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Gynecologic Radiation Therapy pp 51–60Cite as

Image-Guidance in External Beam Planning for Locally Advanced Cervical Cancer

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Abstract

The use of highly conformal external beam radiotherapy may decrease toxicity and enhance tumor control. However, the marked tumor regression seen in cervix cancer during radiotherapy, combined with the complex organ motion of surrounding normal tissues, could also result in geographical target miss without appropriate imaging, contouring and planning expertise. As such, image guidance plays a vital role in the planning and treatment aspects of cervix cancer when highly conformal treatment is being considered. This chapter highlights the current data on tumor motion and regression as well as the emerging importance of the impact of normal tissue motion and deformation on radiotherapy planning and treatment. As emergent technologies advance, the feasibility of adaptive strategies will undoubtedly result in improvements in the outcomes of these patients.

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Authors and Affiliations

  1. Department of Radiation Oncology, Princess Margaret Hospital, 610 University Ave, Toronto, ON, M5G 2M9, Canada

    Karen Lim, Michael Milosevic, Kristy Brock & Anthony Fyles

Authors
  1. Karen Lim
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  2. Michael Milosevic
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  3. Kristy Brock
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  4. Anthony Fyles
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Corresponding author

Correspondence to Karen Lim .

Editor information

Editors and Affiliations

  1. Dana-Farber Cancer Institute, Dept. Radiation Oncology, Harvard Medical School, Binney St. 44, Boston, 02115, Massachusetts, USA

    Akila N. Viswanathan

  2. , Division Medical Radiation Physics, AKH Wien-MUW, Währinger Gürtel 18-20, Wien, 1090, Austria

    Christian Kirisits

  3. Dept. Radiation Oncology, Medical College of Wisconsin, Watertown Plank Road 8701, Milwaukee, 53226, Wisconsin, USA

    Beth E. Erickson

  4. Klinik Strahlentherapie und, Strahlenbiologie, Universitätsklinikum Wien, Währinger Gürtel 18-20, Wien, 1090, Austria

    Richard Pötter

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© 2011 Springer Berlin Heidelberg

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Lim, K., Milosevic, M., Brock, K., Fyles, A. (2011). Image-Guidance in External Beam Planning for Locally Advanced Cervical Cancer. In: Viswanathan, A., Kirisits, C., Erickson, B., Pötter, R. (eds) Gynecologic Radiation Therapy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68958-4_5

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  • DOI: https://doi.org/10.1007/978-3-540-68958-4_5

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-68954-6

  • Online ISBN: 978-3-540-68958-4

  • eBook Packages: MedicineMedicine (R0)

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