheral) into the proximal vaginal cuff. This study examines the outcome of brachytherapy using this device through evaluation of acute/chronic toxicities, dosages to organs-at-risk, and tumor control.
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