Adaptive Radiation Therapy for Gynecologic Cancers

Beth Erickson, Karen Lim, James Stewart, Eric Donnelly, William Small, Anthony Fyles, Michael Milosevic

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Scopus citations


Important in the implementation of ART for gynecologic cancers is a standard delineation of the target volumes, both in the postoperative and in the intact pelvis. The standard target volumes for pelvic irradiation in postoperative gynecologic malignancies include the parametrium, the upper vagina and vaginal cuff, and the pelvic lymph nodes. Traditional radiation techniques utilized to treat the pelvis consisted of either two (anteroposterior- posteroanterior [AP-PA]) or four (AP-PA, right and left laterals) fields. Historically, these fields were designed utilizing plain radiographs and bony landmarks for borders based on anatomical knowledge obtained during surgical trials (Greer et al. 1990). Conventionally, the superior field border for gynecologic malignancies has been placed at the level of the L4-L5 or L5-S1 interspace. If iliac or para-aortic nodal involvement was identified, the border was extended superiorly for additional coverage.

Original languageEnglish (US)
Title of host publicationAdaptive Radiation Therapy
PublisherCRC Press
Number of pages18
ISBN (Electronic)9781439816356
ISBN (Print)9781439816349
StatePublished - Jan 1 2011

ASJC Scopus subject areas

  • Medicine(all)
  • Physics and Astronomy(all)


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