Hostname: page-component-77c89778f8-rkxrd Total loading time: 0 Render date: 2024-07-20T02:32:51.717Z Has data issue: false hasContentIssue false

Endometrial recurrence in the proximal vagina: brachytherapy volume delineation with 18FDG PET-CT

Published online by Cambridge University Press:  24 August 2011

Sairanne Wickers*
Affiliation:
University College London Hospital, London, UK
Eleanor Gill
Affiliation:
University College London Hospital, London, UK
Tracy Sullivan
Affiliation:
University College London Hospital, London, UK
Claire Rhodes
Affiliation:
University College London Hospital, London, UK
Kevin Sullivan
Affiliation:
University College London Hospital, London, UK
Glen Blackman
Affiliation:
University College London Hospital, London, UK
*
Correspondence to: Sairanne Wickers, BSc, University College London Hospital, 235, Euston Road, London, NW1 2BU, UK. Email: sairanne.wickers@uclh.nhs.uk

Abstract

Background: Endometrial cancer vaginal recurrence in a patient deemed unsuitable for EBRT. Brachytherapy proposed although standard image-guidance insufficient.

Proposed Solution: PET-CT image-guidance.

Results: PET-CT acquired with brachytherapy applicator in situ. BTV delineated by the Nuclear Medicine physician. All subsequent volumes delineated by the Clinical Oncologist. 2 phase plan delivered with minimal toxicity.

Type
Case Study
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chiti, A, Kirienko, M, Grégoire, V. Clinical use of PET-CT data for radiotherapy planning: what are we looking for? Radiother Oncol 2010; 96: 277279.CrossRefGoogle Scholar
Belhocine, TZ, Grigsby, PW. FDG PET and PET-CT in Uterine Cancers. Cancer Ther 2005; 3: 201218.Google Scholar
Thorwarth, D, Geets, X, Paiusco, M. Physical radiotherapy treatment planning based on functional PET/CT data. Radiother Oncol 2010; 96: 317324.Google Scholar
Lee, JA. Segmentation of positron emission tomography images: some recommendations for target delineation in radiation oncology. Radiother Oncol 2010; 96: 302307.CrossRefGoogle ScholarPubMed
Dale, RG, Jones, B. The clinical radiobiology of brachytherapy. Br J Radiol 1998; 71: 465483.Google Scholar
Pötter, R, Haie-Meder, C, van Limbergen, E, Barillot, I, De Brabandere, M, Dimopoulos, J, Dumas, I, Erickson, B, Lang, S, Nulens, A, Petrow, P, Rownd, J, Kirisits, C; GEC ESTRO Working Group. Recommendations from gynaecological (GYN) GEC ESTRO working group (II): concepts and terms in 3D image-based treatment planning in cervix cancer brachytherapy-3D dose volume parameters and aspects of 3D image-based anatomy, radiation physics, radiobiology. Radiother Oncol 2006; 78: 6777.Google Scholar